APPLICATION FORM (Engine Dept) CV

*

Position-ELECTRICAL ENGINEER REGISTRATION NO. 42291. 05.10.2023

Position applied for: ELECTRICAL ENGINEER

CDC NO-C/O- 5249

Are you willing to accept any other positions?

NO

If YES, which positions would you consider?

N/A

Readiness From

01/07/2023

2

2

Personal details

Last Name:

ISLAM

First Name:

MD

Middle Name:

NAZRUL

Date of birth

02 /01/1966

Place of birth

DHAKA

Nationality

BANGLADESHI

Height

5' 6"(176)

Weight

172KGG

ID Mark

A CUT MARK UNDER RT. FOOT KNEE

Blood Group

O+

Chest

36

Waist

40

Boiler Suite

XL

Safety Shoe

09/42

Cap

22

National ID

(821*******(2650898253126)/

sssSKYSKYPE ID

Sky-nazrul/7916

Company ID

68482

Address:

12/6 BIGER TEG, HAZI MARKET, PS-PALLABI, POST- CANTONMENT, DHAKA -1206, BANGLADESH

DATE OF BIRTH & CERTIFICATE- 02/01/1966 NO 19662620898009737

Post code:

1206

Hand Phone No.

+880**********, +880**********

Telephone No.

E-Mail ID:

ad1kmc@r.postjobfree.com

4

Identity documents

3

Education Background

Name of Institute

From Year

To Year

Highest Qualification Attained

School

JIBNAGAR NOAKHOLA HIGH SCHOOL

1976

1982

College

NATIONAL UNIVERSITY

2001

2003

BA PASS

Pre Sea Training

2007

2008

Other Qualifications

America Bangladesh University

2010

2013

Electrical & Electric Engineer

DOCUMENT

COUNTRY

NUMBER

ISSUE DATE

PLACE OF ISSUE

EXPIRY DATE

Passport:

Bangladesh

EG 0144301

01.06..2000

DHAKA

31.05.2025

Seaman's book:

National

CDC. C/O-5249

18.01.2018

CHITTAGONG

17.01.2028

Bahamian

Liberian

1252526

08.01.2022

U.S.A

08.04.2028

Panamanian

CTC08112

13.3.2015

MANILA

12.3.2020

CDC MARSAL ISLAND

Other -Norway

MH285429

26.9.2012

Republic Marshall Island

25.9.2017

Seaman ID Card

YES / NO

050006491

29.04.2020

DHAKA

28.05.2030

Visa - US ‘C1/D'

YES / NO

K6018905

25.04.2023

Dhaka

23.04.2028

Other Visa

YES/ NO

USA/B1B2

K6018906

25.04.2023

Dhaka

23.04.2028

Yellow Fever Vaccination

YES / NO

1432524-30

SEPT .2015

FRANCE

SEPT 2025

Holding Australian MCV

YES / NO

805**********

08.01.2014

SINGAPORE

08.01.2018

5

Family details

Next Of Kin/Nominee

Marital Status :

MARIED

Relationship :

WIFE

Marriage Date :

22.02.1990

Last Name:

FERDOUS

First Name

JANNATUL

Address:

12/6 BIGER TEG, HAZI MARKET, PS- PALLABI, PO- CANTONMENT- DHAKA 1206, BANGLADESH

Post code:

1206

Hand Phone No.

+880**********, +880**********

Telephone No.

Relation

Name

P.O.B.

D.O.B.

PPT NO.

D.O.I.

P.O.I.

D.O.E.

WIFE

JANNATUL FARDOUS

NOAKHALI

02,01.1972

BH0856698

13.10.2023

DHAKA

12.10.2028

SON

MD. NASIM

DHAKA

23.09.1997

BP0461536

13.06.2017

DHAKA

12.06.2022

SON

MD. KHALID HASSAN

DHAKA

25.09.1998

BQ0773513

05.11.2017

DHAKA

04.11.2022

DAUGHTER

NAIMA ISLAM

DHAKA

19.04.1993

BQ0773464

05.11.2017

DHAKA

04.11.2022

Note: Second Next Of Kin / Nominee (In case of voyage with family)

Relation

SON

Name

MD. NASIM

Address:

12/6 BIGER TEG, HAZI MARKET, PS- PALLABI, POST-DHAKA CANTONMENT-1206,BANGLADESH

Post Code

1206

Mother's Name :

JANNATUL FARDOUS

Hand Phone No.

+88-016********

Telephone No.

6

National Certificate of Competency (Highest certificate of competency held)

Class/Grade

Issuing Country

Certificate No.

Date Issued

Place Issued

Valid Until

BD2007123/JMETO

BANGLADESH

BD2007123/JMETO

02.04.2022

DHAKA/BANGLADESH

01.04.2027

EEE/82ND/3.51

BANGLADESH

00G-988

28 JANU2013

DHAKA

BA PASS

BANGLADESH

NUDMC0002030

22 JULY 2004

DHAKA

6a

National Dangerous Cargo Endorsements

Endorsement Type

Certificate No.

Date Issued

Place Issued

Valid Until

Petroleum

Liquefied Gas

Chemicals

OPERATION

031.042538

18.04,2017

DG. SHIPPING DHAKA

14.04.2022

7

Flag State Equivalent Certificates Of Competency issued by other countries (Issued by countries other than in Section 6)

Class

I Issuing Country

Certificate No.

Date Issued

Place Issued

Valid Until

SINGAPORE

EASTERN PACIFIC

EO146782

12.3.2018

SINGAPORE

01,4.2022

CDC. LIBERIA

Liberia

1251516

08.01.2016

USA.

08.01.2021

CDC. PANAMA

Panama

CTC08112

13.3.2015

MANILA

12.3.2020

Bahamas

CDC MARSAL ISLAND

Other -Norway

MH285429

26.9.2012

Republic Marshall Island

25.9.2017

7a

Flag State Equivalent Dangerous Cargo Endorsements (Issued by countries other than in Section 6a)

Country

Endorse Type/ Level

Certificate No.

Date Issued

Place Issued

Valid Until

Liberia

EL.ENGR

1251516

08.1.2020

USA

08.1.2028

Marshall Islands

EL. ENGR

MH285429

26.9.2012

Republic OF Marshall Island

25.9.2017

Panama

EL. ENGR

CTC08112

13.3.2015

MANILA

12.3.2020

8

Certificates ( STCW and Value added)

Course

Institution

Place

Issue Date

Cert. No.

Expiry Date

Course

Institution

Place

Issue Date

Cert. No.

Expiry Date

Personal Survival TECHNIQUE

IMTA

DG.SHIPPING DHAKA

02-03-2017

039.037.681

19-07-2027

Security Awareness Training (SAT)

IMETA

DG.SHIPPING DHAKA

27-11-2018

049.082787

26-11-2027

Designated Security Duties (DSD)

IMETA

DG.SHIPPING DHAKA

27-11-2018

050.082786

26-11-2027

Advance Fire Fighting

IIMTA

DG.SHIPPING DHAKA

09-03-2017

045-038423

01-08-2027

Medical First Aid

IIMTA

DG.SHIPPING DHAKA

09-03-2017

046-037668

01-08-2027

Proficiency In Survival Craft - PSCRB

IIMTA

DG.SHIPPING DHAKA

09-032017

043-038424

19-07-2027

Human Relations - PSSR

IIMTA

DG.SHIPPING DHAKA

02-03-2017

042-047676

16-07-2027

Ship Security Officer

BASIC TANKER(Oil, chem and cargo op)

IIMTA

DG.SHIPPING DHAKA

18-04-2017

030-042538

14-04-2027

Adv. Oil Tanker Course

Adv. Chemical Tanker Course

Adv. LPG Tanker Course

Bridge & Eng. Room Resource Mgmt

IMTA

DG.SHIPPING DHAKA

02-03-2017

066-037572

15-07-2027

Shipboard Safety Officer

Marine Environment Protection

ISPS Code Familiarization

IIMT

DG.SHIPPING DHAKA

26.02.2013

ISPS/FAM/1308/05

25.02.2028

Electrical Engineer Pre-Sea Training

IABU

DG.SHIPPING DHAKA

31-12-2013

00G-988 EEE

UNLIMITED

HIGH VOLTAGE

IMTA

DG.SHIPPING DHAKA

02-03-2017

000

26-07-2027

9

9

Record of previous service

(Please give a full record starting with the last vessel on which you served)

VESSEL NAME

COMPANY

VESSEL

TYPE

FLAG

G.R.T.

