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Application For- : MASTER FOR ANY TYPE OF OFFSHORE VESSEL OR FGN. VESSEOR PORT CONTROLLER / VTSO
Personal Details RANK: MASTER MASTER For OSV/Towing/AHTS/Landing Craft/Crew boat/Yacht /DP Or any type of FGN. Vessel OR as a Port Controller/ VTS Nationality: INDIAN Father’s Name: Shamsher Ali Requested Salary: 5500 USD Date of birth: 20/05/1975 Place of birth: Khudinpur , Allahabad (U.P) Smoker (Y / N): N (Y) Yes (N) No Marital Status: Married No. Of children: 03 Qualification : HSC (10+2) Height (Cm) : 167 Knowledge of English language (1-5): 1 1. Very good 2. Good 3. Satisfactory 4. Fair 5. Poor Knowledge of Urdu&Hindi language(1-5) 1 1.Very good Knowledge of Arbic& Marathi lang. (1-5) 3 3.Satisfactory Knowledge of Personal Computer (1-5): 1 1. Very good 2. Good 3. Satisfactory 4. Fair 5. Poor Next of Kin : Contact person in case of any emergency. Surname: Ansari Name: Shamsher Ali Relationship: Father Telephone: 00919423355759 Home Address: 76/413, AG Apartment CHS Fakkih Compound, Kariwali Road Bhiwandi. (421308), Maharashtra India. Travel Documents Number Place of Issue Issued on Expires on National Passport: T2926386 Mumbai 22/01/2019 21/01/2029 INDoS No. 09YL1721 Mumbai 22/12/2009 Life Time Seaman’s Book: Indian MUM175060 Mumbai 16/07/2010 15/07/2020 Seaman’s Book: Cook Islands 1422 Piraeus , Greece 10/02/2017 09/02/2022 Seaman’s Book: Palau SIRB-015-015-260 Houston 17/11/2015 16/11/2022 Seaman’s Book: Belize SB-38446 India 01/10/2014 30/09/2019 Seaman’s Book: Panama 14GO600670 Panama 04/06/2010 04/12/2014 PCC (Police Clearance Certificate): SB/631/2010 Thane 06/09/2010 N/A Name of Marine School / College Attended Qualification or Diploma From To Salvamento Maritimo Gijon , Spain
Maritime Safety and Rescue AgencyVessel Traffic services Supervisor V-103/2
VTS Log Book IALA Recommendation V/10328-Oct-2019 31-Oct-2019 NUSI Offshore Training Institute Panvel Navi Mumbai “ OSV Maneuvering and Ship Handling” 22-Sep-2014 24-Sep-2014 MARLINS (ISF) > validate this certificate at www.marlinstests.com(BARKAT ALI SHAMSHER ALI) English language test for Seafarers
Licence Code : B1EA8AD540FE3F9018-Jul-2013
Result: 84%-- “Rahman” College Of Marine Education Nava Mumbai 2 Mate Function course (Panama) 01-Sep.-2009 28-Dec.-2009 “The Marconi’s Institute Of Marine Electronics” Ahmedabad (Gujrat) Marine Radio Officer (Diploma course) March1998 April-1999 NORTHERN MARITIME TRAINING COLLEGE , AGRA-INDIA MASTER Reg. II/2 (Course meets the requirements laid down in Regulation II/2, Section A-II/2 of STCW convention as amended in 2010 NOV-2016 JAN-2017 YAK DP TRAINING CENTRE /Navi-Mumbai DP Basic (Induction) course / DP Log Book 29-10-2012 01-11-2012 License(s) Held
