POST APPLIED FOR ENGINE CADET
(Form to be filled in by Applicant in
block letters)
THIS FORM HAS BEEN DESIGNED TO PROVIDE US WITH THE BASIC INFORMATION FOR
EASY PROCESSING OF YOUR APPLICATION. IT ALSO SERVES AS OUR PERSONNEL RECORD
SHOULD YOU BE EMPLYED. IT IS ESSENTIAL FOR YOU AND HELPFUL TO THE
INTERVIEWER THAT THE FORM IS NEATLY AND CAREFULLY FILLED IN. ALL PARTS ARE
TO BE COMPLETED. PLEASE STATE "N.A." WHEN NOT APPLICABLE.
PERSONAL PARTICULARS:
NAME (AS IN PAING SOE WIN
PASSPORT):
ADDRESS: NO. (10/12), MYA YAR GONE ROAD, MINGALAR TAUNG
NYUNT TOWNSHIP,
YANGON
MYANMAR
TELEPHONE: (1-95-1-295*** TELEPHONE (2)/FAX:
MOBILE: 95 9 43207318 EMAIL ADDRESS:
**************@*****.***
WEIGHT: 53 (KGS) HEIGHT166 (CM)
DATE & PLACE OF BIRTH: MARITAL STATUS: SINGLE
22.5.1994/MYANMAR
NATIONALITY: MYANMAR COUNTRY OF DOMICLE: MYANMAR RELIGIONISLAM
NRIC NUMBER (FOR SINGAPOREANS/MALAYSIANS):N/A
NEXT OF KIN:DAW THIN DATE OF RELATIONSHIP:MOTHER
THIN HLAING BIRTH:10.12.1962
ADDRESS (IF DIFFERENT TO SAME AS ABOVE
ABOVE):
TELEPHONE: 95 9-250******
NATIONAL SERVICE LIABILTY (FOR SINGAPOREANS ONLY):
LANGUAGE/DIALECT ENGLISH/GOOD
PROFICIENCY:
SEAMAN'S DISCHARGE BOOK NO: TRADE WORLD WIDE EXPIRY: 30 MAR
96631 2019
PASSPORT NO: MA 180103 PLACE/DATE EXPIRY: 08 APR
ISSUE:MYANMAR/09 APR 2018
2013
VISA HELD: (1) PLACE/DATE ISSUE: EXPIRY:
VISA HELD: (2) PLACE/DATE ISSUE: EXPIRY:
VISA HELD: (3) PLACE/DATE ISSUE: EXPIRY:
S.T.C.W. 95 ENDORSEMENT PLACE/DATE ISSUE: EXPIRY:
S.T.C.W. MODULAR CERTIFICATES (PHOTOCOPIES REQUIRED)
Certificate of Competency/Diploma
Licence/certi Certificate Country of Date of Date of
ficate Number Issue Issue Expiry
Diploma in Res No-675 MYANMAR 15 MAR 2013
Maritime
Technology
Engine Cadet E-2115 MYANMAR 15 MAR 2013
Certificate
Workshop 2773 MYANMAR 08 JUL 2014
Skill
Training
Certificate
No Type of STCW Course Place of Date of Date of
Issue Issue Expiry
1 FIREFIGHTING COURSE (BASIC/ADVANCE) DMA,YGN 02 APR 31DEC2016
2014
2 FIRST AID AT SEA (BASIC/ADVANCE) DMA,YGN 02 APR 31DEC2016
2014
3 PERSONAL SAFETY & SOCIAL DMA,YGN 02 APR 31DEC2016
RESPONSIBILITIES (PSSR) 2014
4 PERSONAL SURVIVAL CRAFT &* RESUCE DMA,YGN 02 MAY
BOAT (PSC) 2014
5 MEDICAL FITNESS CERTIFICATE
6 GMDSS / GOC
7 SHIP HANDLING COURSE
8 TANKER FAMILIARIZATION / ADVANCE DMA,YGN 20 MAY 31 DEC
TANKER COURSE 2014 2016
9 RADAR OBSERVER / ARPA COURSE /
RADAR SIMULATOR
10 NAVIGATIONAL CONTROL / ELECTRONIC
NAVIGATION COURSE
11 DANGEROUS CARGO ENDORSEMENT (OIL)
12 BRIDGE RESOUCE MANAGEMENT (BRM)
13 BRIDGE TEAM MANAGEMENT (BTM)
14 HAZMAT COURSE
15 SHIP SECURITY AWARENESS DMA,YGN 08 APR 07 APR
2014 2019
16 DESIGNATED SECURITY DUTIES DMA,YGN 20 MAY 19 MAY
2014 2019
EDUCATION & TRAINING
A. GENERAL EDUCATION:
SCHOOLS, COLLEGES, ATTENDED PERIODS:
1) HIGH SCHOOL 1999-2010
2) MYANMAR MERCANTILE MARINE 2011-2013
COLLEGE
3)
4)
HIGHEST STANDARD PASSED:
B. TECHNICAL OR FURTHER EDUCATION:
COLLEGE ATTENDED PERIODS:
1) MYANMAR MERCANTILE MARINE 2011-2013
COLLEGE
2)
3)
CERTIFICATE/DIPLOMA OBTAINED: DIPLOMA IN MARITIME TECHNOLOGY
C. TRAINING - APPRENTICESHIP OR CADETSHIP:
COMPANIES PERIODS:
1) MMMC (Workshop Skill Training ) 26.08.2013-30.01.2014
2)
3)
STATE TYPE OF WORK:
ENGINEER TRAINEE
D. IT SKILLS AND TECHNICAL KNOWLEDGE:
PLEASE STATE THE SOFTWARE APPLICATIONS YOU ARE FAMILIAR WITH.
MICROSOFT OFFICE
MICROSOFT EXCEL
SUMAMMARY OF EXPERIENCE
PLEASE FILL UP THE APPROPRIATE TABLE
ENGINEER APPLICANTS PERIODS NAVIGATOR APPLICANTS PERIOD
B& W TANKER
SULZER BULK CARRIER
MAN ORE CARRIER
SEMT PIELSTICK GENERAL CARGO
SHIP
STEAM TURBINE CONTAINER SHIP
OTHERS OTHER
TANKER
EXPERIENCE
NAME & ADDRESS TYPE OF FG RANK PERIOD
OF EMPLOYERS: SHIPS/ENGINES - ./H.T./ SERVICE
GRT/BHP COASTAL: FROM
TO
1)
2) .
3)
4)
5)
6)
7)
SHORE EMPLOYMENT:
NAME/ADDRESS NATURE OF PERIODS REASON FOR LAST DRAWN
OF PAST WORK FROM TO LEAVING LAST SALARY
EMPLOYERS EMPLOYMENT (US$)
TESTIMONIALS/ REFERENCES OF PREVIOUS EMPLOYMENT (IF ANY) TO BE ATTACHED:
DATE AVAILABLE FOR EMPLOYMENT WITH N.S.S.P.L
Answer the question by choosing the correct choice accordingly.
i. Have you ever applied to join NSSPL before?
If yes, please state date and position applied.
ii. Have you ever been convicted in a court of law?
If yes, please state date and position.
iii. Have you ever been placed on probation for criminal offence or
detained for any other reasons?
If yes, please state date and position.
iv. Have you ever suffered from any serious illness or physical defects eg.
Epilepsy?
If yes, please state date and position.
DECLARATION TO BE SIGNED BY THE APPLICANT
I hereby declare that information given in this form to be true and correct
and that I have withheld nothing that would affect this application. I also
understand that if employed, my services may be terminated if any of the
information given above is false or not revealed. I understand that a
strict medical examination is a condition precedent to selection for
appointment and I express my willingness to be examined (if required) and
to furnish the results accordingly with full details of my past medical
history as required.
RESERVED FOR OFFICIAL USE ONLY
[pic]
Neptune Shipmanagment Services Pte Ltd
Fleet Personnel Department/ Marine Training Department
456 Alexandra Road #07-00 NOL Building Singapore 119962
Email: ****************@***.***
[pic]
Attach recent color photo
(Passport Size)
APPLICATION FOR SEA-GOING EMPLOYMENT
(DECK OFFICER/ENGINEER OFFICER)
Date
Signature of Applicant