* ******* *****

SEAFARER'S APPLICATION FORM

Position: DECK CADET

Readiness: 01.05.2018

Citizenship: Egypt

Last name: Ramadan Marital status unknown

First name: Ahmed Children:

Middle name: Mohamed Nationality: Egyptian

Birth date: 27.05.1996 Birth place: Egypt

Home address: Alexandria, Egypt Phone mobile: 20-10-690***** Phone home: 20-03-550****

Email: ahmedramadan989@i

cloud.com

English level: Good

Passports, Licenses & Certificates

Title Class Number Place of issue Issued Valid

Passports & Visas

Seaman's book 205627 alexandria, EGY 03.08.2017 02.08.2019 Travel passport A09095817 alexandria, EGY 05.03.2013 04.03.2020 Certificates & Licenses

Medical Emergency Basic Training (Elementary First Aid)

352/18/EG alexandria, EGY 14.02.2018 12.06.2020

Fire Prevention and Fire Fighting 350/18/EG alexandria, EGY 14.02.2018 12.06.2020 Proficiency of Security Awareness Training For

Seafarers With designated Security duties

5590/18/EG alexandria, EGY 15.02.2018 04.02.2023

Personal Safety and Social Responsibilities 5302/18/EG alexandria, EGY 14.02.2018 07.02.2023 Proficiency in Personal Survival Techniques 351/18/EG alexandria, EGY 14.02.2018 12.06.2020 Sea-going experience

Vessel’s

name

Flag Type Engine

Rank

From Shipowner

Year DWT HP Till Crew Agency

1 AIDA IV

EGY Supply Ship Yanmar

Deck Cadet

10.09.2017 Egyptian authority for maritime safety

199*-****-**** 10.03.2018

General Physical State

Height (cm) Weight (kg) Shoes Clothes Hair color Eye color 183 75 43 M black brown

Date applied: 28.04.2018 Signature: