1. BIBBY SHIP MANAGEMENT (INDIA) PVT.LTD.
401 – 404 Midas Chambers, Fun Republic Lane , Off Link Road, Andheri {W}, Mumbai – 53
Tel: +91 022 40868000; Fax: +91 022 40868001 . Email: HYPERLINK
"mailto:enquiries@india.bibbyshipmanagement.com" enquiries@india.bibbyshipmanagement.com
WPIF-MO -01 April 2016
POSITION
POST APPLIED
FOR
DP MASTER
(AZD and CPP)
proficient DP hours
3000 plus IMCA
YOU WILLING TO
JOIN A RANK
LOWER IF CURRENT
POSITION IS NOT
AVAILABLE
Y/N
Y
RECENT
PHOTOGRAPH
DATE AVAILABLE
FROM
JUNE 2016 HEIGHT-165 CMS
INDOS NO. 99NL0038 WEIGHT-75KGS
MUI NO. SAFETY SHOE SIZE:6
BOILER SUIT SIZE:M
PERSONAL DETAILS
SURNAME:CONCESSIO FIRST NAME: CAPT.LARSEN MIDDLE NAME: ANTHONY
NATIONALITY: INDIAN DATE OF BIRTH:
08 NOV 1975
PLACE OF BIRTH:
MUMBAI
PRESENT ADDRESS
A/2,3 VICTORY CHS, 31B HILL
ROAD, BANDRA WEST, MUMBAI
400050
PERMANENT ADDRESS
A/2,3 VICTORY CHS, 31B
HILL ROAD,
BANDRA WEST, MUMBAI 400050
Tel No :02226436999 Tel No :02226436999
Mobile No: +919769538221 Mobile No: 9769538221
Email hyperlink: mailto:larsenconcessio@gmail.com"
larsenconcessio@gmail.com
IDENTITY DOCUMENTS
DOCUMENT:
PASSPORT
PLACE OF ISSUE:
MUMBAI
NUMBER:
K-8177221
DATE OF ISSUE
22/01/2013
DATE OF EXPIRY
22/01/2023
US VISA
OTHER VALID
VISA
Indonesia 0812 15 Jan 2016 15-march-2016
CDC INDIAN MUMBAI 94764 01/05/2001 30/04/2022
CURRENT
POSITION
ON BOARD Bourbon
Liberty 165, AS
MASTER SDPO/ DP2
ON BOARD Currently in Abidjan,
with Foxtrot
International (BTB)
(with Pilot Exemption)
SIGN OFF April 2016
CDC LIBERIAN VIRGINIA ,USA 1141133 05/02/2014 2016
OTHERS CDC Norwegian yellow
book
2016

2. YELLOW FEVER YES DONE DATE DONE:
28/02/2016
DATE OF EXPIRY
unlimited vaccine
Ghana Airport
ENSURE AT LEAST
2 BLANK PAGES IN
YOUR PASSPORT :
YES/NO
YES
CLOSEST
AIRPORT
MUMBAI
SAHAR/SANTACRUZ
MEDICAL
HISTORY:
YES/NO
NO
MEDICAL VALID
TILL: Feb /18
IF YES PLEASE
PROVIDE DETAILS
OF MEDICAL
PROBLEM : N/A
GRADE/CLASS
OF COC
ISSUING
COUNTRY
CERTIFICATE
NO.