CERTIFICATE OF COMPETENCYLimitation(s) on GRT (if any) Grade/Class of license MASTER > II/2 & GMDSS (GOC)
{(FGN UNLIMITED) COOK ISLANDS , IMO White list Authorised}Nil MASTER > II/2(FGN)
GMDSS (GOC) > SECRETARY OF STATE (UK GOC) Nil Radio Communication>IV/2 VTS SUPERVISOR V-103/2 - VTS Log Book IALA Recommendation V/103 --- VTS SUPERVISOR V-103/2 MASTER > II/2 (GHANA) MASTER > 3000.0GRT Class 1/1 Deck Officer (Unlimited) GMDSS (GOC) > (GHANA) Nil Radio Communication > IV/2 Deck Officer> A-II/I FG (Panama COC) Nil 2 Deck Officer A-II/I (FGN) MASTER > II/2 {(FGN UNLIMITED) CAMA BELIZE Approved by IMMARBE , Common Welth of Belize, Central America & white Authorised} Nil MASTER > II/2(FGN)
1 Mate > A-II/2 / FG (Belize COC) Approved by IMMARBE &
Common Welth of Belize, Central America & vide AuthorisedNil Chief Officer > A-II/2 (FGN) COC Endorsement (Full Terms) Certificates FLAG COE Number Place of Issue Issued on Expires on MASTER – II/2 QATAR NW11817 DOHA 16.MAR.2017 08.FEB.2022 MASTER – II/2 QATAR NW14016 DOHA 29.JUN.2016 29.SEP.2019 MASTER – II/2 PALAU PCOE-015-015-078PERM COCHIN INDIA 17.NOV.2015 30.SEP.2019 GOC (GMDSS) PALAU PCOE-015-015-079PERM COCHIN INDIA 17.NOV.2015 09.FEB.2017 CHIEF MATE – II/2 Togolaise CO/TG/FT/4064 Beirut-Lebanon 16.JAN.2014 18.APR.2014 GOC (GMDSS) Togolaise GM/TG/FT/4065 Beirut-Lebanon 16.JAN.2014 09.FEB.2017 MASTER – II/2 Nigerian DA1/00862 Lagos 15-JUL-2015 11-JUN-2020 Certificate of Competency (COC) , GOC (GMDSS) & DP License Details : Number Place of Issue Issued on Expires on Certificate of Competency II/2-MASTER & GOC > (Cook Islands COC) COC-643/17 Piraeus ,Greece 10/1022017 09/02/2022 Certificate of Competency Master- II/2 (Belize COC) CC 21767 INDIA 01/10/2014 30/09/2019 Certificate of Competency (A-II/2) (Belize COC) CC12097 India 19/04/2013 18/04/2018 Certificate of competency (A-II/I) (Panama COC) CT 273183 Panama 04/06/2010 04/12/2014 GMDSS (GOC) > SECRETARY OF STATE UK. GG044910 Southamton 06/02/2017 05/02/2022 Vessel Traffic services Supervisor V-103/2 COURSE 2111019SSTMT2926386 Gijon , Spain 31.OCT.2019 30.OCT.2024 GMDSS (GOC) > BELIZE CC12097 INDIA 21/02/2013 20/02/2018 DP Basic (Induction) course YAK/DP/B/063/03 Navi-Mumbai 01/11/2012 30/10/2017 MASTER II/2 >> CLASS 1/1 Deck Officer unlimited – Master (GHANA COC) DA1/00862 GHANA 12/06/2015 11/06/2020 GOC (GMDSS) (GHANA GOC) 874 M GHANA 27/05/2015 26/05/2020 STCW – 95 Advanced Courses IMO & DGS(India) Approved Number Place of Issue Issued on Expire on Radar Observation and Plotting (A-II/1,2) ROC-1173 ST.XTI/Mumbai 26/02/2010 - Automatic Radar Plotting Aids (ARPA) (A-II/1,2) ARPA-2450 ST.XTI/Mumbai 05/03/2010 - Prof. In Survival Craft& Rescue