Applying for the rank of/ application pour le rang : AB/MATELOT

Personal Data/ Informations personnelles

Surname: NGONGANG TCHATCHOU

Name: Jonas

Date of birth: 15/06/1992

Place of birth: Melong

Nationality: Cameroonian

Permanent address: DOUALA

Phone: 73 39 21 07 / 75 55 68 62

Mail: acggs7@r.postjobfree.com

Father Name: TCHATCHOU Mathieu Mother name: NAMBA Sidonie

Document N Issued / Place / Lieu Valid Until

Délivré le Validité

Passport / Passeport 007931 30/07/2013 YAOUNDE 30/07/2018

Seaman’s Book /Livret de marin SB 21469 22/03/2014 BELIZE / INDIA 22/03/2019

N/A

Drug & acohol/ Test drogue Alcool N/A N/A N/A

20/10/2015

Rearly Medical examination/ Visite GMA 000327 21/10/2013 ACCRA -GHANA

médicale

Yelloh Fever Vaccination/ Vaccination 0004740 19/09/2013 DOUALA 19/09/2023

fièvre jaune

24/10/2017

Seafarers with Security Awareness 003501 24/10/2013 R.M.U of GHANA

& Designated Security Duties

01/01/2017

Familarization and Basic Safety FB/5637 13/11/2013 R.M.U of GHANA

Training Certificate

01/01/2017

Certificate of Proficiency LB/04609 13/11/2013 R.M.U of GHANA

LIFEBOATMAN

01/01/2017

Certificate of Competency EDH/02042 13/11/2013 R.M.U of GHANA

EFFICENT DECK-HAND

23/01/2019

YAK/WK(N)/01/23/32/14 YAK MARITIME

23/01/2014

WATCHKEPPING ACADEMY of BELIZE

Sea Experience : Last 5 years (Most recent exp. on top line) / Expérience embarquée: 5 dernières années (de la plus

récente à la plus ancienne)

Company/ Compagnie Vessel/ Type Rank / From De To A

Navire Fonction

MV JADE SUPPLY AB 23/03/2014 15/04/2014

MATELOT

Lamnalo SUPPLY AB 20/05/2014 20/09/2014

LAMNALO

hombir MATELOT

2. Total Offshore Experience, sea services (In months) : 05 Months

3. General /Renseignements généraux

(D) Family situation:Married / Single / Divorced / Widow(er) / Other(detail):

Situation familial/ Marié / Célibataire / Divorcé/ Veuf / Autre (préciser)

(E) Number of Children: 00 children

Nombre d’enfants

(F) Person and details to be contacted in case of emergency / Personne à prévenir en cas d’urgence

Name/ Nom: TCHATCHOU Mathieu

Family connection / Lien familial : Father

Phone details/ Téléphone: 75 55 68 62 / 75 20 25 13 / 50 72 50 51

(G) General Education/ Niveau scolaire : Baccalauréat C

(H) Weight: 78 kg

I) High : 1,80 m Sheos Size: 42/43

Date : Signature

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