ASSESSMENT FORM - OFFICERS

FCO-CREW-01 Rev. 00 Date: 2015-06-01 Page 1 of 2

Date of Interview 7 OCTOBER 2019    

Place of Interview ANDHERI EAST MUMBAI     
Time of Interview 9:30 AM     

Section A:- Personal Data

VISHAL
Name Position applied for DECK CADET     
GAURAV      
28 JANUARY
Date of Birth Last Position FRESHER     
2019          
Phone Number 7356320951      CoC held -     
wish154k@gmail.com 
Email ID Years in Rank -     
    
Skype ID (If applicable) -      Type of Ships Sailed -     
Reason for application JOB PURPOSE      Years of Type of Ships -     
Reason for leaving last
company
-      Years on Tankers -     
Last drawn salary(USD) -      Expected salary(USD) -     
10 NOVEMBER
Training not completed            Expected readiness
2019     
Involvement in any major
Any Health concerns
(Surgeries/illness..) NO      accidents like oil -     
spill,collision,fire……

Section B:- General Experience

In which trading area have you been sailing?

Which crew nationalities have you worked with? -     

What are the types of vessels you have sailed on? -     

What type of cargoes are you experienced with? -     

What type of DP systems are you experienced with? -     

What engine types are you experienced with? -     

Which PMS system have you worked with? -     

What ISM experience do you have?
(please specify) -     
Do you have experience with external audits?
(please specify) -     
Do you have experience with internal audits?
(please specify) -     
What experience do you have with Vettings / Oil Major
inspections / CDI / CMID / OVID / Rightship -     
 ASSESSMENT FORM - OFFICERS

FCO-CREW-01 Rev. 00 Date: 2015-06-01 Page 2 of 2

What type of cargo system have you worked with? -     

What experience do you have with dry-docking?
(please specify - rank-location-ship type)           

Section C:- Technical Skill Rating

Comments:      
     
1 2 3 4 5 6 7 8 9 10
Poor Average Moderate Good Excellent

Are you prepared to sail through the GOA? YES     

Are you prepared to be employed in the HRA trading
area (permanent) YES     
What experience do you have with computer programs
and current level of computer skills? C PROGRAMING          
Section D:- General / Personal Skill
Aspect Comments Points
Appearance                      
Language (English)                      
Communication                      
Response                      
Confidence                      
Discipline                      
Leadership                      
Stress                      
Other                      
1 2 3 4 5 6 7 8 9 10
Poor Average Moderate Good Excellent

Section E:- Comments / Recommendation

Comments:      
    

Section F:- Certification Verification

Certificate authentication checks carried out YES / NO

Section G:- Approval/Rejection

Department Approval Rejection Date Name Signature
Manning Agency                              

Crewing Department                              

Marine / Technical
Superintendent / Fleet                              
Manager / Managing Director

THE CANDIDATE IS APPROVED / REJECTED FOR HIRE.