Master / Chief Officer on AHTS.ASD.PSV.Tug boat

APPLICATION FOR EMPLOYMENT

DATE AVAILABLE:

**.08.2022

*************@*****.***

1. PERSONAL DETAILS

POSITION APPLIED FOR:

MASTER /

CHIEF OFFICER

SKYPE:

WhatsApp:

Vadim04111979

+791*-***-**-**

SURNAME:

DZYUBA

FIRST/MIDDLE NAME:

VADIM VLADIMIROVICH

DATE/PLACE OF BIRTH:

04.11.1979 MURMANSK

NATIONALITY:

RUSSIAN

PERMANENT ADDRESS:

MURMANSK 11/4 Lobova street apt. 119

NEAREST AIRPORT:

MURMANSK

PHONE:

+791*-***-**-**, home phone +791*-***-**-**

MARITAL STATUS:

MARRIED

EDUCATIONAL BODY:

Maritime college named Mesyatseva in 2001

Academy Makarova in 2013

YEAR FROM / TO:

1997/2001

WEIGHT:

81

KG

EYES COLOR:

Blue

SHOES SIZE:

42

HEIGHT:

178

SM

HAIR’S COLOR:

Black

CLOTHES SIZE:

48

2. NEXT OF KIN

SURNAME:

DZYUBA

RELATIONSHIP:

Wife

FIRST NAME:

TATIANA

DATE/PLACE OF BIRTH:

11.04.1984

PERMANENT ADDRESS:

MURMANSK 11/4 Lobova street apt. 119

PHONE:

+791*-***-**-**, home phone +791*-***-**-**

3. PASSPORT DETAILS

COUNTRY

SERIES

NUMBER

ISSUE DATE

ISSUE PLACE

VALID UNTILL

CIVIL PASSPORT:

RUS

47 04

937853

24.12.2004

Murmansk

24.12.2024

TRAVEL PASSPORT:

RUS

75

8378244

05.07.2018

Murmansk

05.07.2028

SCHENGEN VISA:

NL

C

003741909

26.09.2018

Murmansk

26.03.2019

SEAMAN’S PASSPORT:

RUS

RUS

0490997

08.09.2020

St. Petersburg

07.09.2025

SEAMAN’S BOOK:

RUS

MK

0004408

05.04.2011

Murmansk

Permanent

4. LICENCE PARTICULARS

GRADE

NUMBER

ISSUE DATE

ISSUE PLACE

VALID UNTILL

NATIONAL LICENCE:

MASTER

LED 202964086

16.08.2018

St. Petersburg

25.06.2023

GMDSS CERTIFICATE:

GOC

LED 202964064

16.08.2018

St. Petersburg

04.07.2023

CERTIFICATE DP course:

SDPO

838/15

11.09.2015

St. Petersburg

11.09.2020

BOSIET / HUET:

OPITO

210

08.05.2019

Astrakhan

07.05.2023

H2S:

OPITO

144580

14.05.2019

Singapore

13.05.2021

FOREIGN COUNTRIES

GRADE

NUMBER

ISSUE DATE

ISSUE PLACE

VALID UNTILL

ENDORSEMENT:

MASTER

RE 00587818

21.09.2018

Cyprus

25.06.2023

ENDORSEMENT:

MASTER

COE-D0164406

15.04.2019

Singapore

25.06.2023

ENDORSEMENT:

MASTER

NW02921

12.01.2021

Qatar

24.06.2023

5. CERTIFICATION

GRADE

NUMBER

ISSUE DATE

ISSUE PLACE

VALID UNTILL

BASIC TRAINING :

STCW

AB 0978351

25.07.2018

St. Petersburg

25.07.2023

PROFICIENCY IN SURVIVAL CRAFT:

STCW

AB 0979309

23.07.2018

St. Petersburg

23.07.2023

FAST RESCUE BOATS:

STCW

004

06.08.2018

St. Petersburg

06.08.2023

ADVANCED FIRE FIGHTING:

STCW

AB 0978897

13.07.2018

St. Petersburg

13.07.2023

MEDICAL FIRST AID:

STCW

AB 0979471

04.07.2018

St. Petersburg

04.07.2023

MEDICAL CARE:

STCW

2012

06.07.2018

St. Petersburg

06.07.2023

RADAR OBSERVATION & PLOTTING:

0980225

10.07.2018

St. Petersburg

10.07.2023

A.R.P.A:

0900438

12.07.2018

St. Petersburg

12.07.2023

ECDIS:

AB 0900649

18.07.2018

St. Petersburg

18.07.2023

HAZARDOUS MATERIALS CERTIFICATE:

2574

03.08.2018

St. Petersburg

03.08.2023

HAZARDOUS MATERIALS CERTIFICATE (USA):

530*********

12.01.2021

Qatar

11.01.2023

ISPS Code (A-VI/6, table A-VI/6-2):

AB 1102597

27.07.2018

St. Petersburg

27.07.2023

SHIP SECURITY CERTIFICATE:

AB 1102390

20.07.2018

St. Petersburg

20.07.2023

SAFETY OFFICER TRAINING:

085

31.07.2018

St. Petersburg

31.07.2023

YELLOW FEVER VACCINATION:

YF-13

25.08.2009

Murmansk

Permanent

BRIDGE TEAM MANAGEMENT & BRIDGE RESOURCES MANAGEMENT:

14/0921-29

03.09.2021

St. Petersburg

03.09.2026

MEDICAL FITNESS CERTIFICATE:

5602/21

27.08.2021

St. Petersburg

27.08.2022

DRUG AND ALCOHOL TEST:

5592/21

27.08.2021

St. Petersburg

27.08.2022

6. PREVIOUS SEA EXPERIENCE (FOR LAST 10 YEARS)

NAME OF VESSEL

YEAR OF BUILD

TYPE OF VESSEL

FLAG

RANK

DWT/

BHP*

ENGINE TYPE

FROM

TO

SHIPOWNER/CONTACT NUMBER

San Antonio

1988

General cargo

Belize

2-nd Mate

11713/10330

MAN

23.03.10

10.01.11

Staves Consultants Ltd.

+781********

Anchor 1

1980

Supply Offshore

Cook Island

Chief Mate

258/2758

GM

30.08.11

21.01.12

Moran Maritime Group

+792********

Aegean Sea Fos

1982

AHTS

Panama

2-nd Mate

1100/8160

NOHAB

21.09.12

23.01.13

Five Oceans Salvage Ltd.

Aegean Sea Fos

1982

AHTS

Panama

Chief Mate

1100/8160

NOHAB

24.01.13

30.04.13

Five Oceans Salvage Ltd.

Courtney Tide

2010

AHTS

Vanuatu

2-nd Mate

1400/5150

Caterpillar

25.02.14

10.06.14

Tidewater Company Ltd. 504-***-****

Gary Tide

2010

AHTS

Vanuatu

Chief Mate

1400/5150

Caterpillar

18.04.15

03.07.15

Tidewater Company Ltd.

504-***-****

Ionian Sea Fos

1982

AHTS / DSV

Malta

Chief Mate

1400/10560

Bergen

21.10.15

11.02.16

Tug Management Services Ltd.

Meric

2003

AHT

Kz

Chief Mate

524/2720

Caterpillar

22.09.16

24.12.16

ENKA Ltd. +770********

Meric

2003

AHT

Kz

Chief Mate

524/2720

Caterpillar

19.03.17

01.07.17

ENKA Ltd. +770********

Everest 1

1992

AHTS

Panama

Chief Mate

1887/7240

MAK

23.10.17

07.12.17

Prayati Shipping PVT Ltd. +91-22-409*-****

Mustang

2009

AHTS

Cyprus

Chief Mate

624/6080

Mitsubishi

29.01.18

21.05.18

AAN Ltd.

+357********

Mustang

2009

AHTS

Cyprus

Chief Mate

624/6080

Mitsubishi

04.10.18

15.02.19

AAN Ltd.

+357********

Britoil 61

2007

AHTS

Singapore

Chief Mate

1123/10500

MAK

12.05.19

10.08.19

Britoil Offshore Ltd.

+656*******

Britoil 81

2009

AHTS

Singapore

Chief Mate

1746/8000

MAK

04.10.19

22.08.20

Britoil Offshore Ltd.

+656*******

Halul 90

2015

AHTS / ASD

Qatar

Chief Mate

941 / 8284

Caterpillar

06.01.21

06.07.21

Halul Offshore W.L.L.

+974********

Hercules

2012

AHTS

Belize

Master

513 / 2100

Wartsila

15.10.21

15.03.22

GTLK Malta Four Limited

+224*********

* DWT +TEU for deck department; BHP (kW) for engine department.

Months

Nationality

Whether agreeable to one rang lower:

no

Experience with multinational crew:

69

Norway. Philippians, Chileans, Turkey, Iranians, Greeks, Arabs, Indians.

DATE :

21.02.2022

SIGNATURE:

Dzyuba

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