Port Captain, Marine superintendent, Marine Specialist, Master Mariner
Resume:
Paste photo
Application Form
Deck & Engineering Officers
Section 1
Position
Position Applied for
Master
Lowest Position Acceptable
Date of Availability
/ / 2022 dd/mm/yyyy
Section 2
Personal Details
Family name / Surname
Gordienko
First Name / Given Name
Pavel
Date & Place of Birth
Date - 03.03.1970 /USSR/
Nationality
Russian
Permanent Address
Karandina str.,89 Astrakhan, Russia
Present Address
Karandina str.,89 Astrakhan, Russia
PPE information
SAFETY SHOES SIZE
43
COVERALL SIZE
XXL
Blood Group Information
-IV/ -AB/
Present Contact Number
Mobile Number
+790*-***-**-**; whats app/ viber
Skype address
Login: pavgordienko
Email Address
************@******.**
Nearest Airport (and Distance)
Astrakhan, alternative-,Moscow
Section 3
Passport and VISA details
Country of Issue
RUSSIAN
USA Visa - Type
n/a
Date Issued
21.05.2014
USA VISA Expires
n/a
Place Issued
ASTRAKHAN
USA Visa - Type
n/a
Passport Number
73 2800008
USA VISA Expires
Passport –Expires
21.05.2024
Other Country Visa
n/a
Secondary passport or Dual nationality
n/a
Visa Expiry
Section 4 ( hi-light as required )
Seaman book / Discharge book / Seaman Record Book / CDC
Issuing Country & Place
Russia
Date Issued
28.04.2011
Number
RUS 0511819
Expiry Date (if any)
10.12.2025
Section 5
Next of Kin – this is important information we require- Don’t ignore it
Full Name / Relationship
Gordienko Tatyana / Wife
Any dependents / Children (incl age )
Address
Karandina str.,89 Astrakhan, Russia
Contact Numbers
Mob. +7-906-**-**-***
Section 6 STCW95 Highest Certificate of Competency / Licence Held ( also list Flag State Endorsements)
Class / Grade/Capacity
Issuing Country
Certificate No.
Date Issued
Expiry
Details of Limitations
Master II/2
Russia
ASF 203532909
07.06.2019
11.04.2024
None fishing vessels only
ALSO ENTER ABOVE DETAILS OF ANY OTHER FLAG STATE CERTIFICATES HELD
Section 7 STCW95 Dangerous Cargo Endorsements
Petroleum
Liquefied Gas
Liquid Chemicals…….
Certificate No.
Date Issued
Expires
Details of Limitations/ Grade
Section 8 STCW95 related Courses Attended and Certificates Obtained
Name of Course / Certificate
STCW Code
Place
Issue Date
Cert No
Expiry Date
Basic Safety Training
A-VI/1
Astrakhan/Russia
11.04.2019
1267869
11.04.2024
Basic Sea Survival / Personal Survival Techniques
A- VI/1-1
Astrakhan/Russia
11.04.2019
1267869
11.04.2024
Fire Prevention & Fire Fighting
A-VI/1-2
Astrakhan/Russia
11.04.2019
1267869
11.04.2024
Elementary First Aid
A-VI/1-3
Astrakhan/Russia
11.04.2019
1267869
11.04.2024
Personal Safety & Social Responsibility
A-VI/ 1-4
Astrakhan/Russia
11.04.2019
1267869
11.04.2024
Proficiency in Survival Craft & Rescue Boats
A-VI/ 2-1
Astrakhan/Russia
12.04.2019
1268630
12.04.2024
Proficiency in RESCUE CRAFTS
n/a
n/a
n/a
n/a
n/a
Proficiency in FAST RESCUE BOATS
A-VI/ 2
n/a
n/a
n/a
n/a
Advanced Fire Fighting
A-VI/ 3
Astrakhan
13.04.2019
1268176
13.04.2024
Medical & First Aid
A-VI/ 4-1
Astrakhan
24.04.2019
1289265
24.04.2024
Radar & ARPA Simulator Trg- Management level
A-II/ 1-2
Astrakhan
10.05.2019
1312111
10.05.2024
Electronic chart Display and Information System course (ECDIS)
A-II / 1
Astrakhan
27.04.2019
1270312
27.04.2024
GMDSS + ENDORSEMENT
A-IV/ 2
Astrakhan
07.06.2019
ASF 203532914
07.06.2024
Ship Security Officers Course (SSO)
Issued under STCW95
A-VI/ 5
Astrakhan
17.05.2019
1311594
17.05.2024
Proficiency in Security Awareness
A-VI/6
n/a
n/a
n/a
n/a
Proficiency in Designated Security Duties
A-VI
n/a
n/a
n/a
n/a
Medical Certificate / HEALTH Certificate
MLC Compliant
Policlinik no 3 Astrakhan city
13.01.2022
604-20
13.01.2023
YELLOW FEVER
N/A
Astrakhan
21.01.20
21.01.30
Drug and Alcohol test certificate
Policlinik no 3 Astrakhan city
13.01.2022
604-20
13.01.2023
Bridge Team Management
A-II/2
Astrakhan
24.05.2019
00000787
24.05.2024
Bridge Resources Management
B-VIII/2
Astrakhan
24.05.2019
00000787
24.05.2024
Section 9 OFFSHORE INDUSTRY COURSES
Please enter below any other certificates held or courses done, ie offshore, DP certs etc or Any other not already mentioned
Name of Course / Certificate
APPROVALS
Place
Issue Date
Cert No
Expiry
BOSIET
N/A
N/A
N/A
N/A
N/A
HUET
OPITO
Abu Dhabi
07.08.2019
52515858070819327364
06.08.2023
FOET
OPITO
Abu Dhabi
07.08.2019
52515858070819327364
06.08.2023
H2S
OPITO
Abu Dhabi
04.08.2019
52519014040819327013
03.08.2021
ADNOC Induction Course
ETSDC-167087/2019
14.08.2019
n/a
n/a
ADNOC MEDICAL CERT
Capital Health Screening Centre Abu Dhabi
07/08/2019
n/a
07.08.21
ADMA Approval Initial
Abu Dhabi ADMA OPCO
31.05.2016
n/a
n/a
Initial Standby vessel crews training ( ITSO )
CAA (Civil Aviation Authorities – Helicopter)
Advanced Medical Aider ( AMA )
Helicopter Landing Operator (HLO)
MARLIN’s English Test
Score: 100 %
Astrakhan Technical University
11.04.11
N/A
CES 5.0 English Test
Score: %
DP Maintenance Courses
HIGH VOLTAGE COURSE
Dynamic Positioning Induction Course
Odessa Maritime Training center
25.01.13
0019/2013
Dynamic Positioning Simulator Course
DPO Full certificate
DPO Advance certificate
Dynamic Positioning Log book Details
IMCA
Odessa Maritime Training center
25.01.13
Naut.Institute
Section 10 Hours done with various DP system
SYSTEM DETAILS
Approx Hours as SDPO / Approx Days in case of Senior ETO / Senior Engineer
Approx Hours as DPO / Approx Days in case of Junior ETO / Junior Engineer
APPROXIMATE Total DP Hours in Various Operations
SAT DIVING
CABLE LAYING
AIR DIVING
SURVEY
ROV
PIPE LAYING
WELL STIMULATION / INTERVENTION / ACTIVATION
DRILL SHIP / SEMI SUB
AHTS
PSV
FPSO
SHUTTLE TANKER
CONSTRUCTION
ROCK DUMPING / MATTRESSING
CORING
TRENCHING
HEAVY LIFT
ACCOMMODATION / GANGWAY
STAND BY
Section 11 Medical History
YES
NO
Have you ever signed off a ship due medical reason ?
no
Have you undergone any medical operations in past ?
no
Have you consulted a doctor during the past 12 months for an illness / Accident
no
Do you have any health or disability problem now ?
no
If answer to any of above is YES then give further details below or on a separate sheet
Section 12 General
YES
NO
Have you ever been involved in a maritime accident, ie grounding, fire, Explosion, Collision, etc
no
Have you ever been the subject of a court of enquiry or involved in a maritime accident
no
Have you ever had a professional licence suspended or revoked
no
Have you ever been convicted of any criminal offence?
no
Have you ever been dismissed
no
If yes to any of above then please full details below or on separate sheet of paper
Section 13 References (Last Two Recent Employers)
Name of company
Anglo Eastern Offshore/ Honk Kong/
Name Person to be contacted
HR Manager
Maxim Kremenetskiy
Address
As Barge Master Fortuna
Tel No
mob: +791********
Fax
*************@************.***
Name of company
iPS - Powerful People
Name Person to be contacted
Emilie Stratenus Crew Manager
Address
Tameem House Suite 1203 & 1204
Barsha Heights TECOM Dubai
United Arab Emirates as Port Captain
Tel No
P: +971 (0)44 509 606
M: +971 (0-58-814-****
Fax
E: *.*********@*****************.***
Section 14 Any other information, you wish to add in support of your application
Section 15 Declaration – MUST BE SIGNED BY ALL APPLICANTS
I hereby declare that the above particulars are true and I authorize you to contact the referees listed above
And confirm that All my certificates / Licences are Authentic / SEASERVICE RECORD is ACCURATE / And I confirm accepting Companies DRUG & ALCOHOL Policy
Signed ………Pavel Gordienko Date 06.07.2021
Section 16 Record of Sea Service (All Dates to be entered as dd/mm/yy)
Please give full record of sea service STARTING FROM LAST VESSEL FIRST
VESSEL
COMPANY
Type of Vessel
And Type of operation in case of DP vessels
DWT or GRT
(please delete as reqd)
Type of Engines
BHP
Type & Class of DP system
RANK
Sign on DATE
Sign off DATE
N/A
PT Saipem Karimun Indonesia
n/a
n/a
n/a
n/a
Port Captain
06.05.2021
Still here
dd / mm / yy dd / mm / yy
N/A
Boskalis Westminster Co
n/a
n/a
n/a
n/a
Port Captain
03.08.2019
03.09.2019
PLB Fortuna
Anglo Eastern Offshore
Pipe layer barge
40.000t
Master
10.02.2019
25.03.2019
Atlantic Supporter
Vimar Offshore LCC
PSV DP-2
3186t
MAK
4000
Master
23.03.2018
08.06.2018
SCOUT
Trelco Marine Co
AHTS
1690t
Caterpillar
4800
Master
06.04.2016
21.06.2016
Topaz Legend
Topaz Marine Kazakhstan branch
AHTS DP-1
1678t
Caterpillar
5150
Master
17.06.2015
23.09.2015
Jean Charcot
Brasbunker Co
Brazil
Ocean geographically
Research vessel
2141t
Mans
3600
Master
25.05.2014
27.08.2014
PLB-648, Mutawa-13
ADMA OPCO Abu Dhabi Co
Heavy lift ship, Multy Purpose vessel
7060t
1120t
3500
ADMA Marine Advisor
23.05.2013
20.08.2013
Jean Charcot
Brasbunker Co
Brazil
Ocean geographically
Research vessel
2141t
Mans
3600
Master
29.08.2012
08.11.2012
TB PEARLY
Thong Yong Marine
TUG
320t
Cummins
3200
Master
30.12.2011
31.01.2012
OHSU
Thong Yong Marine
SRV
294t
Cummins
2400
Master
01.12.2011
29.12.2011
OHSU
Thong Yong Marine
SRV
294t
Cummins
2400
Master
17.08.2011
23.10.2011
Afon Cefni
Kaspiiskiy Buksir
AHTS
210 t
Cummins
2000
Master
24.04.2011
01.08.2011
Valentine-2
Valentine Maritime Gulf LCC
AHTS
GRT/494
Yanmar
4000
Master
01.05.2010
01.08.2010
Sara Maatje-IX
Caspian Services Group ltd
AHTS
340t
Mitsubishi
1837
Master
18.02.2008
07.07.2009
Sara Maatje-XV
Caspian Services Group ltd
Research vessel
240 T
Caterpillars
2000
Ch.mate
04.06.2007
05.12.2007
CS Marina
Caspian Services Group ltd
AHT
200 T
Caterpillars
1000
Master
26.08.2006
10.05.2007
Afon Cefni
Silverbern co
AHTS
210 t
Cummins
2000
Ch.mate
01.06.2006
19.08.2006
Grigoriy Nosov
Sovfraht
General cargo
3660t
n/a
2200
Ch.mate
05.11.2005
07.03.2006
Grigoriy Nosov
Sovfraht
