Старший помощник капитана (на суда - газовозы)

Описание





PRESENT PHOTO





APPLICATION FOR EMPLOYMENT

APPLICATION FOR EMPLOYMENT

APPLICATION FOR POSITION AS
CHIEF OFFICER
OTHER POSITION (IF ANY)
MASTER


1. PERSONAL DETAILS
TITLE MR/MRS/MISS
MR
SEX
MALE
SURNAME
SHUSHKIN
FIRST NAME
SERGEI
MIDDEL NAME
OLEGOVICH
DATE OF BIRTH
30.07.1976
PLACE OF BIRTH
USSR
NATIONALITY
RUSSIAN
MARITAL STATUS
MARRIED
COLOUR OF EYES
BROWN
COLOUR OF HAIR
DARK
MOTHER'S NAME
RAISA
FATHER'S NAME
OLRG
SHOESIZE
43
BOILER SUIT SIZE (US)
L
HEIGHT (CM)
179
WEIGHT (KG)
80
NEAREST INTERNATIONAL AIRPORT:
SAINT PETERSBURG (LED)
INDOS NUMBER

2. ADDRESS

NO & STREET
2, URAL'SKAYA STR.

CITY
SAINT PETERSBURG

POST CODE
199155

COUNTRY
RUSSIA

TEL. NO.


MOBILE
+79046446872

E-MAIL & SKYPE ID
sergei.shushkin@gmail.com
sergey.shushkin

3. NEXT OF KIN
FULL NAME
IULIIA SHUSHKINA
RELATIONSHIP
WIFE
ADDRESS
SAME AS ABOVE
CITY


COUNTRY

TEL. NO.

MOBILE
+79523838739














4. CHILDREN


FULL NAME OF CHILD


DATE OF BIRTH
SEX
SHUSHKINA MARINA


05.04.2005
M
F
SHUSHKINA SOFIA


07.02.2009
M
F
SHUSHKINA ELIZAVETA
07.02.2009

F
5. TRAVEL DOCUMENTS
TYPE
DOCUMENT NO.
ISS.DATE
EXP. DATE
ISS. BY (AUTHORITY)
PLACE OF ISSUE
PASSPORT
75 8733619
01.08.2018
01.08.2028
Russia
Saint Petersburg
SEAMAN BOOK
RUS 0634074
05.04.2023
04.04.2028
Russia
Saint Petersburg
OTHER SEAMAN BOOK





US C1/D VISA





OTHER VISAS





6. BANK ACCOUNT INFORMATION
BANK NAME

BRANCH

BANK ADDRESS

BANK SWIFT CODE

BANK COUNTRY

IBAN NUMBER

BENEFICIARY

ACCOUNT NUMBER

CURRENCY

CARD NUMBER/ACCOUNT PASSPORT

7. EDUCATION
INSTITUTE NAME

Admiral Makarov State Maritime Academy (AMSMA)
FROM
1994
TO
2001
INSTITUTE NAME



FROM


TO

8. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY /WATCH KEEPING /COP
CERTIFICATE NAME
NUMBER
ISSUE DATE
EXPIRY DATE
ISSUED BY (AUTHORITY)
ISSUED AT
Master
LED205628424
28.06.2022
26.04.2027
Russia
Saint Petersburg
























TANKER VESSEL CERTIFICATES
NUMBER
ISSUE DATE
EXPIRY DATE
OIL
LED205628443
28.06.2022
26.04.2027
CHEMICAL



GAS
LED208507967
14.10.2024
09.10.2029
9. LANGUAGES
ENGLISH
FLUENT

GOOD

FAIR

POOR
MARLIN'S TEST / LEVEL
ISSUED DATE
RESULT %
ISSUED BY (AUTHORITY)
ISSUED AT








10. MEDICAL CERTIFICATES & VACCINATIONS
MEDICAL CERTIFICATES
NUMBER
ISSUE DATE
EXPIRY DATE
ISSUED BY (AUTHORITY)
ISSUED AT
INTERNATIONAL/ILO

