Инженер - суперинтендант

Описание

APPLICATION FORM



SEAFARER PERSONAL DETAILS AND POSITION APPLIED FOR
Position applied for: CHIEF ENGINEER [pic]
Expected Day Rate:
Date of availability (dd/mm/yyyy): 10/12/2021
Family name: OMELCHENKO
First name(s): OLEG
Date of birth (dd/mm/yyyy): 13/04/1969
Place of birth: Ingulets, Dnepropetrovsk region, USSR
Nationality: Russian
Full permanent address: apt. 95, 20, Geroev Medikov str., Kislovodsk, Stavropol' region, Russia, 357739

Full present address N/A
(if different):

Nearest airport: Mineralnye Vody Airport, Russia Airport distance from address 56
(km):
Email address: leonidich06@mail.ru Contact number: +79888672858
Skype address: omelchenko.oleg1 Mobile phone number: +79888672858
Blood group: II Positive / Negative: Positive
Height: 164 cm Weight: 80 kg
PPE Safety shoe size: 40-41 PPE coverall size: 58

SEAFARER PASSPORT, SEAMAN BOOK AND VISA DETAILS
Document details Document number Country of issue Date of issue Date of expiry
Primary Passport:   73 3276440 Russia    28/07/2014 28/07/2024 
Second Passport        
(if applicable):
Seafarer’s I.D. (Russia):   RUS 0450117 Russia  22/05/2019  21/05/2024 
Flag Seaman book (if any):
USA Visa Type (if held): None USA Visa expiry:
Additional Visa (country): None Visa expiry:

NEXT OF KIN
Full name: OMELCHENKO VALENTINA
Relationship to Seafarer: Mother
Full address: apt. 95, 20, Geroev Medikov str., Kislovodsk, Stavropol' region, Russia
Contact number: +78793777592
Email address: N/A Mobile phone number: +79298567455

HIGHEST CERTIFICATE OF COMPETENCY / LICENCE / CRANE OPERATORS CERTIFICATES / OTHER EQUIVALENT CERTIFICATES AND FLAG STATE ENDORSEMENTS (STCW2010 / STCW78 AS
AMENDED)
Class / Grade / Capacity Issuing country Certificate number Date of issue Date of expiry Details of any
limitations




STCW2010 (STCW78 AS AMENDED)
CERTIFICATION AND RELATED COURSES
Name of Course / Certificate STCW Code Certificate number Date of issue Place of issue Date of expiry
Basic safety training A-VI / 1 AB 1152079 31/01/2019 Astrakhan, Russia 31/01/2024
Personal survival techniques A-VI / 1-1
Fire prevention & fire fighting A-VI / 1-2
Elementary first aid A-VI / 1-3
Personal safety & social responsibility A-VI / 1-4
Proficiency in survival craft & rescue A-VI / 2-1 AB 1050578 01/02/2019 Astrakhan, Russia 01/02/2024
boats
Proficiency in fast rescue boats A-VI / 2-2
Advanced fire fighting A-VI / 3 AB 1050308 02/02/2019 Astrakhan, Russia 02/02/2024
Medical & first aid A-VI / 4-1 AB 1050785 07/02/2019 Astrakhan, Russia 07/02/2024
Medical care A-VI / 4-2
Radar & ARPA simulator training- A-II / 1-2
management level
Electronic chart display and information A-II / 1
system course (ECDIS) Model 1.27
GMDSS & endorsement A-IV / 2
Ship Security Officers course (SSO) A-VI / 5
Proficiency in security awareness (PSA) A-VI / 6-1
Security-Related Training (PDSD) A-VI / 6-2 AB 1052107 29/01/2019 Astrakhan, Russia 29/01/2024
Bridge team management A-II / 2
Bridge resources management (BRM) B-VIII / 2
ISM code A.1441 (18)
Engine room resources management (ERM) A-III/1, A-III/2, 5950 31/10/2016 Odessa, Ukraine 31/10/2021
A-III / 3,
Helm (leadership and management skills) A-II / 2, A-III / 2
Advanced Oil Tanker Operations A-V / 1 (1, 2)
Basic Tanker operations (Oil Tanker & A-V / 1-1-1
Chemical Tanker)
Advanced Oil Tanker operations A-V / 1-1-2 AB 1051042 13/02/2019 Astrakhan, Russia 13/02/2024
Advanced Chemical Tanker operations A-V / 1-1-3
Basic Tanker operations (LPG Tanker) A-V / 1-2-1
Advanced Tanker operations (LPG Tanker) A-V / 1-2-2
Crowd Management training for personnel A–V / 2-1,2,3,4 AB 1047465 22/02/2019 Astrakhan, Russia 22/02/2024
providing direct service to passengers in
passengers spaces, crisis management and
human behavior training
Crisis Management and Human Behaviour on A-V / 2-2
Passenger Ships
Basic Training for IGF code A-V / 3-1
Advanced Training for IGF code A-V / 3-2
Basic Training for ships operating in A-V / 4-1
polar waters
Advanced Training for ships operating inA-V / 4-2
polar waters
Food Handling and Hygiene
203 30/04/2021 LLC ‘”COMMED”, 30/04/2022
Medical / health certificate MLC 2006 Astrakhan, Russia
29/04/2021 LLC ‘”COMMED”, 29/04/2022
Drug and alcohol test Astrakhan, Russia
09 22/01/2008 Ukraine Office Permanent
Vaccination, Odessa
Medical Centre
Yellow fever "VIVAMED"