General cargo
3660t
n/a
2400
Ch.mate
23.04.2005
08.07.2005
Rasul Gamzatov
Commercial
Sea-port of Makhachkala
General cargo
6200t
SKL
2640
Ch.mate
01.12.2003
18.08.2004
Dyurso
Commercial
Sea-port of Makhachkala
General cargo
6200t
SKL
2640
Ch.mate
16.12.2002
31.05.2003
Alex-II
AGMOS
General cargo
1200t
n/a
1100
Ch.mate
19.01.2002
26.07.2002
Vladimir Pravik
Commercial
Sea-port of Makhachkala
tanker
7080t
n/a
2740
Ch.mate
18.06.2001
21.11.2001
Ali Aliev
Commercial
Sea-port of Makhachkala
General cargo
4200t
n/a
2400
Ch.mate
01.12.2000
17.03.2001
Ali Aliev
Commercial
Sea-port of Makhachkala
General cargo
4200t
n/a
2400
2 –nd mate
18.07.2000
01.12.2000
Dagestan
Commercial
Sea-port of Makhachkala
General cargo
4200t
n/a
2400
2 –nd mate
07.01.1999
07.01.2000
Dagestan
Commercial
Sea-port of Makhachkala
General cargo
4200t
n/a
2400
2 –nd mate
09.06.1998
23.10.1998
Volgo-Balt-13
Kaspmorput co ltd
General cargo
2700t
n/a
1320
2 –nd mate
23.11.1996
13.04.1998
RDOS Bakhtemirskiy
JSC Derzhava
Fishing
670t
n/a
1100
3-d mate
05.11.1995
05.11.1996
Volgoneft-164
Volgotanker,co
tanker
5500t
n/a
2400
3-d mate
16.03.1994
15.07.1995
ADDITIONAL INFORMATION SHEET
VESSEL TYPE YOU ARE INTERESTED IN (please list in order of priority)
1.AHTS
2.PSV
3.RSV
4.Towing tug
5.OSV
MAXIMUM ACCEPTABLE CONTRACT PERIOD (Please indicate below)
Please Quote –Consolidated MINIMUM MONTHLY SALARY ( no leave pay ) payable for time onboard only or Working DAY RATE EXPECTATION ( no leave pay) ( please quote below in US$ -preferred or Euro or GBP£ )
discussible
Languages Spoken / Written / Understood (1-poor 5-Fluent)
Spoken
Written
Understood
ENGLISH
4
4
4
DRUG & ALCOHOL POLICY
ALL Our Clients have very strict NO DRUG and ALCOHOL POLICY, Which is required to be complied with at all times, which means “””ZERO TOLERENCE on ALCOHOL & DRUG”””
Your body must NOT have any ALCOHOL or DRUG substances from the time you board your flight or commence your travel to join vessel, and Must remain so Until you have completed full contract and returned to your home Airport / Town
If during the said period you are found under the influence of DRUG or ALCOHOL then ALL EXPENCES incurred which will include all your travel and recruiting costs, And your relief’s Travel and recruiting costs, And Any other costs whatsoever incurred due to your NON-COMPLIANCE will be deducted from your salary, Which will include but not limited to “damage to vessel her equipments and machineries, loss of charter, and any other costs Directly or indirectly connected with your NON-COMPLIANCE
Sign & CONFIRM ACCEPTANCE OF ABOVE POLICY
FOLLOWING DOCUMENTS COPIES MUST BE SENT TO US- send to us In separate Email
All Certificates / Courses Listed in this form + Licence or Certificate of competency, Any tanker endorsements, GMDSS showing expiry date in case of Deck Officers, Medical Fitness / Examination Certificate, Passport Main page, Seaman book or Discharge book Main pages, In case of DPO – DPO Cert, DP LOG Pages
FOLLOWING ADDITIONAL DOCUMENTS will ALSO BE REQUIRED – Send to us in separate email
All short courses certificates ( STCW95 ), SSO certificate, Last 3-5 years ships entries in Discharge book or Seaman book, Certificate of Equivelant Competency from other flag states
Contact this candidate