ABLE SEAMAN APPLICATION FORM

PERSONAL PARTICULARS

Family Name: TETTEH Other Name: JONATHAN

Address: C/O FOYER MARINE BOX 90 TEMA NEWTOWN

Tel No: Mobile No: +233********* / +233-*********

Fax: E-mail:acqrho@r.postjobfree.com

acqrho@r.postjobfree.com

Homeport/Nearest: KOTOKA INTERNATIONAL AIRPORT-ACCRA-GHANA

Airport

Date of Birth: 15/04/70 Place of Birth: TEMA Religion: CHRISTIAN

Nationality: GHANAIAN Marital Status: MARRIED

Passport No: G0584805 Place & Date of Issue: ACCRA Expiry Date: 13/08/2018

14/08/2013

Blood type: B+

Seaman discharge book No: GH2737 Place of Issue: ACCRA BY GMA

Date of Issue: 09/10/2014 Expiry Date: 08/10/2019

Father Name: TETTEH DORKUTSO Mothers Name: TETTET DESUBA

Coverall Size: 44 safety Boot size: 43

Next of kin

Name: ELIZA NARTEY DORKUTSO Relationship: SON

Address: C/O FOYER MARINE, BOX 90 TEMA, NEWTOWN

Tel No: Mobile No: 002*********** Fax:

Spouse particulars: ROSEMARY TETTEH Date of Birth: 03/10/80

Passport: Place of Issue: ACCRA

Date of Issue: Expiry Date: Religion: CHRISTIAN

Nationality: GHANAIAN Place & Date of Marriage: TEMA

PARTICULARS OF CHILDREN

Name (In block letters) Date of Birth Age

ELIZA NARTEY DORKUTSO 17/01/2010 4

Signature:

Certificate Details

Date

Description certificate No Place of Issue Issue Expiry

Medical Certificate TGH 0001629 ACCRA 28/11/13 27/11/15

Certificate of competency AB0602 ACCRA 19/03/12 01/01/17

Safety training certificate FB4386 ACCRA 19/03/12 01/01/17

And watchkeeping (STCW)

BOSIET, HUET 964757003101150006 ACCRA 31/01/15 30/01/19

(STMC GLOBAL)

Training Record

Name of Course

Training Centre

Certificate No

Date of Issue

Personal survival technique

RMU

PST/360/12

18/02/2012

Basic fire prevention and fire fighting

RMU

BFP/360/12

18/02/2013

Elementary first Aid

RMU

EF/335/12

18/02/2012

Personal safety and social responsibility

RMU

PRS/366/12

18/02/2012

Deck watching certificate

GMA

DD100518

09/07/2013

Other miscellaneous training

RMU

IRS/190/12

18/02/2012

Particulars of Sea Service

Name of Company Position Type of Vessels Date Reason for Leaving

Held Joining leaving

PACIFIC GANNET AB SUPPLY 7/02/2015 30/05/2015 CONTRACT

TIDE WATER AB SUPPLY 30/05/2014 03/10/2014 CONTRACT

SMIT LAMNACO AB ANCHOR 25/01/2013 01/06/2013 CONTRACT

HANDLING

BOURBON AB ANCHOR 04/06/2010 28/08/2010 CONTRACT

OFFSHORE HANDLING

BOURBON AB SUPPLY 07/01/2010 28/03/2010 CONTRACT

OFFSHORE

BOURBON AB ANCHOR 29/06/2009 23/11/2009 CONTRACT

OFFSHORE HANDLING

BOURBON AB ANCHOR 15/02/2009 20/05/2009 CONTRACT

OFFSHORE HANDLING

TIDE WATER AB ANCHOR 30/05/2008 01/10/2008 CONTRACT

HANDLING

LAMNACO AB ANCHOR 20/08/2007 02/03/2008 CONTRACT

HANDLING

Contact this candidate