APPLICATION FORM

POST APPLIED FOR :

ENGINE CADET

PERSONAL PARTICULARS :

NAME :

SAIFUL ISLAM TIPU

HOME

ADDRESS :

C/O – RAJJAB ALI HAJI BARI, P.O – KADOMTOLA, VILL – CHARPARBOTHI, P.S – COMPANIGONG, DIS – NOAKHALI.

PRESENT

ADDRESS :

CMC, HOUSE – 02, ROAD - 04, SECTOR – 09, UTTARA MODEL TOWN, DHAKA – 1230.

POST CODE :

3850

PHONE (HOME) :

+880**********

PHONE(PERSONAL):

+880**********

DATE OF BIRTH :

03-FEB-1992

PLACE OF BIRTH :

COMPANIGONG,NOAKHALI.

NATIONALITY:

BANGLADESHI

RACE :

BANGALI

RELEGION :

ISLAM

AGE :

21

PASSPORT NOM :

AC3274949

PLACE OF ISSUE:

DHAKA,

BANGLADESH

DATE OF ISSUE :

26-FEB-2012

DATE OF EXPIRY :

25-FEB-2017

DISCHARGE BOOK NO :

CTB818129

PLACE OF ISSUE:

MANILA

DATE OF ISSUE :

20-MAY-2013

DATE OF EXPITY :

20-MAY-2018

MARITIAL STATUS :

SINGLE

LANGUAGE :

LANGUAGE CONVERSANT :

ENGLISH

SPOKEN :

ENGLISH

WRITEN :

ENGLISH

CONTACT :

NAME : SAIFUL ISLAM TIPU.

PHONE NO : +880**********

EMAIL : ab4s9d@r.postjobfree.com.

FACEBOOK ID : www.FaceBook.com/saifulislam.tipu

SKYPE : Landking1090

VIBER NO : +880**********

EDUCATION :

NAME OF EDUCATION :

NAME OF INSTITUTE

ISSUED BY :

HND in Marine Engineering

CAMBRIDGE MARITIME COLLEGE (CMC)

EDEXCEL (UK)

HSC (HIGHER SECONDARY CERTIFECATE)

GOVT. MUJIB COLLEGE

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, COMILLA, BANGLADESH,

SSC (SECONDARY SCHOOL CERTIFECATE)

COMPANIGONG MODEL HIGH SCHOOL

BOARD OF INTERMEDIATE AND SECONDARY EDUCATION, COMILLA, BANGLADESH,

STCW-2010

SHORT COURSE

CAMBRIDGE MARITIME COLLEGE (CMC)

DEPARTMENT OF SHIPPING

(GOVT. OF BANGLADESH)

STCW COURSE CERTIFECATE :

NAME OF

CERTIFECATE :

CERTIFECATE

NO :

EXPITY DATE :

ISSUED AT :

ISSUED BY :

ELEMENTARY FIRST AID COURSE (EFA)

EFA/18/18

02-03-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

FIRE PREVENTION AND FIRE FIGHTING (FPFF)

FPFF/021/543

15-06-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

PERSONAL SURVIVAL TECHNIQUE (PST)

PST/021/393

25-03-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

PERSONAL SAFETY & SOCIAL RESPONSIBILITY (PSSR)

PSSR/021/243

25-03-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

INTERNATIONAL SHIP AND PORT SEQUERTY CORD FAMILIARISATION (ISPS)

ISPS/21/93

11-03-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

TANKER FAMILIARISATION COURSE FOR OIL & CHEMICAL (TFO&C)

TFO&C/021/318

25-03-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

TANKER FAMILIARISATION COURSE FOR GAS(TFG)

TFG/021/168

18-03-2018

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

OTHER CERTIFECATE :

NAME OF

CERTIFECATE :

CERTIFECATE

NO :

EXPITY DATE :

ISSUED AT :

ISSUED BY :

MEDICAL FITNESS CERTIFECATE (MFC)

1399/2013

22-04-2015

CHITTAGONG, BANGLADESH

PORT HEALTH DEPARTMENT, CHITTAGONG,

MARITIME ENGLISH LANGUAGE (MEL) COURSE

MEL/021/468

24-03-2018

CMC, DHAKA

INTERNATIONAL MARITIME LECTURERS ASSOCIATION

WATCH KEEPING CERTIFECATE

PENDING

PENDING

CMC, DHAKA

DEPARTMENT OF SHIPPING, BANGLADESH

PARTICULARS OF FAMILY :

NAME OF NEXT KIN :

ABUL KHAIR AMIN

RELATIONSHIP :

FATHER

OCCUPATION :

DEED WRITER

PHONE NO :

+880**********

ADDRESS :

ROOM NO-10, 1ST FLOOR, MAOLANA SHOPING COMPLEX(OPOSET OF COMPANIGONG THANA), P.O – COMPANIGONG, DIS – NOAKHALI.

NAME OF PERSON TO CANTACT IN EMERGNCY :

ABUL KHAIR AMIN

PHONE NO :

+880**********

RECORD OF SEA SERVICE :

NO

SHIP & COMPANI NAME

RANK

TYPE OF VESSEL

GRT

TRADE

SIGN ON DATE

SIGN OFF DATE

1.

N/A

N/A

N/A

N/A

N/A

N/A

N/A

2.

N/A

N/A

N/A

N/A

N/A

N/A

N/A

Contact this candidate