Professional Documents
Culture Documents
FORM Crew Card - SPT
FORM Crew Card - SPT
FORM Crew Card - SPT
CREW CARD
Rank/Rating Vessel
A. PERSONAL PARTICULARS
1. Name Nguyễn Văn Kiên 2. SALARY PHOTO
3. Address Thôn Ô Mễ 2 - Xã Tân Phong- Huyện Vũ Thư-Thành Phố Thái Bình
4. Telephone 0973984889
5. Date of Birth 01/01/1985 Place Thái Bình Nationality Việt Nam
6. Height 164 cm Weight 63 kgs Blood type O Shoe size 41 Suit size:6 ###
7. Married Yes Religion No No of children 2 Hobby Football S
8. Other country seaman book Panama Date of Issue 16/01/2015 Date of Expiry 16/01/2020 Issued by Panama
9. Passport No. P00849731 Date of Issue 25/10/2022 Date of Expiry 25/10/2023 Issued by Cục Quản Lý Xuất Nhập Cảnh
10. Seaman's book No. HPG-36312-01 Date of Issue 05/06/2013 Issued by Chi Cục Hành Hải VN Tại HP
B. CERTIFICATES
National COC Vietnam No. A6081EO1 Date of Issue 29/06/2018 Date of Expiry 29/06/2023 Issued by Cục Hàng Hải Việt Nam
Other COC No. Date of Issue Date of Expiry Issued by
MODULAR COURSES CERTIFICATE NUMBER DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE
Oil Tanker Familiarisation Course 000837CĐHHII 21/08/2018 21/08/2023 Trường CĐ Hàng Hải II
VN Endorsement Oil Tanker Familiarisation Course A1489/SG.ND 30/08/2018 21/08/2023 Cục Hàng Hải VN
Chemical Tanker Familiarisation Course 03122GTVT 31/07/2018 31/07/2023 Trường ĐH GTVT
VN Endorsement Chemical Tanker Familiarisation Cou A2278/HP.NHC 31/01/2019 31/07/2023 Chi Cục Hàng Hải VN
Basic trainning certificate A6040.BT/BNHP 13/05/2019 13/05/2024
Advenced Fire Fighting 004206CDNHH 19/07/2017 19/07/2022
Medical First Aid 004206CDNHH 19/07/2017 19/07/2022
Proficiency In Survival Craft 004206CDNHH 19/07/2017 19/07/2022
G.M.D.S.S.
G.M.D.S.S. - Endorsement
Radar Observer
A.R.P.A.
Electronic chart display information system
Electronic chart display information system (SPECIFIC
Maritime English level 3
ERM
Shiphandling
SSA
DSD
Yellow fever vaccination
Cholera
Health certificate 0250 24/11/2021 24/05/2023 Bệnh Viện GTVT HP
D. ENGLISH TEST
CONTENTS EVALUATION
Reading & Writing 5. Excellent 4. Good 3. Acceptable X 2. Poor 1. Very Poor
Speaking & Listening 5. Excellent 4. Good 3. Acceptable X 2. Poor 1. Very Poor
< *NOTE> DMA: Department of Marine Administration, IMT: Institute of Marine Technology,
MOHA: Ministry of Home Affairs, MPT: Post and Telecommunications Department
DGS-PR-01 (0)
DGS-PR-01 (0)
DGS-PR-01 (0)
E. SEA SERVICE RECORD
VESSEL NAME FLAG G.T ENGINE TYPE SIGN ON CONTRACT REMARK
Crew's Nationality,Vetting,Trading
TYPE RANK TRADING POWER (KW) SIGN OFF MONTH
Area
DGS-PR-01 (0)