Помощник капитана плавучего хранилища газа

Описание

Employee Application Form

BOG -FRM -K3.0088
Please paste color phot 3.5*4.5 (compulsory)
Version CR.. Original date: 24 October 2018 Version date: N/A Prepared by: Crewing Manager. Approved by: Crewing Manage ‘Printed copies are not controll ed copies’
Valid on QMS site only. r. Validated by: Quality Manager



Personal Information
Requested Rank: Ch ief Officer , Master / SDPO Date of readiness: (DD/MM/YY): Beg of September 2022
Surname Shirokikh First Name Andrei
Birth Date 16.04.1983 Birth Place Russia, Murmansk
Nationality Russian Eyes color / H air color blue / pale hair
Marital Status married Safety Shoes / Boilersuit 42 / 54
Weight / Height 85 / 180 Requested Salary: Negotiable

Address (include telephone country & area codes, secondary/contact addresses if any )
Nr, Street, Apt. Starostina street, 69 -71 Mobile Phone +79086077100
City, Country Russia,Murmansk Home Phone -
Postal Code (Index ) 183036 FAX (if any) -
e-mail address shirokikh -av@yandex.ru Nearest airport Airport of Murmansk MMK

NOK (person -OLDER than 18 years -to contact in case of emergency & insurance beneficiary)
Surname Shirokikh First Name Anna
Citizenship USSR Relationship wife
Nr, Street, Apt. Starostina street, 69 -71 Postal Code (Index ) 183036
City, Country Russia,Mur mansk Home Phone -
e-mail address white_lotus84@mail.ru Mobile Phone +79086077101

Additional Info
Years Experience
Offshore (sea time) 8 Other Skills (specify details, AHT, DP)
Well stimulation ops,Hot oi l
ops;
Years Experience
Onshore/ Shipyard - Languages spoken/ written (specify) English
Foreign Crew Experience (Nationalities)
Polish, Dutch,
Filipinos, Croats ,
Angolan,French,
Romanian,Nigerian
Number of Towings
/Rig Moves/ Tanker
Liftings
/ /

Travel documents, Seaman's books and Medical certificates
Document Name (Description) Document № Country Issue Place Issue Date Exp.Date
Seafarers ID card RUS 0485452 Russia FSI MPA MURMANSK 20.08.2020 19.08.2025
Seaman's Book (National) MK 0233013 Russia FSI MPA MURMANSK 06.10.2014
Travel Passport 75 № 9159877 Russia МВД 51009 31.08.2018 31.08.2028
Visa Schengen (specify only if valid) 567339 Russia Finland consulate 15.0 8.2021 15.0 8.2022
Seaman's Book (specify flag in “Country” cell)

G14A9145
St. Vincent
and the
Grenadines

Geneva

10.03.2020

10.03.2025

Employee Application Form

Version CR.. Original date: 24 Prepared by: Crewing Manage ‘Printed copies are not control
October 2018 Version date: N/A Valid on QMS site only. r. Approved by: Crewing Manager. Validated by: Quality Manager ed copies’
BOG -FRM -K3.0088

Seaman's Book (specify flag in “Country” cell)
Medical Examination Report

112

Russia Medical
Center "Fenix"

10 .03.202 2

10 .03.202 3
Drug & Alcohol Test

112

Russia Medical
Center
"Fenix"

09.03.2022

09 .03.202 3
Vaccination against Yellow Fever

518

Russia
MHCJ
Municipal Policlinic №1

08.10.2014

08.10.2024
Certificates of Competency (Licenses)
Document (Description) STCW code Limitation (GRT/ kWt) Document № Rank Issue Place Issue Date Exp. Date
National license Deck/Engine II/2 3000 MMK
205101473 Master Russia,
Murma nsk 27.08.2021 05.03.2024
National GMDSS

