Старший механик (научно-исследовательское судно)

Описание

APPLICATION FORM FOR ENGINE OFFICERS

Position applied for: Chief Engineer
Date of availability: 07.11.2024
GENERAL INFORMATION
Surname Baranov Date / Place of birth 02.04.1972/ USSR
First name Yury Marital Status married
Father's name Vladimir Citizenship Russia
Color of eyes Height (cm) 179 Weight (kg) 120 Size Shoes/Overall 47/ 58
Address 50-144 Kopitova st., Murmansk, Russia
Telephone +79658039020 E - mail Urijb72@gmail.com
Next of kin Baranova Nadezhda Date / Place of birth 18.09.1972/ USSR
Address 50-144 Kopitova st., Murmansk, Russia Telephone +79118044573
Parents’ Name Father: Baranov Vladimir Mother: Baranova Valentina
Maiden name: Lizogub

No. of children under 18 no
Nearest airport Murmansk

Documents/Certificates Document No. Place Issued Date Issued Expiry Date
Passport international 76 5453274 Murmansk 08.09.2021 08.09.2031
Seaman's Identification Card RUS 0532034 Murmansk 15.04.2022 14.04.2027

Endorsement MMK 205121745 Murmansk 08.09.2021 29.07.2026
Basic safety training and instruction 1747520 Astrakhan 29.07.2021 29.07.2026
Fire -fighting Leader 1755766 Astrakhan 09.08.2021 09.08.2026
Proficiency in survival craft & rescue boats 1751661 Astrakhan 30.07.2021 30.07.2026
Medical First Aid 1758248 Astrakhan 12.08.2021 12.08.2026
Hazardous Cargoes
Ship security officer 1767847 Astrakhan 16.08.2021 16.08.2026
Ship Security Awareness VI/6 -1; VI/6 -2
Yellow Fever Certificate 71 92303300 Murmansk 27.03.2013 Life of person
vaccinated
LAST 5 YEARS SEA SERVICE DATA:

BUILT VESSEL'S NAME TYPE GRT ENG.TYPE BHP RANK PERIOD COMPANY FLAG
2011 BBC London General
Cargo
7138 MAK
9M25C
3000 CE 21/09/2019 22/01/2020 Briese Schiffahrts A&B
2008 BBC Caribbean General
Cargo
5261 MAK
8M32C
3840 CE 26/03/2020 14/08/2020 Briese Schiffahrts A&B
2008 BBC Caribbean General
Cargo
5261 MAK
8M32C
3840 CE 16/12/2020 07/06/2021 Briese Schiffahrts A&B
2008 BBC Caribbean General
Cargo
5261 MAK
8M32C
3840 CE 03/11/2021 17/03/2022 Briese Schiffahrts A&B
2008 BBC Singapore General
Cargo
8472 MAK
6M43C
6000 CE 14/10/2022 12/05/2023 Briese Schiffahrts A&B
2012 BBC Balboa General
Cargo
6310 MAK
6M32C
3000 CE 10/11/2023 04/03/2024 Briese Schiffahrts A&B
2012 Oslo Bulk 12 General
Cargo
5630 MAK
6M32C
3000 CE 22/11/2024 14.04.2025 MS Kealand A&B

“I hereby explicitly consent that my personal data can be captured, processed and stored by the crewing agents and prospective employer as is
necessary for the company to offer me employment on board one of their vessels under crewing management. This includes, but i s not limited
to, sharing my data with owners, charterers, port agents, manning agents, authorities and travel agents. The prospective employer undertakes to
use this information solely in connection with assessing whether to offer me employment, and for no other purpose. In accorda nce with GDPR,
I understand I have rights regarding my data, and can contact the crewing agent at any time to exercise these rights.”


 
I hereby affirm that all the information provided by me in this Form is true and correct to the best of my knowledge .

- ( SEAFARER'S SIGNAT URE ) ENGLISH TEST: PROFESSIONAL TEST: ADD. INFORM ATION:


INTERVIEW FORM FOR ENGINE OFFICERS AND RATINGS

NAME: FIRST NAME: RANK:

DETAILS OF VESSELS SAILED ON

NAME NAME NAME

ENG. TYPE
HP
BUILT
AUX. ENG. TYPE
TRAIDING AREA
BOW THRUST.
FUEL TYPE
NUMBER OF ENG. CREW
NATIONALITY OF CREW

CONTACTS FOR REFERENCES


NAME OF THE COMPANY
TELEPHONE NUMBER
FAX NUMBER
PERSON IN CHARGE

ABILITIES AND SKILLS FOR ENGINE OFFICERS AND RATINGS
1 Where did you study? (Institution) Murmansk Marine Colledge 9 Have you ever run and
repaired electrical
installations?
Yes
2 Have you experienced working
without an electrician?
Yes 10 Have you ever repaired
reefers, cranes, derricks,
winches, etc.?
Reefers,
cranes, winches
3 Will you be able to change the
damaged blocks?
Yes 11 Have you been experienced
working as single engineer?
Yes
4 Have you been experienced
working with heavy fuel (type)?
Yes 12 Have you experienced working
with electro - and gas welding?
Electro welding
5 Have you experienced working
with gasoil (type)?
Yes 13 Have you had any experience
in welding the hull?
No
6 Have you ever been acquainted
with watchless maintenance of
M.E.(A1)?
Yes 14 Have you ever worked as a
turner?
Have
experience
worked as a
turner
7 Have you experienced working
with automatics A2?
Yes 15 Have you ever taken part in
repairs in dry docks?
Yes
8 Have you experienced working
with hydraulics?
Yes 16 Your additional specialties: No

GOOD FAIR POOR
17 KNOWLEDGE OF ENGLISH
18 GENERAL APPEARANCE
19 PROFESSIONAL IMPRESSION


PLACE Murmansk DATE 16.10.2025 SIGNATURE