CAMPBOSS/ CHIEF COOK
Resume:
AFFIX HERE YOUR RECENT PASSPORT SIZE PHOTOGRAPH
Post applied for : CAMPBOSS/CHIEF COOK
Willing to accept lower rank? Yes /NO
Available From: / ANY TIME
1. Personal Details
First Name: ANDREW
Middle Name : ANTHONY
Last Name / Surname : DIAS
Nationality: INDIAN
Date of Birth: 10-11-1970
Place Of Birth: MARGAO GOA
Permanent Address MINGFOLL CHINCHINIM SALCETE GOA INDIA
Present / Temporary Address SAME Until
City MARGAO Pin 403715
City MARGAO Pin 403715
Tel:083********
Mobile:942*******
Tel:
Mobile:988*******
E mail:******.******.****@*****.***
E mail:
Nearest Airport : Mumbai / New Delhi / Chennai / Kolkata DABOLIM(GOA)
Document
Country
No.
Issued
Place
Valid Until
Passport
Z6607388
24-02-2022
PANAJI
23-02-2032
Seamen’s Book
National
MUM 107165
26-10-2020
MUMBAI
25-10-2030
Seamen’s Book
Liberian
Seamen’s Book
Marshall islands
Seamen’s Book
Panamanian
1150005
21-09-2015
MANILA
2009-2020
US visa- r B1/B2
03-05-2016
MUMBAI
01-11-2026
US visa – “C1” / “D” Yes
29-03-2019
MUMBAI
25-03-2024
INDoS No.01YL0936
ECNR : Yes /No .
Name of Nominee
In case of fatality : MERECIA DIAS
Relation: WIFE
Address :MINGFOLL CHINCHINIM SALCETTE GOA INDIA
City City : MARGAO Pin : 403715 Tel:083********
Family Details
Relationship
First Name
Last Name
Date of Birth
Passport No.
Issued
Place
Valid Until
Wife
MERECIA
DIAS
28-07-1971
N 1671121
05-08-2015
PANAJI
04-08-2025
Child F
ANTHIA
DIAS
16-05-199
Child M/F
Child M/F
Child M/F
Indicate the type of valid visa* USA C1/D CANADA BRAZIL UK OTHERS
Height ( In cms ) 165CMS
Weight (In Kgs) 80
Shoe Size : 42
Boiler Suit Size : 42(XXL)
2. Certificates / Courses
A. Academic Qualification
School / College
Year of Passing
Highest Qualification attained
Class
MOUNT MARY HIGH SCHOOL
1987
SSC
FIRST
B. Training / Apprenticeship
From
To
Institution / University
AGNEL POLYTECHNIC
01-09-1987
31-12-1987
ASHRAM
C.Highest Competency Certificate Held
Issuing Authority :
Grade
Certification No.
Date Issued
Place Issued
Valid Until
National (Country :)
Liberian
Panamanian
Marshall Island
Cayman Island
Hong Kong
Cyprus
D. Dangerous Cargo Certification
1. Endorsement on NATIONAL Certificate
Number
Level
Date Issued
Place Issued
Valid Until
Petroleum
Liquid Chemicals
E. Dangerous Cargo Endorsement ( Issued by Countries other than in Section 2D)
Country
Type @
Capacity #
Certificate No.
Date Issued
Valid Until Use following nomenclature: “Tankerman person in charge”, “ Tankerman assistant” @- Petroleum / Chemical
F. Watch Keeping Certificate: (For Ratings Only) (Include Liberian Special Qualification) :
Certificate to work as ( e .g. AB/ Oiler)
Certificate No.
Date Issued
Place Issued
Valid Until
G. Courses Attended and Certificates Obtained
Course / Certificates
Certificate Number
Date Issued
Institution / Place Issued
Valid Until
Fire Fighting ( Advanced/Basic)
2080556122220063
24-03-2022
SEA.S.M.FOUND.GOA
23-03-2027
Medical Care / MFA / EFA
685/2017
10-05-2017
SEA.S.M.FOUND.GOA
UNLIMITED
Proficiency in Survival Craft (PSCRB)
11-03-2019
B.P.M.ACADEMY MUM
10-03-2024
Personal Survival Techniques
11-03-2019
B.P.M.ACADEMY MUM
10-03-2024
Personal Safety & Social Responsibility
520/2017
13-05-2017
SEA.S.M.FOUND.GOA
UNLIMITED
Specialized Training Prog. (Petroleum)
Specialized Training Prog. (Chemical)
Oil /Chem / Gas Tanker Familiarization
DCE (Oil / Chem / Gas) Advanced / Basic
09-03-2019
B.P.M.ACADEMY MUM
UNLIMITED
Ship Security Officer/ STSDSD
BOSIET
0308
14-12-2019
NEW CORAL MARITIME ACADEMY
13-12-2023
ARPA / RANSCO
Electro Tech. Officer (ETO)
Engine Simulator (Oper / Mang level )
Ship Handling Simulator/LVHS
Liquid Cargo Handling Simulator
GMDSS Endorsement
GMDSS GOC
AMOS-D/P.M. S
BTM-Collision Avoidance
Maritime Resource Management
Ship Safety Officer
Risk Management
ECDIS Generic
ECDIS Type Specific
Hydraulics & Pneumatics
PMEW/BEFT
Automation
NABCO
Tanker Vetting
ISM-Awareness
ISPS-Awareness
AB Course / Motorman Course
COP / Watch-keeping
Yellow Fever
90016
24-08-2011
PANAJI GOA
23-08-2021
3. General:
A. Have you ever been denied a foreign Visa? NO.
If yes, state which Country and reason ( If known ) :
B. Have you been the subject to court of enquiry or involved in a maritime accident ? NO.
(If yes, pl attach the details)
C. Do you have any Medical History/ Undergone surgery? NO
(If yes, please attach details)
D. References: (Please give references from 2 recent employers who we may contact for references.)
Name of Company
NORTRANS SM OCS IND LTD
Name of Person to Contact
MR: MICHAEL DIAS
Telephone
For Office Use Only
4. Record of Sea Service (Please give a full record starting with the last vessel on which you served)
Company
Vessel /
Type*
DWT / GRT
Main Engine Type *
Only Engineers
BHP
Rank
Date from
Dd/mm/yy
Date To
dd/mm/yy
Period
M D
Chkd
OCS NOTRANS
MT. NORSTAR INTREPID
OIL TANKER
42010
CH/COOK
31-05-2021
16-02-2022
8/17
DOLE
MV:DOLE HONDURAS
CONT
16657
CH/ COOK
02-03-2021
17-04-2021
1/15
XT
MT: CHEM AMSTERDAM
CHEM
11733
CH/ COOK
15-01-2020
05-09-2020
7 20
OCS NOTRANS
ADOLO
FPSO
142647
25560
CAMPBOSS
30-04-2018
06-08-2018
3 07
OCS NOTRANS
AZURITE
FPSO
142647
25560
CAMPBOSS
08-02-2018
22-03-2018
1 14
OCS NOTRANS
AZURITE
FPSO
142647
25560
CAMPBOSS
13-11-2017
28-12-2017
1 15
OCS NOTRANS
AZURITE
FPSO
142647
25560
CAMPBOSS
18-07-2017
06-10-2017
2 20
OCS NOTRANS
AZURITE
FPSO
142647
25560
CH / COOK
30-09-2015
18-03-2016
5 19
XT
M.T: C.NORMA
CH
11939
5180
CH / COOK
13-03-2015
03-07-2015
3 22
OCS NOTRANS
AZURITE
FPSO
142647
5180
CH / COOK
20-08-2014
10-12-2014
3 22
WALLEM
M.T.DOLVIKEN
TNV
81453
51377
P.C.O
02-04-2014
21-06-2014
2 19
WALLEM
M.T .S.GIRASSOL
TNV
81230
22920
P.C.O
07-02-2013
29-09-2013
7 22
WALLEM
M.T.B.SPIRIT
TNC
57947
17400
P.C.O
07-10-2011
06-07-2012
9 00
WALLEM
M.T.Y.FOUNTAIN
TNV
15702
98937
P.C.O
14-10-2010
07-07-2011
8 22
WALLEM
M.T.Y.RHYME
TNV
15702
98937
P.C.O
26-05-2009
27-01-2010
8 01
WALLEM
M.T.CAMDEN
TNV
766802
2600
P.C.O
14-03-2008
16-12-2008
9 02
UNIVAN
M.T.S.KANNIKA
TNV
149274
22680
CH/COOK
11-01-2007
25-10-2007
9 14
UNIVAN
M.T.P.GOPLI
TNP
49818
15000
CH/COOK
15-07-2006
23-08-2006
1 08
UNIVAN
M.T.S.JUBILEE
TNV
141991
27230
CH/COOK
13-08-2005
20-04-2006
8 07
UNIVAN
M.V.PROMOTER
CN
13315
10332
CH/COOK
31-03-2004
24-01-2005
9 25
UNIVAN
M.V.MSC ARIANE
CN
10837
12250
CH/COOK
08-01-2003
13-09-2003
8 05
UNIVAN
M.T.M.RHINE
TNP
MMSI 636012392
CH/COOK
13-08-2001
07-06-2002
9 26
UNIVAN
M.V.BUTE
GC
12815
CH/COOK
06-09-2000
10-04-2001
7 04
UNIVAN
M.T.E.EUREKA
CH
5372
8762
CH/COOK
24-07-1999
12-06-2000
10 20
UNIVAN
M.V.R.OCEAN
B/C
26019
45742
CH/COOK
26-02-1999
08-06-1999
3 11
UNIVAN
M.V.I. EXPRESS
RF
19293
25950
CH/COOK
01-12-1997
09-09-1998
9 08
UNIVAN
M.V.C.EXPRESS
RF
2768
3443
CH/COOK
25-10-1996
15-08-1997
9 21
UNIVAN
M.T.STRENGTH
TNP
17257
12200
CH/COOK
08-07-1995
09-03-1996
8 01
UNIVAN
M.T.N.EUROPA
TNC
32576
18480
2ND COOK
22-11-1994
04-06-1995
6 13
UNIVAN
M.T.SOKOLICA
TNC
75863
29002
2ND COOK
13-01-1993
30-01-1994
12 19
UNIVAN
M.T.JEROM
TNV
65259
52897
2ND COOK
21-03-1992
03-12-1992
8 12
UNIVAN
M.T.SETTEBELLO
TNV
157574
47272
2ND COOK
14-11-1990
30-10-1991
11 16
*Use only following abbreviations for Vessel types:
GC – General Cargo
B/C – Bulk Carrier
CN – Cellular Container
MP – Multi Purposer
LV – Live Stocl
OBO – Ore/Bulk/Oil Carrier
TNC – Tanker(Crude)
TNP – Tanker(Product)
TNV – VLCC/ULCC
GAS – LPG/LNG Carriers
RF – Reefer
CH – Chemical Tanker
PAS – Passenger Ships
R/R – Ro-Ro Vessels
OSV – Offshore Vessels
PCC – Car Carriers
FSO/FPSO
OT – Others
I HEREBY DECLARE THAT ALL INFORMATION FURNISHED ABOVE IS TRUE TO THE BEST OF MY KNOWLEDGE AND BELIEF.
I FURTHER DECLARE THAT PRIOR JOINING YOUR COMPANY; I WILL STAND RELEASED FROM MY PREVIOUS EMPLOYMENT.
I CONFIRM THAT I HAVE RECEIVED ACKNOWLEDGEMENT FOR MY APPLICATION
Date:01-07-2022 Place: GOA ANDREW ANTHONY DIAS
Signature of Applicant:
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