NEXT WAVE MARITIME MANAGEMENT, INC.
5th Floor, 1181 EMI Center, Pres Quirino Ave., cor. Leveriza St.,Malate, Manila 1004 Philippines
Tel No: +632 828 0333 Fax No.: +632 511 1120
PHOTO
APPLICATION FORM / PERSONAL DATA UPDATE FORM
RANK APPLIED: Oiler DATE OF APPLICATION: 28-Feb-25
DATE OF AVAILABILITY: 10-Mar-25
1. PERSONAL DETAILS: (SURNAME) (FIRST NAME) (MIDDLE NAME)
NAME: Pedroza Christian Angelo Rosas
BIRTH DATE: 18-Jul-96 PLACE OF BIRTH: Cebu City
HEIGHT 172cm BLOOD TYPE AB+
PERMANENT ADDRESS: Sector 6 Pagsabungan Mandaue City, Cebu
WEIGHT 75kg RELIGION Roman Catholic
WAIST: 37 SHOES 45
PRESENT ADDRESS: 6014 Pagsabungan Mandaue City, Cebu
SHIRT: XL
TELEPHONE NO: N/A CELLPHONE NO.: 9611344366
EMAIL ADDRESS: CApedroza18@gmail.com CIVIL STATUS: Single
2. NEXT OF KIN/FAMILY PARTICULARS NOK Contact Details
NAME/RELATION: Josel R. Pedroza / Mother Contact No: 9322338900
ADDRESS: Sector 6 Pagsabungan Mandaue City, Cebu Email Address:
COMPLETE NAME (SURNAME, FIRST NAME, MIDDLE) Date of Birth
WIFE:
CHILDREN:
3. PASSPORT DETAILS
NUMBER PLACE OF ISSUE DATE OF ISSUE DATE OF EXPIRY
FILIPINO P0559606B DFA Cebu 6-Feb-19 5-Feb-29
US C1/D VISA
OTHERS:
4. CONTINUES DISCHARGE (CERTIFICATE)
SIRB NUMBER PLACE OF ISSUE DATE OF ISSUE DATE OF EXPIRY
FILIPINO C0883814 Cebu 1-Aug-16 30-Jul-26
SID 210036902 Manila 17-Feb-21 17-Feb-26
OTHERS: SCHENGEN
5. ACADEMIC QUALIFICATION
NAME OF SCHOOL DEGREE FROM (YR) TO (YR)
COLLEGE UCLM BSMAR-E 2013 2016
POST GRADUATE
6. LICENSE / CERTIFICATES
GRADE (COC) NUMBER DATE ISSUE DATE OF EXPIRY
PHILIPPINES
SINGAPORE
HONGKONG
7. COMPETENCY / ENDORSEMENT
GRADE (COC) NUMBER DATE ISSUE DATE OF EXPIRY
PHILIPPINES
SINGAPORE
HONGKONG
8. CERTIFICATES (SCTW): COPs
STCW CERTIFICATE NO. DATE OF ISSUE DATE OF EXPIRY INSTITUTION / PLACE OF ISSUANCE
ATFF
ATCT
ATOT
BRM
20003619521 19-Feb-21 19-Feb-26 CEBU
BT
BTM
20008318921 19-Feb-21 UNLIMITED CEBU
BTOCT
COLLISION AVOIDANCE
CONTROL ENGINEERING
DECK WATCH (Reg II/4 for OS)
DECK WATCH (Reg II/5 for AB)
20000167121 19-Feb-21 UNLIMITED CEBU
ENGINE WATCH (Reg III/4 for WPR)
20000250322 26-Sep-22 UNLIMITED CEBU
ENGINE WATCH (Reg III/5 for OLR)
ECDIS GENERIC
ECDIS SPECIFIC(Furono,JRC etc)
ERM
ERS
GOC/GMDSS
HAZMAT
HIGH VOLTAGE
ISM 9001
MARITIME ENGLISH
17392075708 18-Jan-21 UNLIMITED CEBU
CONSOLIDATED MARPOL I-IV
MECA
MEFA
TESDA NC I (MESSMAN)
TESTA NC II (2ND COOK)
TESTA NC III (CHIEF COOK)
PFRB
CEBU
PSCRB
RADAR SIMULATOR
27499030 1-Aug-16 UNLIMITED CEBU
SDSD
SHIP HANDLING
SHIP SAFETY OFFICER
SHIP SECURITY OFFICER
SOLID BULK CARGO
MARPOL ANNEX I-IV
WELDING (NC2/DNV)
YELLOW FEVER CERT 23-Feb-21 UNLIMITED MANILA
COVID VACCINE 20-Aug-21 UNLIMITED CEBU
12-Aug-22 UNLIMITED CEBU
BOOSTER VACCINE
SEA SERVICE MOST RECENT FIRST (DATE SAMPLE: DAY-M0NTH-YEAR) *** 23-SEP-2009
VESSEL MAIN ENGINE BWTS PERIOD
Manning Agency IGG N2Gen Months/ Reason for sign-off
Principal's Co. Name Vessel Name Vessel Type DWT Gross Tonnage Year Built Rank Maker Model KW Type Maker Sign-on Sign-off Trade Route
Days
SPECTRUM MT OSAKA OIL CHEM 30,028 2004 OILER STX MAN 12700 8-Mar-24 17-Jan-25 W/W FINISH CONTRACT
B&W
SPECTRUM MT VIRGO 1 PRODUCT TANKER 14,142 1997 OILER MAN B&W 5700 11-Nov-22 1-Oct-23 W/W FINISH CONTRACT
SPECTRUM MT PORTO FISCARDO PRODUCT TANKER 28,737 2012 E-BOY MAN B&W 9480 31/082021 8-Aug-22 W/W FINISH CONTRACT
ANY MAJOR INCIDENCE/OBSERVATION/SPECIAL
EXPERIENCE FOR REPORTING:
OTHER REMARKS:
8. REFERRENCES: (Please give atleast two referrences/companies whom we can ask about your sea-going experiences)
COMPANY NAME CONTACT PERSON POSITION CONTACT NO.
9. REFERRENCE CHECK
YES NO
REMARKS
10. HOW DID YOU KNOW ABOUT US?
Company Presentation/Seminar Seamans Jobsite
Y
Newspapaer advertisement E Social Media
S
Direct mail/call/text from company Others (please specify)
11. COMPLETION OF MEDICAL HISTORY INFORMATION (Below is Optional)
MEDICAL HISTORY:
Head Injury (concusion, skull fracture) Kidney problems
Fainting Spells Hernia
Convulsions/Epilepsy Heart murmur
Neck or back injury Allergies
Asthma Diabetes
High blood pressure Others
12. DECLARATION
I declare that the information given by me in filling up this form to the best of my knowledge are true and complete. I also declare that the
documents submitted to NEXT WAVE MARITIME MANAGEMENT, Inc. are genuine, given and signed by the person whose name appears on them. Any
false declaration may render for terminal dismissal.
28-Feb-25 CHRISTIAN ANGELO PEDROZA
DATE SIGNATURE OVER PRINTED NAME
13. FOR INTERVIEWER ONLY
INTERVIEWER REMARKS:
INTERVIEWED BY: DATE:
