Aurus CV
Aurus CV
Aurus CV
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
Passport Number
Date of Expiry
Place of Issue
PHILIPPINES
PHILIPPINES
Date of Issue
Date of Expiry
Place of Issue
PHILIPPINES
PHILIPPINES
PHILIPPINES
Issuing
Country
PHILIPPINE
S
1|Page
Certificate No.
Date of
Issue
Date of
Expiry
Details of Limitations
PHILIPPINE
S
Certificate /Grade
License No.
Date of
Issue
Date of
Expiry
Country
PHILIPPINES
PHILIPPINES
PHILIPPINES
Certificate
No.
Date of
Issue
Date of
Expiry
Place of
Issue
Institute
PHILIPPINE
S
PSCRB
PHILIPPINE
S
AFF
PHILIPPINE
S
MEFA
PHILIPPINE
S
MECA
PHILIPPINE
S
CONTROL ENGINEERING
PHILIPPINE
S
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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
OTHERS
ANCHOR HANDLING
Rolls R I Con DP
Kongsberg K Pos
Alstorm
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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
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YEARS OF EXPERIENCE
RANKS ON VESSEL
NEXT OF KIN
Full Name /
Relationship
Any dependents / Children
(incl age )
Address
Contact Numbers
WORKING GEARS
PPE information
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
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.:
Signature
Company Stamp
7|Page
8|Page