Officer Web
Resume:
Application Form
Rank Applied For : *nd Officer Availability Date :
First Name MOHAMMED Middle Name AZAM Last NameALI
Date of Birth : 7/13/1977 Place of Birth : HYDERABAD Nationality : INDIA
Present Rank 2nd Officer Vessel (Present): Vessel (Preferred)
Marital Status MARRIED Zone Experience
>24 Months
Permanent Address : Present Address :
6-68/53 PASHA COLONY PUPPALAGUDA
City HYDERABAD State TELANGANA City State
Pincode 500089 Pincode
Phone : 818-***-**** Phone :
Mobile: 812******* Mobile :
**************@*****.***
Email : Email:
Date of
Documents Grade Number Place of Issue
Issue
Certificate of Competency SECOND MATE FG
IF18139 11/30/2005 KOLKATA
Passport INDIAN M2928513 12/1/2014 HYDERABAD
CDC (National) INDIAN MUM105174 6/3/2006 MUMBAI
US Visa C1/D C1 EXPIRED
Yellow Fever 3222 1/13/2006 KOLKATA
Full Name of Next of Kin: FARHANA BEGUM Relationship:
WIFE
Address of Next of Kin: SAME AS ABOVE
Phone :SAME AS ABOVE
Height in cms: 180 Weight in Kgs: 88 BMI
Boiler Suit Size : XXL Shoe Size : 10 INDOS NUMBER 00NL2
Page 1
Place of Passport Place of Date of
Family Data Name Date of Birth Birth No. Issue Issue
Wife FARHANA BEGUM 28/08/1979 NEWDELHI
Child F SANA FATIMA 10/22/2005 HYDERABAD
Date of Date of
Details of Courses & Certificates Number Issued By
Issue Expiry
Advanced Fire Fighting / AFF RAFF/06/01/06/2014 6/18/2014 6/17/2019 YAK MANAGEMENT & MARINE E
Proficiency in Survival Craft & Rescue 2420 2/17/2005 2/16/2020 TS RAHMAN
Boat / PSCRB
Medical First Aid/Medicare KOL/MEDCARE/17-15/01 19/08/2015 UNLIMITED SEI KOLKATA
Personal Safety & Social Responsibility SCMS2/PSSR/422/15 11/7/2015 UNLIMITED SCMS MARITIME TRAINING I
(PSSR)
Radar Simulator / RANSCO 4/12/1904 2/25/2014 2/24/2019 SEACOM MARINE
GMDSS GOC 9013 2/6/2012 2/5/2017 GOI
SSO SSO/11/13/06/15 11/18/2015 UNLIMITED YAK MANAGEMENT & MARIN
PST 11/4/2015 UNLIMITED SCMS MARITIME TRAINING I
SCMS2/PST/170/15
FPFF 10/17/2015 UNLIMITED MARINE MEDICAL CLINIC
MMC/FP&FF/53/14/15
MLC-2006 BPMA/MLC/600/2015 10/31/2015 UNLIMITED BP MARINE ACADEMY
Bridge Team Management B48/04 5/11/2011 HIMT
REFRESHER AND UPDATING BPMA/DO-UPGR/600/2015 10/31/2015 BP MARINE ACADEMY
TRAINING
GMDSS ENDORSEMENT(COC) 43787 11/5/2015 2/5/2017 MMD MUMBAI
ECDIS YAK/ECDIS/045/11/15/07 11/25/2015 UNLIMITED YAK MANAGEMENT & MARINE E
NAME OF INSTITUTE From To PERCENT Type of Degre
SCHOOL UNIQUE PUBLIC SCHOOL 198*-****-**
COLLEGE JANATA INT HIGH SCOOL 199*-****-**
PRESEA
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Shore Employemnt
From To Rank / Nature Of Work Employer Details
Last Two Employers' Name, PIC, and Contact No.
1 SYNERGY MARITIME (VINOD) 950*******
2 AESM(CAPT RIZVI) 982*******
Computer Based PMS Experienced YES
New Construction Experience 4 YARD DELIVERY SHIP EXPERIENCE
Dry Docking Experience 2 DRY DOCKING
Medical History (Please give details if you have suffered from discease/Previously operated )
NA
1. Have you ever been denied a foreign Visa Yes
X
If Yes, state which country and reason (if known)
2. Have you been the subject of a court of enquiry or involved in a Maritime Accident Yes
X
If Yes please attach details
Declaration
I hereby affirm that all information provided by me in this application is true, factual and to the best of my knowledg
I have not withheld any information I fully abide by company's rules and terms of employment
Date :
### Signature: M.A. ALI
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Photo
11/28/2015
ALI
INDIAN
CONTAINER
>24 Months
Expiry Date
10/30/2020
11/30/2024
6/3/2020
1/13/2016
WIFE
27.2
00NL2290
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Date of Expiry
Issued By
EMENT & MARINE EDUCATION CENTRE
N
TA
ITIME TRAINING INSTITUTE
ARINE
GEMENT & MARINE EDUCATION CENTRE
ITIME TRAINING INSTITUTE
EDICAL CLINIC
E ACADEMY
E ACADEMY
BAI
EMENT & MARINE EDUCATION CENTRE
Type of Degree
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Page 7
ployer Details
No
X
No
X
st of my knowledge and belief and
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Previous Sea Service (Data Commencing from Last Vessel)
Sl. Name of Owners / Year Engine UMS Rank
Name of Vessel FLAG Type GRT TEU BHP From To
No Manager Built Type Y/N
SYNERGY
1 MARITIME PVT LTD APL NINGBO PANAMA 2010 CONTAINER 86679 8000 BMW 62810 Y 2 OFF 29/06/12 14/11/12
SYNERGY
2 MARITIME PVT LTD SEROJA ENAM PANAMA 2011 CONTAINER 86679 8000 BMW 62810 Y 2 OFF 10/07/11 19/02/12
SYNERGY
3 MARITIME PVT LTD MOL PRESENCE SINGAPORE 2009 CONTAINER 717**-****-***** Y 2 OFF 15/09/10 01/03/11
4 APJ APJ JAD KOLKATA 2000 BULK 30053 MAN 10600 Y 2 OFF 31/08/09 04/11/09
MOL
5 MOL COMPETENCE BAHAMAS 2008 CONTAINER 86692 8000 BMW 62920 Y 2 OFF 27/06/08 08/01/09
MOL
6 MOL PROFICIENCY MARSHALL ISLANDS 2007 CONTAINER 71777 5000 BMW 72712 Y 3RD OFF04/09/07 15/03/08
ANGLO EASTERN
SHIP GOTHENBURG
7 MANAGEMENT EXPRESS HAMILTON 1996 CONTAINER 39132 3500 BMW 28800 Y 3RD OFF07/11/06 01/03/07
ANGLO EASTERN
SHIP
8 MANAGEMENT M.V. SAGAR PANAMA 2000 CONTAINER 13235 1100 BMW 15520 Y 3RD OFF05/02/06 15/09/06
ORIENT
9 OESM PROSPERITY BOMBAY 1984 CONTAINER 5209 800 MAN 4000 N 3RD OFF07/12/02 10/07/03
10
11
12
13
14
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Months Reason for S/Off
COMPASSIONATE
4.6 GROUND
END OF
7.5 CONTRACT
END OF
5.6 CONTRACT
MATE CLASSES.(SHORT
2.2 CO APPEAR OPTEDEXAM)
ONTRACT IN ORDER
T MATE
END OF
6.5 CONTRACT
END OF
6.4 CONTRACT
MANAGEMENT
3.8 HANDOVER
END OF
7.4 CONTRACT
END OF
7.2 CONTRACT
0.0
0.0
0.0
0.0
0.0
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