DATE ISSUED PLACE ISSUED VALID UNTIL
MASTER (FG)
UNLIMITED
INDIA IFOO-10763 23/02/2016 MUMBAI 22/02/2021
All STCW courses and CoC /Goc revalidated as per latest STCW14
COURSE DETAILS
Course Name Certificate No Date of Issue Date of Expiry Place Issued Issued By
CERTIFICATES
AFF 106007370226 23/12/00 REF STCW10 MUMBAI MTI POW
MASTER’S MEDICARE MMTI/MC/693/05 04/03/05 REF STCW10 MUMBAI MMTI
PSCRB 000845 17/11/00 REF STCW10 MUMBAI LBSCAMS
PSSR 383 20/02/99 REF STCW10 MUMBAI ANGLO TC
RUTC*
ADDITIONALLY FOR
DECK OFFICERS
GMDSS (GOC) GOC 6614 17/04/2001 10/04/2016 NEW DELHI GOVT IND
GMDSS ENDORSEMENT MMD/MUM20583 11/08/2011 10/04/2016 MUMBAI MMD
ROC 599 20/11/2000 MUMBAI XIT
ARPA 1799 04/12/2000 MUMBAI XIT
RANSCO 040045 28/05/2004 MUMBAI LBSCAMSA
BTM NYKSM-SIN514 20/02/08 SINGAPORE NYKSM
BRM NYKSM-SIN514 20/02/08 SINGAPORE NYKSM
ECDIS NYKSM20081668 05/03/08 MUMBAI NYKSM
**SMSC 447 09/11/10 MUMBAI ANGLO TC
SSO SSC/0668/036/09 05/09/09 STCW10 MUMBAI NAVALMAR
ADDITIONALLY FOR
TANKER / GAS
VESSELS
OTFC /TASCO
LNG CHTS 2005-06 08/07/05 TOKYO NYKTOKYO
GTFC/GASCO 080020 17/01/08 MUMBAI LBSCAMSA
*****ATLGTO 2004-041 16/07/04 TOKYO NYKTOKYO
ENDORSEMENT FOR
TANKER / GAS VESSELS
GAS DCE – OPS /
management level 2
M/G/2/D/08/57355 20/01/11 28/01/16 MUMBAI MMD
FOR DP / OFFSHORE
VESSELS
DP INDUCTION SDB/04-223/2009 24/07/09 MUMBAI SDBMTC
DP ADVANCED SDB/04-261/2009 10/12/09 MUMBAI SDBMTC
DSV COURSE
CERTIFICATE
SDB/01-03/2012 22/06/12 MUMBAI SDBMTC
H2S SAFETY AND DONE 06/2012 MUMBAI
Marine warranty
surveyor/British gas India as
Consultant
Consultant/contractor
with The MCE team
IND/SINGAPORE
22/12/2015
pass No.16016
31/May/2016 BGEPIL British Gas
exploration PIL.

3. BOSIET***huet OPITO 01/2014 01/2018 MUMBAI SURAKSHA
IMCA log book London AS CAPTAIN 33791 03/2014
DP UNLIMITED CERT.
20836 UNLMT. AS
CAPTAIN
07/2013 07/2018 LONDON NAUt. Inst.
DP INDUCTION SDB/04-223/2009 24/07/09 MUMBAI SDBMTC
OTHER COURSES
STCW14
MLC 2006 1421 MMTI powai
FPFF 053 MMTI powai
PST refresher 066 MMTI powai
**SMSC = SHIPS MANOUVERING AND SIMULATOR COURSE
****BOSIET= BASIC OFFSHORE SAFETY INDUCTION EMERGENCY TRAINING
*****ATLGTO=ADVANCE TRAINING PROGRAMME ON LIQUEFIED GAS TANKER OPERATION
REFERENCES
(Please give the name
and address of your
current or immediate
past employer)
S.NO NAME ADDRESS TELEPHONE NO
1 MR. ABBY BIBBY SHIP
abby@india.bibbyshipmanagement.com
02240868000
MOB+919892171847
COMPAN
Y
VESSEL VESSEL
TYPE
FLAG D.
W.
T
GR
T
Ag
e
TYPE
OF
ENGINE
B.H.
P
RANK SIGN ON
DATE
SIGN
OFF
DATE
REAS
ONS
FOR
S/OFF
BOURBON
BALTIC
B.Liberty 165 PSV DP2 SVGrenadines 1700 New D/Elect. 3981 Master/DPO 29.02.2016 22.04.16 CONTC
OM
British Gas
exploration
/MCEteam
Crest Mercury AHTS DP2 Singapore 2301 New Diesel 6000 Marine
representative
and consultant
23-12-2015 29-12-
2015
survey
complete
d
BOURBON
BALTIC
B.Liberty 165 PSV DP2 SVGrenadines 1700 New D/Elect. 3981 Master/DPO 13.09.2015 27/11//2
015
CONTC
OM
BOURBON
BALTIC
B.Liberty 165 PSV DP2 SVGrenadines 1700 New D/Elect. 3981 Master/DPO 01.05.2015 28/05/20
15
CONTC
OM
BUMI
ARMADA
Armada Tuah81 AHTS DP1 Malaysia 2183 5yrs DIESEL 8000 MASTER/SDP
O
25/12/2014 18/3/201
5
CONTC
OM
BUMI
ARMADA
Armada Tuah81 AHTS DP1 Malaysia 2183 5yrs DIESEL 8000 MASTER/DP
O
05/08/14 26/09/14 CONTC
OM
BUMI
ARMADA
Armada Tuah81 AHTS DP1 Malaysia 2183 5yrs DIESEL 8000 SDPO/CHoff 02/07/14 04/08/14 PROMO
BUMI
ARMADA
Armada Tuah81 AHTS DP1 Malaysia 2183 5yrs DIESEL 8000 SDPO/CHoff 20/01/14 23/04/14 CONTC
OM
SIEM
OFFHORE
SIEM HANNE PSV DP2 Norway 2465 4yrs DIESEL 4500 SDPO/CHOF
F
11/09/13 16/10/13 CONTC
OM
GARWARE
OFFSHUK
BEN NEVIS PSV DP2 INDIA 2793 New DIESEL 4288 Adddnl Master 12/03/13 03/05/13 CONTC
OM
BIBBY SHIP PFS BRAVE AHTS DP1 INDIA 1922 3 Yrs DIESEL 6000 Master/Pro 19/10/12 19/12/12 CONTC

4. BIBBY SHIP
MAN
PFS BRAVE AHTS DP1 INDIA 1922 3 Yrs DIESEL 6000 Master/Pro 10/07/12 19/10/12 PROMO
BOURBON
Marsielle
BB HIMALYA PSV DP2 FRANCE 2341 4 Yrs DIESEL 5000 1MATE/DPO 21/06/10 19/07/10 EXAMS
BOURBON
FRANCE
BB HIMALYA PSV DP2 FRANCE 2341 4 Yrs DIESEL 5000 1MATE/DPO 19/03/10 05/05/10 CONTC
OM
GARWARE
UK
EVEREST PSV INDIA 1972 5 Yrs DIESEL 5450 CH/OFFICER 07/11/09 10/11/09 CONTC
OM
GARWARE
UK
MANA PSV DP1 INDIA 2193 1 Yr DIESEL 6450 CH/OFF/DP
O
16/09/09 07/11/09 CONTC
OM
NYK SM
SNGPR
LNG AL
SAHLA
LNG RELIQ MARSHIS 1363
55
1 Yr DIESEL 104666 2/OFF 05/03/09 24/05/09 CONTC
OM
NYK SM
SNGPR
LNG BORNO LNGTYPEA BERMUDA 9787
4
2 Yrs DUAL 35450 2/OFF 09/03/08 31/08/08 CONTC
OM
NYK SM
SNGPR
LNG RAAHI LNGTYPEA VALETTA 9405
8
1 Yr DUAL 32400 2/OFF 13/05/06 18/08/06 CONTC
OM
NYK TOKYO
JAP
SS NW SWIFT LNGDOME JAPAN 1071
46
14
Yrs
STEAM 32143 3/OFF 22/07/05 19/11/05 CONTC
OM
NYK TOKYO
JAP
SS NW SWIFT LNGDOME JAPAN 1071
46
14
Yrs
STEAM 32143 3/OFF 01/08/04 15/12/04 CONTC
OM
ANGLO
EAST HK
FED HUDSON LAKER HNKG 2068
9
3Yrs DIESEL 7800 3/OFF 25/05/03 21/12/03 CONTC
OM
ANGLO
EAST HK
CANMAR
HON
CONTAINE
R
HAM 3917
4
1 Yr DIESEL 34580 3/OFF 06/08/02 18/11/02 CONTC
OM
ANGLO
EAST HK
CAST POWER CONTAINE
R
HAM 3157
0
10
Yrs
DIESEL 35500 3/OFF 28/02/02 04/07/02 CONTC
OM
ANGLO
EAST HK
GRACEOUS CAPESIZER HNGKG 8569
5
2.5
Yrs
DIESEL 2290 3/OFF 27/04/01 05/12/01 CONTC
OM
MISCELLANEOUS
A} DECK OFFICERS
Product : Type of Cargo Worked/Carried LIQUIFIED NATURAL GAS , LPG,
BULK,ORE,GRAIN,CEMENT, BARITE ,SOBM,
MUD, GENERAL CARGO, CONTAINERS,
PASSENGERS,CARS, YACHTS, TIMBER,OIL
,TOWING AND POSITIONING RIGS.
Chemical: Type of Cargo Carried VINYL CHLORIDE MONOMER (VCM) AND
INHIBITORS.
Tanker: Type of Pumps DEEPWELL SUBMERSIBLE CRYOGENIC 3
PHASE INDUCTION TYPE
Vetting: SHELL, BP, BRITISH GAS, AMSA AND JSA
VETTINGS
Offshore : Type of Vessels Served On PSVS, ANCH. HAND. TOW.SUP. VSL DP2 AND
DP1 RESPECTIVELY
D} GENERAL TRADING AREA OF
VESSEL
ABERDEEN OFFSHORE INSTALLATIONS AND
SHETLAND ISLAND OFFSHORE PORT AREAS.
Entire West AFRICA , KG BASIN KAKINADA
EAST COAST INDIA, BOMBAY HIGH , TAPTI
BASIN, BASSEIN AND NEELAM ,WEST COAST
INDIA HEERA ,OKHA OILFIELDS AND
WORLDWIDE MAINFLEET AREA.
E} OIL MAJOR INSPECTIONS SHELL, BP INPECTIONS ,AMSA
F} DOCKING EXPERIENCE DD AT NAGASAKI JAPAN LNG TANKERS, DD AT
SUBIC BAY PHILIPINNES CAPESIZER, NEW
BUILDING IN JAPAN LAKER, LPG DD AT FALMOUTH
UNITED KINGDOM, DOCKING AT INDIRA DOCKS
BOMBAY ANCHOR HANDLER TS DP1,DD AT WAVIS
BAY NAMIBIA, AHTS DP1

5. CERT INSTITUTION PLACE % YEAR
S.S.C.E Stanislaus High
School
Bandra 80% 1991
HSC Science St. Xaviers
College
Mumbai 60% 1993
Bsc. Nautical
Science
University of
Mumbai
Mumbai Equivalent 2011
Master
Mariner F.G
Govt of India Mumbai upgraded
till 2021
2011
DSV
Refresher
Course
BIBBY Institute Mahim 2012
D.P.
Advanced
BIBBY Institute Mahim 2009
D.P. Basic
Induction
BIBBY Institute Mahim 2009
First Mate
(M.G)
LBS CAMSAR Reay
Road
2008
Second Mate
(F.G)
LBS CAMSAR Reay
Road
2001
DP
UMLIMITED
& IMCA
BOOK
London IMCA London 2013
Completed
.all Refresher
courses as per
latest reg
STCW 14
Masters FG
revalidated.
India
COC
checker
2016
Date: 10/03/2016 Rank: MASTER CDC No:MUM94764
Name of seafarer:
CAPT. LARSEN A.
CONCESSIO
Signature of seafarer: Sign & Company Stamp: