L4-WH-CREW-PRD2-002-FRM-01 CREW APPLICATION, REV 0

Company

Hiring Agency

Date

POSITION APPLIED 3rd engineer

Date of Availability 31.10.2022

Nearest Airport CHENNAI INTERNATIONAL AIRPORT

PERSONAL PARTICULARS
Name VEERABATHIRAN BALASUBRAMANIAN Rank 3rd engineer
Date Of Birth 12/26/1988 Place Of Birth palur
Marital Status married Nationality indian
Religion Hindu Blood Group o+ve
E-mail veeraranjit1988@gmail.com PPE Size XXL
Home Tel. No 9790271735 Mobile No. 9790271735
Height (cm) 186 Weight (kgs) 85
No. 7, Rajeev Gandhi street, palur, chengalpet dt, Tamilnadu
Home Address
Postal Code: 603101
TRAVEL DOCUMENTS NUMBER DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE
Passport S2849976 8/3/2018 8/2/2028 chennai
Seaman Book MUM172625 5/24/2010 8/20/2029 mumbai

CERTIFICATE OF COMPETENCY CAPACITY DATE OF ISSUE DATE OF EXPIRY

Certificate of Competency (Home Country) MEO CLASS IV 11/5/2020 11/30/2025
Certificate of Endorsement (Home Country)
General Operator Certificate (GOC) (Home Country)
FLAGSTATE DOCUMENTS CAPACITY DATE OF ISSUE DATE OF EXPIRY
Singapore /Panama/ Malaysia / indonesia- COE / COR
Singapore /Panama/ Malaysian / Indonesia - GOC / COR
Singapore /Panama/ Malaysian / indonesia - SIRB / SID

MEDICAL CERTIFICATE CLINIC DATE OF ISSUE DATE OF EXPIRY

Petronas / BSP / PANAMA
Others : True care 2/8/2022 2/7/2024
NOS. TRAINING CERTIFICATES DATE OF ISSUE DATE OF EXPIRY
1 Basic Safety Training (STCW VI/1-4)
2 Advance Firefighting 9/13/2019 9/12/2024
3 Proficiency in Survival Craft and Rescue Boats 9/12/2019 9/11/2024
4 Proficiency in Fast Rescue Boat
5 ILO/MLC/Flag Medical (Fit without Restriction)
6 Medical Care On Board
7 Medical First Aid 9/14/2019 9/13/2024
8 Ship Security Officer
9 Ship Security Awareness with Designated Duties 10/5/2020 10/4/2025

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 10 Ship Security Awareness Training
11 Bridge Resource Management
12 Engine Resource Management
14 ECDIS - Electronic Chart Display Information System
13 GMDSS - General Operator Certificate
14 Food Handling and Hygiene
15 Pilotage Exemption Certificate
16 BOSIET / HUET
17 DP Certificate/Advance/Maintenance (*cancel as appropriate) 2/11/2021 2/10/2026
18 High Voltage Installation 3/13/2017
19 OHSAS/NEBOSH or Equivalent
20 Offshore Medic Certification or Equivalent
21 Sparrows Crane Operator, Stage 3
22 Rigging and Slinging
23 Work at Height / Rescue Team
24 Confined Space (Standby, gas detection, rescue team)
25 HLO / HERTL / HDA / HEDTM (*cancel as appropriate)
26 H2S Training ### 9/24/2022
27 IMS-5
NEXT OF KIN (NOK) DETAILS (to be contacted in case of Emergency)
Name Balasubramanian Relationship father
No. 7 Rajeev Gandhi street, palur chengalpet, Tamilnadu 603101
Address
Tel. No 9789444068
SPOUSE PARTICULARS
Spouse Name Deepika Date of Birth 5/16/1993
No. 7 Rajeev Gandhi street palur, chengalpet Dt Tamilnadu 603101
Address
Tel. No 9941291122
DEPENDENTS / CHILDREN PARTICULARS
No. Name Relationship Date of Birth Age
1 pranavika Daughter 9/5/2022 2m
2
3
4
5

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 L4-WH-CREW-PRD2-002-FRM-01 CREW APPLICATION, REV 0
SEA TIME EXPERIENCE (FROM MOST RECENT)
Type of Client Period (d-mmm-yy)
No Name of Vessel Rank Vessel Type GRT / HP Company Area of Operation
Operation (Charterers Name) From To
1 M. V CREST MERCURY ONE 3RD ENGINEER AHTS- DP2 2301/2x3000 AURUS SHIPPING PVT LTD INDIAN COST Anchor handling Pacafic Radiance 25-Feb-22 9-Jul-22
2 M. V OCEAN DIGNITY 3RD ENGINEER Supply Tug 476/2942 OCEAN SPARKLE LTD INDIAN COST Towing Operation Mbpt Mumbai 1-Aug-21 5-Dec-21
3 M. V OCEAN DIGNITY 3RD ENGINEER Supply Tug 476/2942 OCEAN SPARKLE LTD INDIAN COST Towing Operation Mbpt Mumbai 9-Jul-21 31-Jul-21
4 M. V MUTAWA 401 3RD ENGINEER DSV - DP2 2857/2x3700SAILFAST MARITIME PVT LTD FG Diving support Mutawa 9-Nov-19 29-May-20
5 M. V REL TUG SEVEN 3RD ENGINEER Supply Tug 465/3678 OCEAN SPARKLE LTD INDIAN COST SBM Operation Reliance 15-Sep-18 3-Jan-19
6 M. T GREAT STAR 4TH ENGINEER Oil/Chemical Tanker14332/9977ACE SHIP NAVIGATION PVT LTD FG Product carrier Great star 27-Aug-17 8-Mar-18
7 M. V ALINA 4TH ENGINEER Container 6362/7640 SEPEHR PAYAM PVT LTD FG Container carrier Sepehr payam 3-Apr-17 28-Jul-17
8 M. V OCEAN AQUAMARINE JUNIOR ENGINEER AHTS 1254/2x2050SAMSON MARITIME PVT LTD NCV Anchor handling Samson maritime 12-May-16 25-Nov-16
9 M. T PRATIBHA NEERA JUNIOR ENGINEER Oil Tanker 18625/11900PRATIBHA SHIPPING PVT LTD FG Oil Carrier Pratibha shipping 12-Dec-12 17-Aug-13
10 M. V RUSSEL RANI JUNIOR ENGINEER Bulk carrier 7662/6080 RAREFIELD SHIPPING PVT LTD FG Bulk Carrier Rarefield 3-Dec-11 13-Feb-12
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25

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L4-WH-CREW-PRD2-002-FRM-01 CREW APPLICATION, REV 0
CREW APPLICATION

REVISION LOG

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Rev Effective Description of Changes Issued By

0 18-Feb-21 New Released Rabindra D.
m (DMS) for the full revision log

Approved By
Sherif A.