APPLICATION FOR EMPLOYMENT
DATE AVAILABLE: **.**.2022 *************@*****.***
1. PERSONAL DETAILS
POSITION APPLIED FOR:
MASTER /
CHIEF OFFICER
SKYPE:
WhatsApp:
Vadim04111979
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 DP induction course: DP IDP 2065/22 25.03.2022 St. Petersburg 25.03.2027 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.
Anchor 1 1980
Supply
Offshore
Cook
Island
Chief Mate 258/2758 GM 30.08.11 21.01.12
Moran Maritime Group
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.
Gary Tide 2010 AHTS Vanuatu Chief Mate 1400/5150 Caterpillar 18.04.15 03.07.15 Tidewater Company Ltd.
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.
Meric 2003 AHT Kz Chief Mate 524/2720 Caterpillar 19.03.17 01.07.17 ENKA Ltd.
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.
Mustang 2009 AHTS Cyprus Chief Mate 624/6080 Mitsubishi 04.10.18 15.02.19 AAN Ltd.
Britoil 61 2007 AHTS Singapore Chief Mate 1123/10500 MAK 12.05.19 10.08.19 Britoil Offshore Ltd.
Britoil 81 2009 AHTS Singapore Chief Mate 1746/8000 MAK 04.10.19 22.08.20 Britoil Offshore Ltd.
Halul 90 2015 AHTS / ASD Qatar Chief Mate 941 / 8284 Caterpillar 06.01.21 06.07.21 Halul Offshore W.L.L.
Hercules 2012 AHTS Belize Master 513 / 2100 Wartsila 15.10.21 15.03.22 GTLK Malta Four Limited
* 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 : 01.04.2022 SIGNATURE: Dzyuba