IV/2
MMK
205101387
GMDSS
General Operator
Russia,
Murmansk

27.08.2021

05.03.2024

Certificates
Document Name (Description) Document No. Country Issue Place Issue Date Exp. Date
DP Full Licence (NI) 28492 UK UK 29 .01.20 21 05.05.202 6
DP Advanced S-1502/2015 Russia Sevastopol 20.03.2015
DP Basic S-1405/2014 Russia Sevastopol 31.10.2014
DP Maintenance ( specify Manufacture)
Other Maintenance Courses
Please specify
HLO course


Basic Safety T raining (A-VI/1 -1; A -VI/1 -2; A -VI/1 -3; A -VI/1 -4)


AA№0339833


Russia
Murmansk
Shipping
Company,
Specialists Training Centre


01.03.2019


01.03.2024


Proficiency in Survival Crafts (A-VI/2 -1)


AA№0125252


Russia
Murmansk
Shipping
Company,
Specialists
Training Centre


03.03.2019


03.03.2024


Advanced Fire Fighting training (A-VI/3)


AA№0124017


Russia
Murmansk
Shipping
Company,
Specialists Training Centre


04.03.2019


04.03.2024


Medical 1 st Aid (A-VI/4 -1)


AA№0125842


Russia
Murmansk
Shipp ing
Company,
Specialists
Training Centre


07.03.2019


07.03.2024

Medical Care (A-VI/4 -2)

AM№001797

Russia
Murmansk
State
Technical University

28.02.2018

28.02.2023

Designated Security Duties (A-VI/6 -2)

AA№0385552

Russia
Murmansk
Shipping
Compan y,
Training Centre

15.03.2019

15.03.2024



l

Employee Application Form

BOG -FRM -K3.0088
Version CR.. Original date: 24 October 2018 Version date: N/A Valid on QMS Prepared by: Crewing Manager. Approved by: Crewing Manager. Validated by ‘Printed copies are not controlled copies’
site only. : Quality Manager





Ship’s Security Officer (for Chief Officers/Masters) (A -VI/5)

AВ№0934664

Russia
Simulator
Center of the
Northern
region
Murmansk

03.08.2018

03.08.2023


A.R.P.A. (A-II/1; A -II/2)


AA№0295861


Russia
Murmansk
Shipping
Company,
Specialists Training Centre


18.03.2019


18.03.2024


RADAR (A-II/1; A -II/2)


AA№0295761


Russia
Murmansk
Shipping
Company,
Specialists
Training Centre


20.03.2019


20.03.2024

ECDIS (A-II/1; A -II/2; A -II/3)

AB№1290526

Russia
Murmansk,
Simulator
Centr of the
Northern
Region

12.07.2019

12.07.2024


HAZMAT (for Deck officers) (B -V/c)


HM -2020 -15


Russia
Murmansk
Shipping
Company,
Specialists
Training Centre


13.02.2020


13.02.2025
HUET/BOSIET (OP ITO approved -------- ) In progress In progress

BTM (A-II/2; B -VIII/2)

BTRM 250/2020

Russia
Murmansk
State
Technical University

14.08.2020

14.08.2025
ERTM (A-III/2; B -VIII/2)
CES test
Marlins English test Russia St.
Petersburg 16.08.2021
Other courses ( specify Fast Rescue Boats A-VI/2,A -VI/2 -2) 52 -2020 Russia St. Petersburg 03.08.2020 03.08.2025

Flag Endorsement for Licence & GMDSS
Document Name (Description) Document No. Country Issue Place Issue Date Exp. Date
License (specify flag in “Country” cell) D/G15022415212
9/G
St.Vincent
and the
Grenadines

Geneva

30.10.2021

05.03.2024
GMDSS (specify flag in “Country” cell) D/G15022415243
5/G
St.Vincent
and the Grenadines

Geneva

30.10.2021

05.03.2024
License (specify flag in “Country” ce ll)
GMDSS (specify flag in “Country” cell)
License (specify flag in “Country” cell)
GMDSS (specify flag in “Country” cell)

