APPLICATION FORM / PERSONAL DATA UPDATE FORM FOR OFFICER Rank applied for 2/0 + 3/0 + offshore … Available from 20/03/2021 Full name AMIR ZARINPANJEH residence TURKEY
DOB/POB THEHRAN/14.09.1976 Email: ***************@*****.*** Contact no: WhatsApp call & voice
call
Skype: live:.cid.db83f6a2c5b7a7fe
Marital status Married Min. salary: negotiable
Desired VSL Type Tanker / offshore Closest air port ISTANBUL airport Address: NO: 118, esenyurt, Istanbul, Turkey
At present, I live in Istanbul
1.DOCUMENTT/LICENCES
DOCUMENT DOCUMENT NO: DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE passport M53185479 27/09/2020 27/09/2025 THEHRAN
Seaman’s book 0430238 29/11/2016 29/11/2021 THEHRAN Medical fitness 07/15/28/6969 15/08/20 20 15/08/20 22 BANDAR E ABBAS 2.DIPLOMA / UNIVERSITY
Title of document Department Date of issue Country of issue Remark Marine engineering Deck officer 2000 IRAN Bachelor degrees
3. LICENCE / CERTIFICATES OF COMPETENCY
Issuing
authority
Grade Number Date of issue Date of Expiry Remark
IRANIAN Second officer 1/11/01/702356 26/11/2016 25/11/2021 Unlimited / ocean going
IRANIAN GMDSS radio
operator
1/11/01/702356
Endorsement 1 Palau endorsement
Endorsement 2 Panama endorsement
Endorsement 3 Malta endorsement
4. STCW AND OTHER CERTIFICATES
STCW Courses Certificate No Date of Issue Date of Expiry Place of Issue
Issuing Authority/
INSTITUTE
ADV.CHEMICAL NO
ADV.TANKER YES 26/11/2016 26/11/2021 THEHRAN PMO
BASIC OIL/CHEMICAL YES 26/11/2016 26/11/2021 THEHRAN PMO ADV.FIRE FIGHTING YES 26/11/2016 26/11/2021 THEHRAN PMO BASIC TRANINING YES 26/11/2016 26/11/2021 THEHRAN PMO MEDICAL FIRST AID YES 26/11/2016 26/11/2021 THEHRAN PMO SHIP SECURITY OFFICER YES 26/11/2016 26/11/2021 THEHRAN PMO DESIGNATED SECURITY NO
SURIVAL CRAFT &RESCUE BOAT YES 26/11/2016 26/11/2021 THEHRAN PMO MEDICAL CARE NO
ADV. CHEMICAL PANAMA NO
SECURITY OFFICER YES 26/11/2016 26/11/2021 THEHRAN PMO GMDSS YED 26/11/2016 26/11/2021 THEHRAN PMO
OTHERS
OTTP YES 26/11/2016 26/11/2021 THEHRAN PMO
5. REFERENCES (Please give two references/companies whom we can ask about your seagoing experience) Name Company/Designation Telephone/Contact NO.
1 AMACO company 093********
2 PMO company 091********
6. PERSONAL DETAILS
Height: 1.68 Weight : 76
Color of eyes: Black Color of Hair : black
Any major illness / Surgery : (If “YES”, Kindly provide details separately) NO 7. SEA EXPERIENCE: (Most recent at Top)
Special Experience:
8. Shore based experience:
company rank From: To:
TOPAZ SHIPPING company Designated person ashore
(DPA) & HSE manager
2007 2011
Ports and shipping organization VTS operation manager 2012 2016 V-103 & V-104 certificate
9. DECLARATION
I declare that the information given by me in filling up this form to the best of my knowledge are true complete. I also declare that the documents submitted to NAUTICAL MARINE MANAGEMENT COMPANY NAME TYPE DWT RANK FROM TO FLAG IMO NO
KARANEH
LINE
SUNNY RO/PAX 3800 2/O 30/10/2020 20/01/2021 PALAU 7925297 KARANEH
LINE
GRAND
FERRY
RORO/PAX
2311 2ND mate 29/04/2020 20/10/2020 PALAU 8003620
FLB.BOOSH
EHR
M/V TAISIZ
AHTS
1012 Chief mate
+ radio
operator
12/01/2020 10/04/2020 IRAN 8560513
NITC HORIZON TANKER 300000 2/0 05/04/2019 22/11/2019 TANZANIA 9212890 NITC ALERT TANKER 100000 3/O 18/05/2018 20/12/2018 TANZANIA 9187643 SADRA OFOGH 2 AHT V/L
965
CH/O +
GMDSS
radio
operator
10/01/2018 14/03/2018 IRAN 7106047
SADRA PLB barge
132
Pipe laying
barge
………
…..
Barge
master
11/09/2017 09/12/2017 IRAN ………
NITC LPG WHITE
PURL
LPG 10000 3/0 23/04/2017 11/08/2017 PANAMA 7230666 NITC NOBEL TANKER 300000 3/O 15/12/2016 05/03/2017 TANZANIA 9079066 SERVICES PVT. LTD. Are genuine, given and signed by the persons whose names appear on them. Any false declaration may render me liable for termination or dismissal Date : 25/03/2021 SIGNATURE OF APPLICANT :
AMIR ZARIN PANJEH__
Remark:
Dear Sir/Madam,
this is AMIR ZARINPANJEH
I am looking for a job vacancy in your good company. Holding the Unlimited COC in the second officer level (OOW bridge) issued by the government of IRAN. At present, I live in Istanbul
I have enough years of experience onboard the VLCC tankers and offshore AHTS vessels and shore-based as an operation manager and company DPA and similar positions. I am an excellent candidate for this vacancy as it closely matches my skills and experience. I look forward to hearing from you. PRESENT LOCATION: TURKEY / ISTANBUL
contact information: +90-539-***-**** voice call and WhatsApp ***************@*****.***
SKYPE : live:.cid.db83f6a2c5b7a7fe
Yours faithfully