18.03.2024
18.03.2025

Sandal Med
PANAMANIAN





YELLOW FEVER

10.07.2017
Life Long
AMSMA Medical Centre
11. COURSES
COURSE NAME
NUMBER
ISSUE DATE
EXPIRY DATE
ISSUED BY (AUTHORITY)
ISSUED AT
PERSONAL SURVIVAL/PST
R 104/0422-331
29.04.2022
29.04.2027
"Marine Systems"
Saint Petersburg
PERSONAL SAFETY AND SOCIAL RESPONSIBILITY
R 104/0422-331
29.04.2022
29.04.2027
"Marine Systems"
Saint Petersburg
FIRE PREVENTION AND FIRE FIGHTING
R 104/0422-331
29.04.2022
29.04.2027
"Marine Systems"
Saint Petersburg
ADV. FIRE FIGHTING
AFF-01756/22 PD
19.04.2022
19.04.2027
"Marine Systems"
Saint Petersburg
ELEMENTARY FIRST AID
R 104/0422-331
29.04.2022
29.04.2027
"Marine Systems"
Saint Petersburg
MEDICAL FIRST AID
MFA-01814/22 PD
18.04.2022
18.04.2027
MTC
Saint Petersburg
MEDICAL CARE
05/0522-54
20.05.2022
20.05.2027
"Marine Systems"
Saint Petersburg
PERS. SAFETY & SOC. RESP.
R 104/0422-331
29.04.2022
29.04.2027
"Marine Systems"
Saint Petersburg
PROF. IN SURVIVAL CRAFT & RESCUE BOATS
PSC-02372/22 PD
20.04.2022
20.04.2027
MTC
Saint Petersburg
FAST RESCUE CRAFT





PREVIOUSE DOCUMENTRY EVALUATION





SECURITY TRAINING FOR SEAFARERS WITH DESIGNATED SECURITY DUTIES





SHIP SECURITY OFFICER
R 116/0522-50
17.05.2022
17.05.2027
Marine Systems
Saint Petersburg
G.M.D.S.S.
LED205628435
28.06.2022
13.05.2027
Russia
Saint Petersburg
GENERIC ECDIS COURSE
R 121/0522-69
05.05.2022
05.05.2027
Marine Systems
Saint Petersburg
TYPE SPECIFIC ECDIS COURSE





ROC & ARPA
R 120/0522-97
26.05.2022
26.05.2027
"Marine Systems"
Saint Petersburg
RADAR OBSERVATION
R 119/0522-100
24.05.2022
24.05.2027
"Marine Systems"
Saint Petersburg
HAZMAT





BASIC OIL TANKER





ADVANCE OIL TANKER
109/0622-31
20.06.2022
20.06.2027
Marine Systems
Saint Petersburg
BASIC CHEMICAL TANKER





ADVANCE CHEMICAL TANKER





BASIC GAS TANKER





ADVANCE GAS TANKER
112/1024-43
09.10.2024
09.10.2029
Marine Systems
Saint Petersburg
BRIDGE TEAM MANAGEMENT





Guidance on value added training MATRIX (Company specific courses)

SHIP MANOUVERING SIMULATOR
36
23.08.2013

MarStar
Saint Petersburg
ENGINE ROOM SIMULATOR





CARGO HANDLING SIMULATOR COURSE





RISK ASSESSMENT





ISM AWARENESS





BRIDGE AND ENGINE ROOM RESOURCE MANAGEMENT
SSBT 204/22
04.07.2022

MTC
Saint Petersburg
ACCIDENT /INCIDENT INVESTIGATION[1]





SAFETY OFFICER
SO 022/09
22.01.2009

AMSMA Training Centre
Saint Petersburg
MARPOL





VAPOUR EMISSION





ENERGY EFFICIENCY





FRAMO[3]





VETTING[4]





MARITIME ENGLISH





12. ENDORSEMENT
ENDORSEMENT NAME
NUMBER
ISSUE DATE
EXPIRY DATE
ISSUED BY (AUTHORITY)
ISSUED AT
COP IN ADVANCED TRAINING FOR OIL TANKER CARGO OPERATIONS
LED205628443
28.06.2022
28.06.2027
Marine Authority
Russia
COP IN ADVANCED TRAINING FOR GAS TANKER CARGO OPERATIONS
LED208507967
14.10.2024
09.10.2029
Marine Authority
Russia













































COMPLETE SEA - SERVICE DETAILS
(LAST VESSELS FIRST )


NAME:

RANK:

AVALIABILITY DATE:

COMPANY NAME
RANK
VESSEL NAME
SIGNED
ON DATE
SIGNED OFF DATE
PERIOD IN MONTHS

TYPE OF VESSEL
D.W.T./ GRT
ENGINE TYPE
( ENGINEERS ONLY)
BHP/KW
REASON FOR SIGN OFF
CSM
C/O
TELENDOS
06.04.2024
24.09.2024
5.7
LPGC
26634