Boats (A-VI/2-1) 091236 LBS/Mumbai 25/12/2009 - Advanced Fire Fighting (A-VI/3) 002005002010 RAHMAN/Mumbai 13/02/2010 - Medical First Aid (A-VI/4-1) MFA/2531/2009 MMTI/Mumbai 27/01/2010 - Ship Security Officer SSO (VI/5) 0440080382009 RAHMAN/Mumbai 17/09/2009 - STCW – 2010 > IMO & DG Shipping (India) Approved Number Place of Issue Issued on Expire on Medical Care (Ship Master Medicare) BPMA/SMM/631/2016 BPMA/Navi Mumbai 04-Jan-2017 03-Jan-2022 Proficiency in Survival craft and rescue boat other than fast rescue boats & Personal survival techniques. (REFRESHER TRAINIG). 0222160122016 TS Rahman /Mumbai 20-Dec-2016 19-Dec-2021 Advanced Fire Fighting & Fire Prevention and Fire Fighting. (REFRESHER TRAINING). 0232180022016 TS Rahman /Mumbai 21-Dec-2016 20-Dec-2021 MLC-2006 >> (Non DG) MMTI/MLC/004/2015 MMTI/Mumbai 02/03/2015 - ISM CODE (International safety management course) ISM/September/2013/006 UMA/Navi-Mumbai 03/09/2013 - SSO 2010011041900316 BPMA / INDIA 12/01/2019 - COC /STCW – 2010 > IMO & Cook Islands DG Shipping Approved Number Place of Issue Issued on Expire on MASTER & GOC (GMDSS) , Certificate of Competency {(International Merchant Marine Registry of Cook Islands.)} COC-643/17 Piraeus ,Greece 10/1022017 09/02/2022 Ship Security Officer , STCW-2010 MCIS 1874-SSO Piraeus ,Greece 10/1022017 09/02/2022 RADAR – ARPA SIMULATOR (STCW-2010>ICST) MCIS 1871-ARPA Piraeus ,Greece 10/1022017 09/02/2022 BASIC SAFETY TRAINING (BST) MCIS 1870 - BST Piraeus ,Greece 10/1022017 09/02/2022 Prof. in Survival Craft& Rescue Boats (A-VI/2,2) , STCW-10 MCIS 1872 -CSR Piraeus ,Greece 10/1022017 09/02/2022 Advanced Fire Fighting (A-VI/3) (STCW-2010), STCW-2010 MCIS 1869 - AFF Piraeus ,Greece 10/1022017 09/02/2022 Medical First Aid (A-VI/4-2)>IMO Model No.1.115 ,STCW-10 MCIS 1873 - MFA Piraeus ,Greece 10/1022017 09/02/2022 MEDICAL CARE , STCW-2010 MCIS 1876 –Med Care Piraeus ,Greece 10/1022017 09/02/2022 Electronic Chart Display Information System , IMO Model 1.27> STCW-2010 Code A-II/1,2,3 , STCW-2010 MCIS 1875 - ECDIS Piraeus ,Greece 10/1022017 09/02/2022 STCW – 2010 > IMO & IMMARABE Belize Approved Number Place of Issue Issued on Expire on MASTER CERTIFICATE {(International Merchant Marine Registry of Belize(IMMARBE)} CC-21767 CAMA BELIZE /INDIA 27-SEP-2014 - Certificate of proficiency in security training for Seafarers with designated security duties. PSTS 141011 CAMA BELIZE 26-SEP-2014 - Radar Observation and Plotting (STCW-2010>ICST) YAK/ROC/04/11/2013 YAK/Navi-Mumbai 21/03/2013 - Automatic Radar Plotting Aids (STW-2010> ICST) YAK/ARPA/04/12/2013 YAK/Navi-Mumbai 29/03/2013 - Prof. in Survival Craft& Rescue Boats (A-VI/2,2) , STCW-10 YAK/PSCRB/04/08/2013 YAK/Navi-Mumbai 08/02/2013 - Advanced Fire Fighting (A-VI/3) (STCW-2010), STCW-2010 YAK/AFF/04/10/2013 YAK/Navi-Mumbai 07/03/2013 - Medical First Aid (A-VI/4-2)>IMO Model No.1.115 ,STCW-10 YAK/MC/04/09/2013 YAK/Navi-Mumbai 28/02/2013 - Ship Security Officer , IMO Model 3.19 & 3.21 , STCW-2010 SSO/04/13/2013 YAK/Navi-Mumbai 23/03/2013 - Bridge Team Management , IMO Model-1.22 , STCW-2010 BTM/O4/16/2013 YAK/Navi-Mumbai 10/04/2013 - Electronic Chart Display Information System , IMO Model 1.27> STCW-2010 Code A-II/1,2,3 ECDIS/04/18/2013 YAK/Navi-Mumbai 05/04/2013 - Commercial Radio Operator’s of roficiency (GMDSS)
IMO Model & STCW-2010 (IMMARBE & Belize Approved)GMDSS/YAK/04/14/2013 YAK/Navi-Mumbai 21/02/2013 - Tanker Certificates Number Place of Issue Issued on Expires on Oil Tanker familiarization (A-V/1, 2-7) VK/036/09-10/02 Navi Mumbai 05/02/2010 - Chemical Tanker familiarization (A-V/1,2-7) VJ/02301/1814 Navi Mumbai 15/06/2001 - Dangerous Cargo Oil Tanker Endorsement,
*Dangerous & hazardous cargo (B-V/4, B-V/5)CT 273183 Panama 04/06/2010 04/12/2014 Basic Safety Training STCW-95 Certificates Number Place of Issue Issued on Expires on EFA (Elementary first aid) AMI/370/99 MUMBAI 31/12/1999 - FP&FF (Fire prevention and fire fighting) AMI/1226/99 MUMBAI 05/01/2000 - PST (Personal survival techniques) PST/66-592/2000 MUMBAI 25/01/2000 - PSSR(Personal safety & social responsibilities) AMI/475/99 MUMBAI 08/01/2000 - OTFC(Oil tanker familiarization) NJ/02001/1467 NAVI MUMBAI 08/06/2001 - Medical Certificates Serial Number Place of Issue Issued on Expires on Physical Examination(Medical Examination) Serial No. BA-2210151550 MUMBAI 22.OCT.2019 21.OCT.2021 Yellow Fever Vaccination 07499 Mumbai 24/07/2010 23/07/2020 Previous Sea Service ( start with last contracts) # From To Vessel Flag GRT Type Position Company Total No.
Of Days01 09/02/19 11/07/19 Belait Barakah Brunei (BN) 3349 OSV /PORT CONTROLLER
UNDER
TANAJIB PORT (Saudi Aramco)MASTER/ VTS Operator @ SAANIYAH OIL FIELD STATION SOUDI ARAMCO /Makamin Offshore
ARAMCO ID NO. 835061905 M03D 02 17/08/18 14/12/2018 Tug Sea Challenger/ Barge Vega x Qatar/Panama 298/4270 Towing vsl. /Barge Master Marine Master Offshore Survives WLL, Doha,(Qatar) 06M26D 03 18/07/18 17/08/18 Tug Phoenix XX/ Barge Sirius X Panama/Panama 298/5800 Towing vsl. /Barge Master Marine Master Offshore Survives WLL, Doha,(Qatar) 01M0D 04 19/05/18 18/07/18 Tug Sea Centaurus/ Barge Uranus Qatar 298/5800 Towing vsl. /Barge Master Marine Master Offshore Survives WLL, Doha,(Qatar) 02M0D 05 20/08/17 16/02/18 Tug Sea Canis/ Barge Neptune &
Sea Galaxy/Dredger Sea works-33(CSD-500)Qatar/Qatar
Qatar /Saint Kitts & Nevis298/6000 Towing /Barge
