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JOB APPLICATION FORM
For Deck Department
Please complete this accurately, giving as many details as possible of your
skills and experience relating to this job application.
Personal Information
Name: Mohamed khaled morshady Mohamed wahpan
Birthday: 20-2-1992 Nationality: Egyptian
Telephone Numbers: Please include Country and Area Codes
Home 045-*******
Mobile +201*********
Home Egypt-elphera-kafer eldwar-
Address: Azez almasry street
Email address: ************@*****.***
Identification 292********** Expiry Date:
Number:
Passport Number: A07074226 Expiry Date: 1-6-2019
Seaman Book Number: 193583 Expiry Date: 11-10-2015
Military service Status
( Exemption
( Complete the service Military
( Postponed
( Currently serving
( Does not apply
Education
High School Diploma
Date: 2008 Grade : 85%
B) Nautical Basic Studies
Date: 2011 Grade (GPA): 3.43
Bachelor of Maritime Transport (Nautical Technology)
Date: Grade (GPA):
Certificates of Competency
2nd Mate:
1st Mate:
Master:
TRAINING & EXPERIENCE
Sea-Service Experience (Recent entry first and then backward)
Vessel Name
Health
Is there anything concerning your medical history or ( Yes ( No
state of health that is relevant to your application?
If yes, please explain
Language
Language Fluency
English ( Poor ( Fair ( Good ( Very
good ( Fluent
Others ( French ( Poor ( Fair ( Good ( Very, Arabic, good ( Fluent
)
Training
Please list any training you have received or courses which did not lead to a
qualification but which you feel is relevant to the Application.
Training Course Date
Hobbies & Interests
Foot ball
Short Courses Date of
issue
Elementary First Aid A-VI/1-3
Personal Survival Techniques & Search and Rescue Fep-2010:ju
l-2010
Personal Safety and Social Responsibilities Fep-2010:ju
l-2010
Fire Prevention and Fire Fighting Fep-2010:ju
l-2010
Advanced Personal Survival Techniques
Proficiency in Personal Survival Techniques.
Medical First Aid Fep-2010:ju
l-2010
Medical Studies
Passenger Safety, Cargo Safety
Crowed Management, Familiarization
Proficiency in Survival Crafts
Advanced Fire Fighting
Proficiency in fast Rescue Boats
Advanced Communication
International Code for the Security of Ships, and Port
Facilities
Ship Security Officer
Company Security Officer
Port Security Officer
Proficiency as a Ship Security 29-1-2014
to
26-1-2019
STCW convention Familiarization
Port State Control Course for Seafarers
Basic Knowledge of GMDSS
Shipboard Safety Officer
Implementation of International Maritime Dangerous Goods (IMDG)
Code on board Ships
Oil Tanker Familiarization
Liquefied Gas Tanker Familiarization
Advanced Chemical Tanker Operations
Marine Radar and Automatic Radar Plotting Aids
Radar Simulator
General radio Officer Certificate (GOC)
Other courses
Date :
09106629