Employee Application Form

BOG -FRM -K3.0088
18 Version date: N/A. Valid on QMS site only proved by: BOG Crewing Manager. Validated by: BOG Quality Manager. Version CR. Original date: 24 October 20 Prepared by: BOG Crewing Manager. Ap ‘Print ed copies are not controlled copies’


Offshore Service Experiences (last 5 years)
Last contract need to be at the end of the tabl e Operations info

Vessel Name
Type/ DP Class

Rank

Bollard pull


GRT
DP System Manufact.
Type of Propulsion
Type of Engines / Power
S/on Date (DD/MM/YY)
S/off Date (DD/MM/YY)
Area of operation (Country)
Employer/ Charter/ Lay up
Type and nam e of the Rig/Barge
- Towing; Positioning - Anchor Handling - Tanker lifting - Methanol operation

Lead tug Y/N

GO ACAMAR

AHTS /DP -1

2nd Off

165 tn

1373

MT

CPP Caterpillar
2x1320 kw
04.01.20
14
01.03.
2014
Pointe
Noire ( Congo
Go
OffshoreTot al Congo/
Se ismic
Guard Vessel
-------- -------- --------
-------- --------

-------

GO ACAMAR

AHTS /DP -1

2nd Off

165 tn

1373

MT

CPP Caterpillar
2x1320 kw
14.04.20
14
11.06.
2014
Pointe
Noire (
Congo
Go
OffshoreTot
al Congo/
Seismic
Guard Vessel
-------- ----- --- --------
-------- --------

-------

Bravante V

PSV /DP -2

2nd Off
4466 DP II
Converte
am

ASD Cummins
3x1235 kw
20.09.20
14
22.11.2
014

Argentina Bravante
Offshore
-------- -------- --------
-------- --------

-------
Bourbon Liberty 161 PSV /D P-2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw 21.01.20 15 09.03. 2015 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 161 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw 24.04.20 15 18.06. 2015 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
20.08.20
15
10.10.
2015 Malongo (Angola) Chevron -------- -------- --------
-------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
26.01.20 16 31.03. 2016 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
28.06.20 16 08.09. 2016 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
22.11.20
16
15.02.
2017 Malongo (Angola) Chevron -------- -------- --------
-------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
24.04.20 17 10.07. 2017 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
23 .10.20 17 31.01. 2018 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
26.04.20
18
24.07.
2018 Malongo (Angola) Chevron -------- -------- --------
----- --- -------- -------
Bourbon Liberty 153 PSV /DP -2 2nd Off 1764 NAVIS ASD Cummins 3x1235 kw
18.10.20 18 20.11. 2018 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 153 PSV /DP -2 Ch.Off 1764 NAVIS ASD Cummi ns 3x1235 kw 21.11.20 18 23.01.2 019 Nigeria (Onne) WAS Dry Dock (Onne)
-------- -------- -------- -------- -------- -------

Bourbon
Liberty 161

PSV /DP -2

Ch.Off

1764

NAVIS

ASD

Cummins
3x1235 kw

03.04.20
19

27.06.2
019
Malongo
(Angola) -
Nigeria
(Onne)

WAS
Dry Dock
(Onne)
-------- -------- --------
-------- --------
-------

Employee Application Form

BOG -FRM -K3.0088
te: 24 October 2018 Version date: N/A Valid on QMS site only. Manager. Approved by: Crewing Manager. Validated by: Quality Manager ntrolled copies’
Version CR.. Original da Prepared by: Crewing ‘Printed copies a re not co


Bourbon Liberty 161 PSV /DP -2 Ch.Off 1764 NAVIS ASD Cummins 3x1235 kw
09.09.20 19 04.12.2 019 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 161 PSV /DP -2 Ch.Off 1764 NAVIS ASD Cummins 3x1235 kw
19.02.20 20 15.06.2 020 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon Liberty 161 PSV /DP -2 Ch.Off 1764 NAVI S ASD Cummins 3x1235 kw 24.08.20 20 04.12.2020 Malongo (Angola) Chevron -------- -------- -------- -------- -------- -------
Bourbon
Liberty 161 PSV /DP -2 Ch.Off 1764 NAVIS ASD Cummins
3x1235 kw
18.02.20
21 15.06 .202
1
Malongo
(Angola)
Chevron -------- -------- -------- -------
Bourbon
Liberty 161 PSV /DP -2 Master 1764 NAVIS ASD Cummins
3x1235 kw
13.09.2021 30.01.202
2
Luanda,
Malongo,
Angola
Chevron -------- -------- -------- -------
Bourbon
Liberty 161 PSV /DP -2 Master 1764 NAVIS ASD Cummins
3x1235 kw
18.04.2022 Present
time
Malongo,
Angola
Chevron -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
---- ---- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------
-------- /-------- -------- -------- -------- -------- -------- -------

Employee Application Form

BOG -FRM -K3.0088
ate: 24 October 2018 Version date: N/A Valid on QMS site only. Manager. Approved by: Crewing Manager. Validated by: Quality Manager controlled copies’
Version CR.. Original d Prepared by: Crewing ‘Printed copies are not


All Sea Service experiences/ other then Offshore (last 10 years)

Vessel
Name

Type

Rank

GRT Main
Engine (Power KW)

Diesel or
electro -diesel
Manufacturer of ME

S/on Date (DD/MM/YY)
S/off
Date (DD/MM/Y)
EMPLOYER (company to contact for reference)
Company Name Crewing Agency, Phone Person in contact

Kapitan Glazachev

Dry Carg o

Ch ief.Officer

15000

8000

Diesel
18.10.201
2
02.01.20
13
Northern Shipping
Company
Marine Commercial
Company
78152286764

Kapitan Glazachev

Dry Cargo

Chief Officer

15000

8000

Diesel 13.09.201
0
15.03.20
11
Northern Shipping
Company
Marine Commercia l
Company
78152286764 Komandarm Refrigerated 2nd Officer 5429 2х2575 Diesel 22.03.201 10.08.20 Murmansk trawl fleet MTF, crewing department,
Shcherbakov Cargo Ship 0 10 88152 -288 -175
Komandarm Refrigerated 2nd Officer 5429 2х2575 Diesel 22.07.20 0 17.11.20 Murmansk trawl fleet MTF, crewing department,
Shcherbakov Cargo Ship 9 09 88152 -288 -175 Komandarm Refrigerated 2nd Officer 5429 2х2575 Diesel 18.12.200 04.03.20 Murmansk trawl fleet MTF, crewing department,
Shcherbakov Cargo Ship 8 08 88152 -288 -175
Olenino trawler 2nd Officer 1898 3800 Diesel 08.04.200 14.07.20 Belomorskay fishing Belomorskay fishing
8 08 company company ,88152 -749 -274
Olenino trawler Cadet 1898 3800 Diesel 15.07.200 27.12.20 Belomorskay fishing Belomo rskay fishing
7 07 company company ,88152 -749 -274

Employee Application Form

BOG -FRM -K3.0088
Version CR.. Original date: 24 October 2018 Version date: N/A Valid on QMS site only. Prepared by: Crewing Manager. Approved by: Crewing Manager. Validated by: Quality Manager ‘Printed copies are not controlled copies’

I’m seagoing professional with solid knowledge and experience in offshore oil and gas industry. I work in offshore since 2014 as Second
Officer/DPO, Chief Officer and Master /SDPO. I’m well familiar with offshore standards and operations, safety procedures and requirements
of c lients. I’m able to be a reliable part of bridge team, make righ t decision and handle with different challenging task s during offshore
operations. I’m always ready to support vessel team and company's staff to achieve the best performance for the benefits of all
stakeholders.
Additional Information / Job Description / Experience You want to detail in particular

Employee Application Form