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

1|Page

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

4|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

RECORD OF SEA SERVICE (ALL DATES TO BE ENTERED AS PER CDC)

Shipping
Company
(Full Name)

5|Page

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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