Towing/DredgerMaster Marine Master Offshore Survives WLL, Doha,(Qatar) 05M27D 06 13/03/17 15/06/17 Sea Cosmos / Barge URANUS Qatar 317 / 5800 Towing Tug /Barge Master Marine Master Offshore LLC Doha 03M03D 07 14/06/16 10/11/16 Sea Centaurus / Barge URANUS Qatar 298 / 5800 Towing Tug /Barge Master Marine Master Offshore LLC Doha 04M26D 08 07/11/15 06/04/16 M.V Moreshwar Palau 1338 MBC Add. Master/ Handler USL Shipping (U.A.E) 06 Month 09 20/05/15 20/07/15 Barca/M.V Wilbur Togolise 4802 / 574 AHTS/Bitumen Tanker / Towing vessel MASTER Maritec NV
Beljium02M-02D 10 08/11/14 26/01/15 Barca / M.V Wilbur Togolise 4802/ 574 AHTS/Bitumen Tanker / Towing vessel Chief Officer / Handler Maritec NV
Beljium02M-20D
11 21/05/14 27/07/14 Barca / M.V Wilbur Togolise 4802 / 574 AHTS/Bitumen Tanker / Towing vessel Chief Officer / Handler Maritec NV
Beljium02M-07D
12 17/10/13 24/02/14 Barca / M.V Wilbur Togolise 4802/ 574 AHTS/Bitumen Tanker / Towing vessel Chief Officer / Handler Maritec NV
Beljium04M-08D
13 25/04/13 21/08/13 M T Sariya Panama 387 Utility Rig Supply /OSV Chief Officer / Handler Seamax Dubai 03M-28D 14 12/12/12 28/01/13 M.V Golfo De Bengala Panama 1356 AHTS/Towing/
OSV2/Deck Officer Sea Star Mumbai 01M-16D 15 08/03/12 10/10/12 AHTS Mrsol-4 > with Barge Marsol-23 Marshal Islands 299 AHTS /Towing Tug Chief Officer / Handler MARSOL ETA + AL JAJEERA SHIPPING
DUBAI / BAHRAIN07M-06D
16 22/04/11 02/11/11 AHTS JAWAR DUBAI>with Marsol-21/A. Barge Leighton Mynx/DD-2000/L. Eclipse/L.Stealth Panama 269 Anchor Handling Tug/Towing Tug Chief Officer /Handler JAWAR AL KHALEEJ SHIPPING LLC
DUBAI
06M-15D17 09/12/10 10/02/11 AHTS MERSEA -3 >>> with Barge Marsol-23 COMBROS 467 Anchor Handling / Towing Tug Chief Officer / Handler Marsol ETA
DUBAI02M-02D
18 12/06/10 02/12/10 White pearl Indian 110 Towing tug MRO/Navigating Officer WOSM/Sea Royal Mumbai 05M-20D 19 26/10/08 11/07/09 MT Durban Queen Panama 1025 Bitumen-Tanker MRO / 2 Officer WOSM/Prime Tanker llc Dubai 08M-15D 20 17/02/07 05/02/08 MV Umm Qaser Star Kiribati 7792 Gen. Cargo MRO /2 Officer WOSM/Al-Tamimi Shipping “ 11M-20D 21 10/08/05 19/08/06 MT Hounslow II Panama 8856 Oil-Tanker MRO / 3 Officer Sunni Shipping llc “ 12M-15D 22 03/01/04 12/05/05 Tug-Saber/Barge Basrah-1 Free-Town 99.11 Towing-Vessel Tug-Master Al-Tamimi Shipping “ 15M-16D 23 15/02/02 25/10/03 MV Ryno Panama 7792 RORO MRO & Handler Sunni Shipping llc “ 20M-15D 24 21/07/01 28/01/02 LPG/Ch. Relch. Isha Monrovia 3648 ChemicalTanker Seamen Reliance Mumbai 06M-10D 25 31/08/00 04/03/01 MV Jade Monrovia 587 Diving-Support Seaman Samson Mumbai 06M-05D 26 03/04/99 20/12/99 Rel Tug Five - 150 Tug-Boat Handler Sirius ShippimgSurat 08M-20D PLACE : MUMBAI , DATE : 13.10.2019 SIGN. :
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