LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015

PROCEDURE: LP06 ISSUE STATUS: 02

OFF. CREW – 03 AUTHORISATION: QSE

SEAMANEMPLOYMENT FORM

PHOTO
JOINING RANK: 2ND OFFICER

SEAFARER’S PERSONAL DETAILS

SURNAME: DUDINOV

NAME: YURY

NATIONALITY: RUSSIAN

DATE OF BIRTH: 22.12.1985

FATHER’S NAME: ALEKSEY

MARITAL STATUS: MARRIED

PLACE OF BIRTH:RUSSIA

MOTHER’S NAME: GALINA

NO OF CHILDREN:1

ADDRESS: Georgia,Batumi,Chavchavadze str 113 app 24

NEAREST AIRPORT:

BATUMI

TEL.NO: +995422278003
LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

MOBILE:+995 558594838

EMAIL: yuradudinov@mail.ru

SKYPE:dudinov85

NEXT OF KIN/RELATION: Diana Lazian /Wife

CONTACT No: +995555253491

PHYSICAL APPEARANCE

HEIGHT

(IN CM)

WEIGHT

(IN KGRS)

OVERALL SIZE

SHOES SIZE

(EU)

185

82

XL

45

NATIONAL DOCUMENTS

DOCUMENT

NUMBER

ISSUE DATE

EXPIRY DATE

PLACE ISSUED

PASSPORT
LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

759486660

24.10.2018

24.10.2028

RUSSIA

NATIONAL SEAMAN’S BOOK

GE007640

21.07.2015

21.07.2020

GEORGIA

RANK OF NATIONAL LICENSE:

CHIEF MATE

FLAG ENDORSEMENTS

GRADE

NATION

NUMBER

ISSUE DATE

EXPIRY DATE

COC

Georgia

16F02-04-003230

14.07.2016

N.A

GMDSS

Georgia

15F09-23-001413
LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

11.08.2015

N.A

SEAMAN’S BOOK

Georgia

GE007640

21.07.2015

21.07.2020

BASIC TANKER SAFETY

ADVANCE OIL TRAINING

Georgia

OCG02-050528

21.09.2015

13.08.2020

ADVANCE CHEMICAL TRAINING

Georgia

OCG02-050782

22.09.2015

24.08.2020

SSO/SSA/SDSD

Georgia

SSO02-049314

12.08.2015

26.07.2020

NATIONAL LICENSES AND TRAININGCERTIFICATES

LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

COURSE

CERTIFICATE NUMBER

ISSUE DATE

EXPIRY DATE

COC (Certificate of Competency)

16F02-04-003230-01

14.07.2016

14.07.2021

GMDSS

15F09-23-001413-01

11.08.2015

17.07.2020

BASIC TRAINING FOR OIL AND CHEMICAL TANKER

ADVANCE OIL TANKER TRAINING

OCG02-050528

21.09.2015

13.08.2020

ADVANCE CHEMICAL TANKER TRAINING

OCG02-050782

22.09.2015

24.08.2020

BASIC SAFETY TRAINING

(Personal Survival Techniques-Firefighting- First aid - Personal Safety& Social Responsibilities)

LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

BST02-049313

12.08.2015

27.06.2020

PROFICIENCY IN SURVIVAL CRAFT &RESCUE BOATS

FRB02-049315

12.08.2015

30.07.2020

ADVANCED FIRE-FIGHTING

AFT02-049318

12.08.2015

03.07.2020

MEDICAL FIRST AID

MEDICAL CARE
MFC02-050330

10.09.2015

02.09.2020

SHIP SECURITY OFFICER

SSO02-049314

12.08.2015

26.07.2020

SHIP SECURITY AWARENESS

SEC02-050578

16.09.2015

09.09.2020

DESIGNATED SECURITY DUTIES

SEC02-050578

16.09.2015
LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

09.09.2020

ARPA

(Automatic Radar Plotting Aids)

RNA02-049317

12.08.2015

23.07.2020

ECDIS (Electronic Chart Display and Information Systems)

ECS02-049316

12.08.2015

13.07.2020

ECDIS Type Specific Training (JRC for Lotus vessels)

35828/111192 (JRC)

11.11.2015

N.A.

BTM / BRM (Bridge Team Management/Bridge Resource Management)

BTM02-069353

24.02.2017

17.02.2022

ERM (Engine Room Resource Management)

RISK ASSESSMENT

INCIDENTINVESTIGATION
LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

SHIP HANDLING AND MANOEUVRING

SHIP SAFETY OFFICER

MEDICAL CERTIFICATES

ISSUE DATE

EXPIRY DATE

PRE-EMPLOYMENT MEDICAL EXAMINATION

16.03.2018

16.03.2020

D&A TEST

08.01.2019

08.01.2020

ISSUE DATE

EXPIRY DATE

PRE-EMPLOYMENT BLOOD ACCUMULATION TEST

 LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

08.01.2019

08.01.2020

YELLOW FEVER CARD

04.11.2015

04.11.2025

ENGLISH KNOWLEDGE

FAIR:

GOOD:

VERY GOOD: V

FOR OFFICERS ONLY

CHEMICAL TANKER EXPERIENCE FOR CREW MATRIX

TIME IN RANK : 13 Months

(Actual sea service)

TIME ON CHEM/TANKERS: 14 Mont

(Actual sea service)

TIME ON ALL TANKER TYPES:4.5 Year

(Actual sea service)

SEA SERVICE RECORD

VESSEL’S FLA OPERATOR TYPE RAN DWT M/E TYPE YEAR SIGN ON SIGN
NAME G K OF DATE OFF
BUILT DATE
RIO CARONI M.I. BernhardSchulte OIL TNK 2ND OFF 158777 B&W/6S70MC 2003 18.03.2018 14.08.2018
Shipmanagemen -C/25023
t
RIO CARONI M.I. BernhardSchulte OIL TNK 2ND OFF 158777 B&W/6S70MC 2003 13.06.2017 13.11.2017
Shipmanagemen -C/25023
t
RIO CARONI M.I. BernhardSchulte OIL TNK 2ND OFF 158777 B&W/6S70MC 2003 03.10.2016 31.01.2017
Shipmanagemen -C/25023
t
RIO CARONI M.I. BernhardSchulte OIL TNK 3RD OFF 158777 B&W/6S70MC 2003 27.08.2016 02.10.2016
Shipmanagemen -C/25023
t
RIO ORINOCO M.I. BernhardSchulte OIL TNK 3RD OFF 158589 B/W/22790 2003 20.12.2015 08.06.2016
Shipmanagemen
t
 LOTUS SHIPPING COMPANY LIMITED ISSUE DATE: 30/04/2015
PROCEDURE: LP06 ISSUE STATUS: 02
OFF. CREW – 03 AUTHORISATION: QSE

CHEM ALYA M.I. BernhardSchulte OIL CH 3RD OFF 17055 MAN/6600 2007 27.10.2014 24.04.2015
Shipmanagemen TNK
t
TAI HU SIN Ocean Tankers CR OIL 3RD OFF 73980 B/W/15153 2001 06.05.2013 12.11.2013
TNK
OCEAN SIN Ocean Tankers CH /OIL 3RD OFF 16626 B/W/8448 2008 05.07.2012 23.02.2013
LEADER PR TNK

REFERENCES
COMPANY COMPANY
COMMENTS COMMENTS

APPROVAL OF CANDIDATE:
LOTUS OFFICE REVIEWED BY: LOTUS OFFICE APPROVED BY:
CREW MANAGER (Name & signature) OPS/TECH FLEET MANAGER (Name & signature)