CSM
C/O
SERENDIPITY
23.07.2023
17.01.2024
5.9
VLCC
299940














CSM
C/O
Hunter
22.07.2022
30.12.2022
5.5
VLCC
299940














CSM
C/O
Hunter
06.12.2021
21.03.2022
3.5
VLCC
299940














MidEast (BSM)
C/O
Khurais
02.02.2021
28.06.2021
4.9
VLCC
298706














MidEast (BSM)
C/O
Karan
26.07.2020
17.11.2020
3.9
VLCC
319428














MidEast (BSM)
C/O
Shaybah
22.09.2019
14.01.2020
3.8
VLCC
319428














MidEast (BSM)
C/O
Kassab
03.03.2019
11.06.2019
3.4
VLCC
298721



MidEast (BSM)
C/O
Manifa
26.09.2018
22.12.2018
2.9
VLCC
319428



MidEast (BSM)
C/O
Kassab
06.03.2018
21.06.2018
3.6
VLCC
298721



MidEast (BSM)
C/O
Kahla
12.09.2017
15.12.2017
3.2
VLCC
317521



MidEast (BSM)
C/O
Kahla
02.01.2017
13.05.2017
4.4
VLCC
317521



MidEast (BSM)
C/O
Arsan
11.06.2016
18.09.2016
3.3
VLCC
314000



Teekay
C/O
Fuji Spirit
27.12.2015
16.03.2016
2.5
Oil Tanker
106300



Teekay
C/O
Fuji Spirit
23.06.2015
27.09.2015
3.1
Oil Tanker
106300



Teekay
C/O
Fuji Spirit
04.12.2014
14.03.2015
3.5
Oil Tanker
106300



VShips
C/O
Front Endurance
04.02.2014
14.07.2014
5.3
VLCC
321300



OSMC
C/O
SEEB
27.08.2013
19.12.2013
3.8
VLCC
319600



VShips
C/O
Alegria I
04.01.2013
11.05.2013
4.1
Oil Tanker
104494



GSSM Dubai
C/O
Gulf Eyadah
23.02.2012
20.09.2012
7.0
VLCC
298971



GSSM Dubai
C/O
Gulf Sheba
19.06.2011
31.10.2011
4.5
VLCC
298923



GSSM Dubai
C/O
Gulf Sheba
15.09.2010
09.02.2011
4.9
VLCC
298923



Sanko Line
C/O
Sanko Advance
13.03.2010
26.05.2010
2.5
Oil Tanker
84999



Sanko Line
C/O
Sanko Queen
05.12.2009
12.03.2010
3.2
VLCC
308600



Sanko Line
C/O
Sanko Advance
15.05.2009
16.09.2009
4.1
Oil Tanker
84999



Sanko Line
2/O
Sanko Amity
05.09.2008
13.01.2009
4.3
Oil Tanker
84999



VShips
2/O
Front Commander
28.11.2007
23.05.2008
6.9
VLCC
299998



VShips
2/O
King Darwin
10.03.2007
01.10.2007
6.8
Oil Tanker
74400



VShips
2/O
SKS Tanaro
28.03.2006
26.10.2006
7.1
OBO
110000



VShips
2/O
Aragas
05.11.2005
12.01.2006
2.2
LPG
7724



VShips
2/O
Aragas
26.11.2004
17.05.2005
5.8
LPG
7724



VShips
2/O
Aragas
13.11.2003
24.05.2004
6.4
LPG
7724



VShips
3/O
Aragas
25.01.2003
27.07.2003
6.1
LPG
7724



VShips
3/O
Aragas
15.04.2002
21.10.2002
6.3
LPG
7724



TEESMA
3/O
Sichem Holger
14.05.2001
30.10.2001
5.7
Chemical
6323



SECURITY & REFERENCE CHECK CONTACT DETAILS
COMPANY NAME
MidEast( Bahri Ship Management)


ADDRESS



PHONE NO.
+971 564083417, +97143840400 x 877


FAX/E-MAIL
priya.sethumadhavan@bahri.sa


CONTACT PERSON
Priya Sethumadhavan


I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the documents submitted are genuine and have been signed by the person whose name appears on them.












DATE

SIGNATURE