MARINE CREW BIOGRAPHY

PERSONAL DETAILS Date: 22 Oct 2019

Name : PHAN VAN QUAN

Position : 1/E
Current address : .Tan loc -loc ha Dist., Ha tinh
Mailing address : phanquanht88@gmail.com
Marital status : Married
Date of birth : 11 Mar 1988
Place of birth : Ha Tinh
Height : 168 Cm
Weight : 65 Kg
Blood type : A
ID number :
Phone : 0984832368
Next of kin : NGUYEN THI THO

CONTACT DETAIL
Detail/Number Contact person
0984757055 NGUYEN THI THO

CHILDREN
Name Date of birth
PHAN HA MY 2019

EDUCATION
School attended Degree
MARITIME CO.1 Good

HEALTH DECLARATION
Name Issued date Validity
MEDICAL CERT

CREW VACCINES
Country Book type Number Issued date
Vietnam Yellow Fever 23 May 2018

TRAVELING DOCUMENTS
Country Book type Number Issued date
Vietnam Passport C4540269 6 Feb 2018
Vietnam Seaman's Book HPG-15044 16 Oct 2008

ACMR0106-Rev. 3 Page 1 Retention: 02 years

VISAS
Country Type Number Issued date

ACMR0106-Rev. 3 Page 2 Retention: 02 years

QUALIFICATION CERTIFICATES (Required under STCW Convention)

License capacity Country Number Issued date Issued place

C.O.C-Master/Chief Engineer
Officer/GMDSS Operator (STCW78 / Vietnam A2204.CE1 26 Nov 2018 UT-HCMC(GTVT)
2010-II/1,2,3;III/1,2,3,6;IV/2;VII/2)

C.O.C-Deck/Electro-technical/ Catering
Rating (STCW78/2010- Vietnam
II/4;II/5;III/5,7;VII/2, MLC2006)

C.O.C-Engine Rating (STCW78/ 2010-

Vietnam
III/4;III/5;III/4,7; VII/2)
Basic Safety Training
Vietnam 53493/CĐ.I 14 Feb 2017 MARITIME CO.1
(STCW 78/2010-VI/1)

Survival Craft & Res. Boat

Vietnam A5084/CĐ.I 28 Mar 2016 MARITIME CO.1
(STCW78/2010-A-VI/2-1;A-VI/2-2)
Advanced Fire Fighting (STCW78/2010-
Vietnam A4781/CĐ.I 28 Mar 2016 MARITIME CO.1
VI/3)
Medical First Aid & Medical Care
Vietnam A4688/CĐ.I 28 Mar 2016 MARITIME CO.1
(STCW78/2010-A-VI/4-1;A-VI/4-2)

GMDSS-Endorsement (STCW78/ 2010-

Vietnam
II/1,2,3; III/1,2,3,6; IV/2.VII/2)

GMDSS Certificate (STCW78/2010-

Vietnam
II/1,2,3; III/1,2,3,6; IV/2.VII/2)

Radar Observation and Plotting

Vietnam
(STCW78/2010-II/1)
Automatic Radar Plotting Aids (ARPA)
Vietnam
(STCW78/2010-II/1;II/2)
ECDIS Generic
Vietnam
(STCW78/2010-II/1;II/2;II3)

ECDIS Type-Specific Vietnam

Ship Security Officer (STCW78/2010-

Vietnam
VI/5)

Security Awareness
Vietnam 0767-14/VMTC 5 Dec 2018 MARITIME CO.1
(STCW78/2010-VI/6-1)

Security Training for Seafarers with

Designated Security Duties Vietnam VMUC 009666Đ 9 Nov 2018 MARITIME CO.1
(STCW78/2010-VI/6-2)

Bridge Resource Management

Vietnam
(STCW78/2010-VIII/2)
Eng. Room Resource Management
Vietnam 156EM/BNHP 8 Aug 2019 POLYTECH CO.
(STCW78/2010-VIII/2)

FLAG LICENSES / CERTIFICATES

License capacity Country Number Issued date Validity
License

ACMR0106-Rev. 3 Page 3 Retention: 02 years

 Seaman’s Book
GMDSS
SSO
SDSD
SA
ECDIS
Ship’s Cook

ACMR0106-Rev. 3 Page 4 Retention: 02 years

TRAINING/UPGRADING
License capacity Country Number Issued date Issued place

WORK OF EXPERIENCE (Please declare recent 10 ships)

Date from Date to Vessel name GT kW Type Rank

MAN B&W
02/12/2008 10/08/2009 SOUTHERN STAR 11,520 7600
6S40MC
OILER

MISUBISHI
25/09/2009 30/10/2010 LUCKY VISHIP 34,850 9636 MANB&W OILER
7S50MC

07/12/2010 18/11/2011 NEW HORIZON 5,998 3935 HANSHIN OILER

13/06/2012 27/12/2012 DUONG DONG 4,813 3356 MAN BW OILER

27/12/2012 01/01/2013 ATLANTIC OCEAN 4,813 3356 MAN BW OILER

MISHUBISHI
01/01/2013 03/08/2014 ATLANTIC OCEAN 4,813 3356 MAN 4/E
B&W6L36MC

HANSHIN
04/08/2013 10/05/2014 CAM RANH 07 3,985 2574 3/E
LH41LA

10/05/2014 13/05/2014 MINH THO 18 2,209 1500 DONG FENG 3/E

13/06/2014 14/06/2014 VINH TAN 02 299 4000 MIT SU OILER

HANSHIN
30/06/2014 15/06/2015 DUONG DONG PETRO 01 1,605 1037 3/E
6EL40

MAN BW
01/11/2015 02/03/2016 TRANG AN 05 8,310 7043 2/E
6S40MC

HANSHIN
06/04/2016 12/02/2017 AU CO 01 4,095 2648 2/E
LH41LA

MITSUI MAN
28/03/2017 14/02/2018 GAS LOTUS 3,496 2700 2/E
B&W 5S35MC

HANSHIN MAN
08/03/2018 15/06/2018 GAS EASTERN 4,490 3883 2/E
B&W 6S35MC

MAN BW
21/08/18 21/10/2018 TÂN CẢNG PIONEER 7,688 5000 2/E
7S35MC

MAN BW
ACMR0106-Rev.
04/01/20193 15/08/2019 Page 5
GAS PACU 7,235 4192 Retention: 02 years
2/E
6S35MC
 MAN BW
04/01/2019 15/08/2019 GAS PACU 7,235 4192 2/E
6S35MC

Internal work history :

Land services :
Performance evaluation :
Technical assessment :
EXAMINATION TAKEN
Exam taken Exam date Score %
CES 4.1
Marlins English Test
Other English Proficiency Test

References :
I, hereby declared that all the information provided are true and correct.

Signature of applicant

ACMR0106-Rev. 3 Page 6 Retention: 02 years

RAPHY
2 Oct 2019

Photo
40x60mm

Relation
Wife

Gender
Female

Year graduated
2008

Clinic
VINIMAM

Validity
Life-long

Validity
6 Feb 2028
NA

ACMR0106-Rev. 3 Page 7 Retention: 02 years

 Validity

ACMR0106-Rev. 3 Page 8 Retention: 02 years

 Validity

26 Nov 2023

14 Feb 2022

28 Mar 2021

28 Mar 2021

28 Mar 2021

12 Mar 2023

9 Nov 2023

8 Aug 2024

Remark

ACMR0106-Rev. 3 Page 9 Retention: 02 years

ACMR0106-Rev. 3 Page 10 Retention: 02 years
 Validity

Company
Company: MARITIME JOINT STOCK SERVICE
Crew's Nationality:
Vetting:
Trading Area:
Company: VINASHIN SHIPPING
Crew's Nationality:
Vetting:
Trading Area:
Company: VINASHIN LINES
Crew's Nationality:
Vetting:
Trading Area:
Company: DUONG DONG JOINT STOCK TRANSPORT & TOURS
Crew's Nationality:
Vetting:
Trading Area:
Company: DAI TAY DUONG CO.,LTD
Crew's Nationality:
Vetting:
Trading Area:
Company: DAI TAY DUONG CO.,LTD
Crew's Nationality:
Vetting:
Trading Area:
Company: DAI TAY DUONG CO.,LTD
Crew's Nationality:
Vetting:
Trading Area:
Company: CAT BIEN SERVICE CO.,LTD
Crew's Nationality:
Vetting:
Trading Area:
Company: DUONG DONG JOINT STOCK
Crew's Nationality:
Vetting:
Trading Area:
Company: DUONG DONG CO.,LTD
Crew's Nationality:
Vetting:
Trading Area:
Company: DUONG GIANG JOINT STOCK
Crew's Nationality:
Vetting:
Trading Area:
Company: VINALINES NHA TRANG
Crew's Nationality:
Vetting:
Trading Area:
Company: NHAT VIET SHIPPING
Crew's Nationality:
Vetting:
Trading Area:
Company: NHAT VIET SHIPPING
Crew's Nationality:
Vetting:
Trading Area:
Company: TAN CANG SHIPPING
Crew's Nationality:
Vetting:
Trading Area:
Company: VIET NAM GAS AND CHEMICALS TRANSPORTATION
CORP
ACMR0106-Rev. 3 Page 11 Retention: 02 years
 Crew's Nationality:
Vetting:
Trading Area:

Exam status

ACMR0106-Rev. 3 Page 12 Retention: 02 years