AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
POSITION
Position Applied for
Expected Wages
Date of Availability
ANYTIME
PERSONAL DETAILS
First Name / Surname
Date & Place of Birth
Nationality
Permanent Address
FILIPINO
Present Address
Present Contact Number
Mobile Number
Email Address
Nearest Airport &Distance
PASSPORT AND VISA DETAILS
Date of Issue
Passport Number
Date of Expiry
Place of Issue
PHILIPPINES
PHILIPPINES
USA Visa - Type
SEAMAN BOOK / DISCHARGE BOOK
CDC No.
Date of Issue
Date of Expiry
Place of Issue
PHILIPPINES
PHILIPPINES
PHILIPPINES
LICENCE / CERTIFICATE OF COMPETENCY/ COP
Class /
Grade/Capacity
Issuing
Country
PHILIPPINE
S
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Certificate No.
Date of
Issue
Date of
Expiry
Details of Limitations
AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
PHILIPPINE
S
FLAG ENDORSEMENT DETAILS (COE/ GOC/ CDC )
Flag en
Certificate /Grade
License No.
Date of
Issue
Date of
Expiry
Country
PHILIPPINES
PHILIPPINES
PHILIPPINES
STCW AND OTHER COURSES
Name of Course / Certificate
Certificate
No.
Date of
Issue
Date of
Expiry
Place of
Issue
Institute
CERTIFICATES FOR ALL OFFICERS / ENGINEERS /CREW - CREW TO HAVE BASIC
COURSES
BT
PHILIPPINE
S
PSCRB
PHILIPPINE
S
AFF
PHILIPPINE
S
MEFA
PHILIPPINE
S
MECA
PHILIPPINE
S
CONTROL ENGINEERING
PHILIPPINE
S
ADDITIONALLY FOR DECK OFFICERS
GMDSS (GOC)
GMDSS ENDORSEMENT
ROC
ARPA
RANSCO
ECDIS
SSO
SECURITY TRAINING DESIGNATED
SECURITY DUTIES
BTM/ BRM
SHIPS MANOUVERING AND
SIMULATOR COURSE
ADDITIONALLY FOR ENGINEERS
ERS/ ERM
High Voltage
FOR DP / OFF SHORE VESSELS
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AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
DP INDUCTION
DP ADVANCE
DPO CERTIFICATE
DP TECHNICAL & MAINTENANCE
DP LOG BOOK DETAILS
IMCA LOG BOOK DETAILS
MARLIN ENGLISH TEST
BOSIET
HUET
H2S
HAZARDOUS MATERIALS
FRC/FRB
RIGGING AND SLINGING
OTHER COURSES FOR RATINGS
WELDER /FITTER COURSE
WELDING CERTIFICATE
WATCHKEEPING CERTIFICATE
RATINGS (DECK/ENGINE)
FOOD HYGIENE ( CATERING CREW)
CRANE OPERATOR CERTIFICATE
OTHERS
ANCHOR HANDLING
HOURS DONE WITH VARIOUS DP SYSTEM
SYSTEM DETAILS
Kongsberg C POS
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Approx Hours as SDPO / Approx
Days in case of Chief Engineer &
2nd Engineer
Approx Hours as DPO / Approx Days in
case of ETO / 3rdEngineer
AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
Rolls R I Con DP
Kongsberg K Pos
Alstorm
REFERENCES (Last Two Recent Employers)
Reference: 1
Name of company
Name Person to be contacted
Address
Tel No
Email
Reference : 2
Name of company
Name Person to be contacted
Address
Tel No
Email
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AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
RECORD OF SEA SERVICE (ALL DATES TO BE ENTERED AS PER CDC)
Shipping
Company
(Full Name)
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Name of
Ship
Ran
k
Type of
Vessel (DP)
DP
System
DWT
/
GRT
Main Eng.
& Type
Area of
Operation
Chart
er
Operations
carried out
Fla
g
Date
Fro
m
t
o
AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
6|Page
AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
YEARS ON TYPES OF VESSELS
TYPE OF VESSEL
PSV
AHTS
AHTV
AHTS
OSV
PRODUCT CARRIER
CARGO
FPSO
CAR CARRIER
YEARS OF EXPERIENCE
RANKS ON VESSEL
NEXT OF KIN
Full Name /
Relationship
Any dependents / Children
(incl age )
Address
Contact Numbers
WORKING GEARS
PPE information
SAFETY SHOES SIZE
SHIRT SIZE
BELT SIZE:
COVERALL SIZE
PANT SIZE
Acknowledgement Form -License Number: RPSL / MUM / 373 Valid till 12.02.2021
This is to acknowledge that we have received the form from the under mentioned seafarer.
Date:
Name of Seafarer
Rank:
Signature of Seafarer
WPIF-MO-01
DATE: 19th Feb 2016
CDC No.:
Sign & Company Stamp
REV: 0
Page 4 of 4
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Acknowledgement Form -License Number: RPSL / MUM /373 Valid till 12.02.2021
This is to acknowledge that we have received the form from the under mentioned seafarer.
Date:
Name of Seafarer
Rank:
Signature of Seafarer
CDC No.:
Name & Designation
Signature
Company Stamp
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AURUS SHIP MANAGEMENT PVT.LTD.
104, Midas Chamber, 1stFloor, Off Link Road, Andheri (West), Mumbai 400053
Telefax: +91 022 6111 2525; Email: enquiries@aurusshipmanagement.com
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