Marine l Master
Resume:
PERSONAL DATA
SEAFARER'S APPLICATION FORM
PERSONAL INFORMATION
Family Name
MOUSTAFA
First Name (s)
BASEM
Birth Date
02.07.1963
Birth Place
Alexandria - Egypt
Nationality
EGYPTIAN
Religion
MOSLIM
Marital Status
MARRIED
No. of Children
2
Height (cm)
170
Weight (kg)
100
Nearest Airport
BORG EL ARAB-ALEXANDRIA
Alternative Airport
Cairo- EGYPT
ADDRESS (include telephone country & area codes, advise also secondary or contact addresses if any)
Street & Nr.
SIDI GABER 71
Email Address
***.*****@*****.***
Location
KELIOPATRA HAMAMAT
Mobile Phone
City
Alexandria
Residence Phone
State, Country
Egypt
Fax
Postal (ZIP) Code
002-03
P.O. Box (if any)
NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary)
Family Name
MOUSTAFA
First Name(s)
AHMED
Nationality
EGYPTION
Relationship
MOSLIM
Street & Nr.
SIDI GABER 71
Email Address
***************@*******.***
Location
KELIOPATRA HAMAMAT
Mobile Phone
City
ALEXANDRIA
Residence Phone
State, Country
EGYPT
Fax
Postal (ZIP) Code
002-03
P.O. Box (if any)
REMARKS
Requested Rank
MASTER
Availability Date
01- 03- 2016
Prefer. Vessel Type
CONTAINER-GENERAL CARGO
Minimum Salary
English Language Skills
Spoken: good - Written: good /
Other Foreign Languages
ARABIC
Professional School / Academy - Name & Period (From - To)
ARAB ACADEMY FOR SCIENCE,TECHNOLOGY&MARITIME TRANSPORT
FROM 02.1981 TO 02.1983
Foreign Crew Experience
(specify nationalities)
EGYPTIAN -INDIAN - PHILIPPINES – SRILANKA – BURMA
Other Skills
Further Remarks
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge.
Date:03.03.2015
Signature:MOUSTAFA BASEM
SEAFARER'S APPLICATION FORM - Page 2 of 3 - LIST OF DOCUMENTS
Family
Name
MOUSTAFA
First
Name(s)
BASEM
Rank
MASTER
A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES
Document Name (Description)
Document Number
Country
Issue Place
Issue Date
Exp. Date
Passport
A05027695
EGYPT
ALEXANDRIA
23.07.2011
22.07.2018
Seaman's Book (national)
187257
EGYPT
ALEXAND
12.11.2013
05.08.2018
Seaman's Book (flag state)
---
---
Seaman's Book (flag state)
---
---
Visa - United States (type C1/D)
---
---
Visa - Others (Work/Reside. Permits)
---
---
Medical Examination Report
015867
EGYPT
ALEXAND
18.11.2013
22.11.2017
Drug & Alcohol Test
---
---
Vaccination against Yellow Fever
EGYPT
ALEXAND
02.11.2008
01.11.2018
Vaccination against Cholera
EGYPT
ALEXANDRIA
02.11.2008
01.11.2018
B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES
- Deck & engine certificates & endorsements (officers / ratings)
- electrical & reefer certificates
- cook & steward certificates
- radio certificates & endorsements
- safety training (surv., fire, medical)
- tanker courses (oil, chem., gas)
- passenger vsl, roro, hazmat courses
- nav., deck, technical & management
courses (radar/ARPA, ISM, Marpol,
Simulators, computer, welding etc.)
- any flag state certificates
Document Name (Description)
Document Number
Country
Issue Place
Issue Date
Exp. Date
CERTIFICATE OF COMPETENCY AND ENDORSEMENT - MASTER
4268
EGYPT
ALEXANDRIA
10.02.2009
05.08.2018
GMDSS
018282
EGYPT
ALEXANDRIA
28.06.2009
22.06.2019
ADVANCED PRSONAL SURVIVAL SEARCH AND RESCUE
40287/13/EG
EGYPT
ALEXANDRIA
27/10/2013
23/10/2018
ADVANCED FIRE PREVENTION AND FIRE FIGHTING
37166/13/EG
EGYPT
ALEXANDRIA
02/10/2013
25/09/2018
MEDICAL CARE STUDIES
29929/13/EG
EGYPT
ALEXANDRIA
22/08/2013
05/08/2018
REFRESHER AND UPDATING COURSE FOR MANAGEMENT
38457/13/EG
EGYPT
ALEXANDRIA
08/10/2013
02/10/2018
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES
30461/13/EG
EGYPT
ALEXANDRIA
25/08/2013
05/08/2018
PREVENTION AND COMBATING OF MARINE POLLUTION
27955/13/EG
EGYPT
ALEXANDRIA
01/08/2013
PROFICIENCY IN SURVIVAL CRAFTS AND RESCUE BOATS
27954/13/EG
EGYPT
ALEXANDRIA
01/08/2013
RADAR AND ARPA SIMULATOR
27958/13/EG
EGYPT
ALEXANDRIA
01/07/2013
MARINE RADAR AND AUTOMATIC RADAR PLOTTING AIDS
27957/13/EG
EGYPT
ALEXANDRIA
01/08/2013
ADVANCED COMMUNICATIONS
27953/13/EG
EGYPT
ALEXANDRIA
01/08/2013
SHIP HANDLING AND MANEUVERING
27956/13/EG
EGYPT
ALEXANDRIA
01/08/2013
ECDIS SIMULATOR ( OPERATION LEVEL)
38114/13/EG
EGYPT
ALEXANDRIA
07/10/2013
ECDIS ADVANCED SIMULATOR MANAGEMENT LEVEL
38140/13/EG
EGYPT
ALEXANDRIA
07/10/2013
02/10/2018
PROFICIENCY OF SECURITY AWARENESS TRAINING FOR SEAFARES WITH DESIGNATED SECURITY DUTIES
39409/13/EG
EGYPT
ALEXANDRIA
22/10/2013
07/10/2018
PROFICENCY AS A SHIP SECURITY OFFICER
39423/13/EG
EGYPT
ALEXANDRIA
22/10/2013
09/10/2018
ATTENDED COURSE IN PILOTAGE(60 SHIPS)
EGYPT
ALEXANDRIA
12/09/2011
Date:03/03/2015
Signature:MOUSTAFA BASEM
SEAFARER'S APPLICATION FORM - Page 3 of 3 - SEA SERVICE (LAST 10 YEARS)
Family Name:
First Name(s):
Date of Birth:
Vessel's Name
IMO No.
Flag
GT
kW
Ship Type
Eng.Make
Rank
S/On Date
S/Off Date
Employer (company to contact for reference)
EGY GLORY
9105970
EGYPT
16801
13320
CONTAINER
SULZER 06RT/062U
MASTER
07/11/2015
TILL NOW
MAHONEY SHIPPING & MARINE SERVICES
CMA CGM LOTUS
9193525
EGYPT
8443
6300
CONTAINER
MAN 6L48/60
MASTER
28/06/2015
11/09/2015
EL REEDY STARS FOR OWINING & MANAGING SHIPS
BMC MASTER
9141106
EGYPT
5006
3960
CONTAINER
MAK9M32
MASTER
05/03/2015
25/06/2015
BMC LINE SHIPPING (EGYPT) LTD
BMC MASTER
9141106
EGYPT
5006
3960
CONTAINER
MAK9M32
MASTER
28/09/2014
20/01/2015
BMC LINE SHIPPING (EGYPT) LTD
BMC MASTER
9141106
EGYPT
5006
3960
CONTAINER
MAK9M32
MASTER
03/08/2014
19/09/2014
BMC LINE SHIPPING (EGYPT) LTD
BMC MASTER
9141106
EGYPT
5006
3960
CONTAINER
MAK9M32
MASTER
07/03/2014
16/06/2014
BMC LINE SHIPPING (EGYPT) LTD
BMC MASTER
9141106
EGYPT
5006
3960
CONTAINER
MAK9M32
MASTER
24/11/2013
30/01/2014
BMC LINE SHIPPING (EGYPT) LTD
BMC MASTER
9141106
EGYPT
5006
3960
CONTAINER
MAK9M32
MASTER
04/08/2013
19/09/2013
BMC LINE SHIPPING (EGYPT) LTD
EGY PRIDE
8225333
EGYPT
4967
2600
CONTAINER
SULZER 5RTA38R3
MASTER
29/06/2013
29/07/2013
MAHONEY SHIPPING & MARINE SERVICES
EGY GROUP
8907668
EGYPT
6111
4460
CONTAINER
WARTSILA NSD VAS32E8R
MASTER
15/04/2013
27/05/2013
MAHONEY SHIPPING & MARINE SERVICES
EGY PRIDE
8225333
EGYPT
4967
2600
CONTAINER
SULZER 5RTA38R3
MASTER
06/03/2013
24/03/2013
MAHONEY SHIPPING & MARINE SERVICES
EGY PRINCESS
9014286
EGYPT
4766
3235
CONTAINER
DEUTZ KHD SBV8M640
MASTER
14/09/2012
16/02/2013
MAHONEY SHIPPING & MARINE SERVICES
EGY PRIDE
8225333
EGYPT
4967
2600
CONTAINER
SULZER 5RTA38R3
MASTER
05/04/2012
14/09/2012
MAHONEY SHIPPING & MARINE SERVICES
EGY PRINCESS
9014286
EGYPT
4766
3235
CONTAINER
DEUTZ KHD SBV8M6
MASTER
07/10/2011
31/03/2012
MAHONEY SHIPPING & MARINE SERVICES
EGY GROUP
8907668
EGYPT
6111
4460
CONTAINER
WARTSILA NSD VAS32E8R
MASTER
27/01/2011
20/09/2011
MAHONEY SHIPPING & MARINE SERVICES
EGY PRINCESS
9014286
EGYPT
4766
3235
CONTAINER
DEUTZ KHD SBV8M6
MASTER
12/03/2010
24/12/2010
MAHONEY SHIPPING & MARINE SERVICES
EGY PRIDE
8225333
EGYPT
4967
2600
CONTAINER
SULZER 5RTA38R3
MASTER
07/06/2009
18/02/2010
MAHONEY SHIPPING & MARINE SERVICES
AL ESSRAA
EGYPT
16100
G.CARGO
MAN
MASTER
24/11/2008
17/04/2009
FEDERAL ARAB MARITIME CO. (FAMCO)
AL SHAYMAA
7612400
EGYPT
5744
G.CARGO
SULZER
MASTER
02/07/2007
08/12/2008
FEDERAL ARAB MARITIME CO. (FAMCO)
AL SHAYMAA
7612400
EGYPT
5744
G.CARGO
SULZER
MASTER
21/05/2006
29/05/2007
FEDERAL ARAB MARITIME CO. (FAMCO)
AL SHAYMAA
7612400
EGYPT
5744
G.CARGO
SULZER
CH.OFF
24/05/2005
21/05/2006
FEDERAL ARAB MARITIME CO. (FAMCO)
AL ESSRAA
EGYPT
16100
G.CARGO
MAN
CH.OFF
07/04/2004
15/05/2005
FEDERAL ARAB MARITIME CO. (FAMCO)
AL ZAHRAA
EGYPT
16100
G.CARGO
MAN
CH.OFF
22/01/2004
12/03/2004
FEDERAL ARAB MARITIME CO. (FAMCO)
AL SHAYMAA
7612400
EGYPT
5744
G.CARGO
SULZER
CH.OFF
18/09/2002
30/06/2003
FEDERAL ARAB MARITIME CO. (FAMCO)
AL SHAYMAA
7612400
EGYPT
5744
G.CARGO
SULZAR
CH.OFF
17/11/2001
18/09/2002
FEDERAL ARAB MARITIME CO. (FAMCO)
AL ZAHRAA
EGYPT
5744
G.CARGO
SULZER
CH.OFF
18/06/2001
17/11/2001
FEDERAL ARAB MARITIME CO. (FAMCO)
Date:03.03.2015
Signature:MOUSTAFA BASEM
Contact this candidate