OTHER CERTIFICATION / COURSES YOU MAY HAVE
Name of Course / Certificate Approvals Certificate number Date of issue Place of issue Date of expiry
Environmental Management
Energy Management
BOSIET / FOET
HUET
CA-EBS
Hydrogen Sulphide (H2S)
HLO / HLA
Helicopter Team Member
Rigging and slinging
Fast Recue Craft Coxswain
Boatman Certificate
Crane Maintenance
Offshore medicals (UK, Norway or Netherlands)
Re-breather training
Generic ECDIS
ECDIS Furuno
JRC ECDIS
SIMRAD MARIS ECDIS 900
KONGSBERG K BRIDGE-ECDIS
TRASAS NAVISAILOR ECDIS

ADDITIONAL CERTIFICATION / COURSES YOU MAY WISH TO MENTION TO SUPPORT YOUR APPLICATION
Name of Course / Certificate STCW Code / Certificate number Date of issue Place of issue Date of expiry
Approvals




Marlin’s / CES’s English test score (Percentage %): CES test – 93%, Marlin’s test – 80%.
PMS maintenance system- are you familiar with its use (Yes / No): Yes
If yes- please specify the PMS types: Danaos, ShipNet Fleet System, AMOS.

DYNAMIC POSITIONING (DP) CERTIFICATION
Name of Course / Certificate
System details Approximate number of hours / days (please clarify which)
SDPO DPO Senior ETO / Senior Junior ETO / Junior Engineer
Engineer

APPROXIMATE TOTAL DP HOURS ON VARIOUS VESSELS / OPERATIONS
Sat diving There is no experience Cable laying There is no experience
Air diving There is no experience Survey There is no experience
ROV There is no experience Pipe laying There is no experience
Well stimulation / intervention / activation There is no experience Drill ship / Semi-submersible There is no experience
AHTS There is no experience PSV There is no experience
FPSO There is no experience Shuttle Tanker There is no experience
Construction There is no experience Rock dumping / Mattressing There is no experience
Coring There is no experience Trenching There is no experience
Heavy lift There is no experience Accommodation / Gangway There is no experience

MEDICAL HISTORY
Particulars Yes / No
1. Have you ever had to sign off/ repatriated from a ship due a medical reason and been hospitalised? No
2. Have you undergone any medical operations in the past? No
3. Have you had to consult a doctor during the past 12 months for an illness / accident? No
4. Do you have any medical condition that may affect your work? No
5. Do you feel healthy and fit to perform the duties of your designated position/occupation? No
6. Are you allergic to any medications? No
If you have answered Yes to any of the above then specify below

7. Are you taking any prescribed or non-prescribed medications at present? No
If yes, please list these medications, their dosage and their purpose / reason for taking:
Prescribed Medications (please name) Dosage Purpose / reason for taking


Non-prescribed Medications (please name) Dosage Purpose / reason for taking



GENERAL
Particulars Yes / No
1. Have you ever been involved in a maritime accident, i.e. grounding, fire, explosion, collision No
2. Have you ever been rejected by Aramco / Shell or any other Charterer? No
3. Have you ever been the subject of a court of enquiry or involved in a maritime accident? No
4. Have you ever had a professional license suspended or revoked? No
5. Have you ever been convicted of any criminal offence? No
6. Have you ever been dismissed due to any reason? No
If you have answered Yes to any of the above then specify below



LAST EMPLOYMENT CONTACT DETAILS
Name of company: Transocean Maritime Agencies, Monaco
Name of contact person:
Company address: Transocean S.A.M. 57 Rue Grimaldi 98000 MONACO
Contact number: +377 93 10 4370 Email address: transocean@transocean.mc
SEA SERVICE RECORD
PLEASE MENTION FULL RECORD OF SEA SERVICE AS PER SEAMAN BOOK STARTING FROM LAST VESSEL FIRST
Vessel

AHTS / AHT EXPERIENCE IF ANY (ONLY FOR DECK OFFICERS)
NUMBER OF DAYS WITH VARIOUS OPERATIONS
Vessel name Description of operations (please specify number of days)
(please put last vessel first, voyage by
voyage)
Towing Anchor handling Rig move 4-point mooring



Deep water anchor handling experience- state to what depth in metres:

ADDITIONAL INFORMATION
VESSEL TYPE YOU ARE INTERESTED IN (PLEASE LIST IN ORDER OF PRIORITY)
1 Bulk Carrier
2 General Cargo
3 Container’s vessels
4 Passenger vessels
5
LANGUAGES KNOWN- RATE FROM 1 (POOR) TO 5 (FLUENT)
Language Spoken Written Understood
2
3
ANY OTHER INFORMATION YOU WISH TO ADD IN SUPPORT OF YOUR APPLICATION