Seamans Application Form

MASTER
Surname: Khankishiyev First Name: Gorkhmaz
Date and Place of birth: 01.04.1963 Azerbaijan /Shamakhi Mob. ph. +994557086609
Mob. ph.+994125453456
E-mail:10lf736@mail.ru
Permanent address: Azerbaijan Baku Lok-batan Alim Nationality: Azerbaijan
Shabiyev str aprt 15/hous 40 / Post code:AZ 1063
Salary: Next of kin: Ayaz (Son)
ph:+994502473747
Readiness:
GENERAL DETAILS
Document Number Date and place of issue Date of expiry
Seamans passport DQK025967 06.12.2023 06.12.2028
Travel Passport C00000760 28.02.2023 28.02.2033
CERTIFICATION / QUALIFICATIONS
Description Number Place of issue Issue Expiry
Republic of Azerbaijan State
Certificate of competency Master 011985/22 20.12.2022 21.11.2027
Maritime Administration
Endorsement Of Masteron Ships of less Republic of Azerbaijan State
than 500 gross tonnage
011985/22 20.12.2022 21.11.2027
Maritime Administration
Republic of Azerbaijan State
GMDSS General Operator DQ-0163-22 14.03.2022 14.03.2027
Maritime Administration
Republic of Azerbaijan State
Endorsement GMDSS General Operator DQ-0163-22 14.03.2022 14.03.2027
Maritime Administration
Radar navigation, radar plotting and use Republic of Azerbaijan State
of ARPA (Management Level)
SQ-0071-22 08.08.2022 08.02.2027
Maritime Administration
Republic of Azerbaijan State
Bridge Resource Management SW-0557-23 12.12.2023 12.12.2028
Maritime Administration
Operational Use of Electronic Chart
Republic of Azerbaijan State
Display and Information System SZ-0018-22 28.01.2022 28.01.2027
(ECDIS) Maritime Administration
Republic of Azerbaijan State
Training in advanced Fire-Fighting SJ-0556-23 02.05.2023 20.04.2028
Maritime Administration
Republic of Azerbaijan State
International Safety Management Code SP-0394-20 07.05.2020 19.03.2025
Maritime Administration
Republic of Azerbaijan State
Leadership and Teamwork DL-0063-22 21.01.2022 21.01.2027
Maritime Administration
Republic of Azerbaijan State
Personal survival techniques SO-0790-21 04.05.2021 03.05.2026
Maritime Administration
Republic of Azerbaijan State
Fire prevention and fire fighting SO-0790-21 04.05.2021 03.05.2026
Maritime Administration
Republic of Azerbaijan State
Elementary first aid SO-0790-21 04.05.2021 03.05.2026
Maritime Administration
Republic of Azerbaijan State
Personal safety and social responsibilities SO-0790-21 04.05.2021 03.05.2026
Maritime Administration
Republic of Azerbaijan State
Safety familarization training SO-0790-21 04.05.2021 03.05.2026
Maritime Administration
Training for seafarers with designated Republic of Azerbaijan State
security duties
SH-0160-22 11.02.2022 11.02.2027
Maritime Administration
Republic of Azerbaijan State
Ship Security Officer SG-0137-23 12.04.2023 12.04.2028
Maritime Administration
Proficiency in survival craft and rescue Republic of Azerbaijan State
boats other than fast rescue boats
SL-0598-21 07.05.2021 07.05.2026
Maritime Administration

Republic of Azerbaijan State

Medical First Aid SN-0188-22 22.02.2022 22.02.2027
Maritime Administration
Advanced training for oil tanker cargo Republic of Azerbaijan State
operations
SB-0080-19 30.04.2019 30.04.2024
Maritime Administration
Republic of Azerbaijan State
Ship Handling and Manoeuvring SV-0467-22 30.11.2022 30.11.2027
Maritime Administration
Republic of Azerbaijan State
Medical Care on Board SM-0505-22 14.02.2022 13.12.2027
Maritime Administration
Republic of Azerbaijan State
Medical Certificate - 09.05. 2024 09.05.2026
Maritime Administration

SEA SERVICE (start with the last vessel served)

Type Owners or From
Vessel Flag YOB DWT To Rank
Managers
1967 208
PSK-43 AZE PESSENGER DWT
CASPIAN 26.05.2004 22.10.2004 MASTER
1968 208
PSK-47 AZE PESSENGER DWT
CASPIAN 30.10.2004 01.01.2015 MASTER
35
ORION-20 AZE SUPPLY 1988
DWT
CASPIAN 01. 01.2015 12 .08.2018 MASTER
1074
BAKINSKAYA-6 AZE DRILLING 1988
DWT
CASPIAN 13.08.2018 CONTINUE MASTER