D.W.T./ BHP.

YEAR OF BUILT

MAIN ENGINE

B.H.P.

RANK

SIGN ON DATE

DD/MM/YYYY

SIGN OFF DATE

DD/MM/YYYY

DURATION

YY-MM-DD

Maker

Type

MV.MOUNT ULURU

MSC. SHIPPING CO.LTD

COTAINER CARRIER

LIBERIA

21018

25902

2017

MAN B&W

6L60MC

16660KW

EE

10.10.2022

02.04.2022

00.05.26

MV.MEGHANA STAR

MEGHANA/V.SHIP

BULK CARRIER

BANGLADESH

32827

14558

2011

MAN B&W

6S50MC

81100

EE

15.03.2022

08.09.2022

00.05.24

MV.MOUNT OPHER

EPS. SHIPPING CO.LTD

CAPESIZE BULK CARRIER

LIBERIA

90286

118630

2006

MAN B&W

6L60MC

18630KW

EE

26..01.2021

17.09.2121

00.08.22

LAKE SUPERIOR

EPS. SHIPPING CO.LTD

CAR CARRIER

LIBERIA

46800

14220

2011

MAN B&W

6L60MEC

14220

EE

11.09.2020

24.11.2020

00.02.12

MV. MOUNT BOLIVER

EPS. SHIPPING CO.LTD

CAPESIZE BULK CARRIER

LIBERIA

92982

180600

2016

MAN B&W

6L60MEC

5850KW

EE

25.05.2019

05.11.2019

00.05.11

MV.BRIDGEGATE

EPS. SHIPPING CO.LTD

CAPESIZE BULK CARRIER

SINGAPORE

29977

9480KW

2010

MAN B&W

6L60MC

9480KW

EE

19.3.2018

4.10.2018

00.6.15

MV.MOUNT ULURU

EPS. SHIPPING CO.LTD

CAPESIZE BULK CARRIER

LIBERIA

92722

181513

2013

MAN B&W

6L60MC

5850KW

EE

12.05.2017

30.09.2017

00.04.18

INDIAN FRIENDSHIP

EPS. SHIPPING CO.LTD

CAPESIZE BULK CARRIER

LIBERIA

95009

16600KW

2013

MAN B&W

6L60MC

5850KW

EE

14.08.2016

23.01.2017

00.05.10

MV. IRONGATE

EPS. SHIPPING CO.LTD

BULK CARRIER

LIBERIA

17027

5850

2015

MAN B&W

6L60MC

5850KW

EE

06.01.2016

06.06.2016

00.05.02

MV.OCEAN CHIE

UNITED OCEAN

BULK CARRIER

PANAMA

36252

19352

2003

MAN B&W

6S42MC

9300

EE

17.03.2015

12.09.2015

00.06.00

GLOVIS MAGELLAN

PACIFIC INTERNATIONAL LINE

BULK CARRIER

SINGAPORE

33456

19341

2013

MAN B&W

6L60MC

9800

EE

05.08.2014

06.01.2015

00-05-02

MVSHAGANG HONGCHACG

PACIFIC INTERNATIONAL LINE

CAPESIZE BULK CARRIER

SINGAPORE

93228/

60051

2008

HYUNDAI MAN B&W

6L60MC

18660

EE

12.09.2013

18.03.2014

00-06-07.

MV.BESIKTAS TURKMENISTAN

THOMESHIP MANAGEMENT (PTE)

CAPESIZE BULK CARRIER

MAJURO

94145

58677

2010

MAN B&W

6S70MC-C7

18660

EE

10.07 2012

11.01.2013

00.06.02

MV.GRAND ROYL

VANGARD

GC

BANGLADESH

22155

12639

1995

MAN B&W

6L60MC

9700

EE

18.12.2011

29.05.2012

00.05.12

MV.JAHAN MONI

BRABE ROYAL

BULK CARRIER

BANGLADESH

25600

14558

1985

MAN B&W

6S50MC

8580

EE

19.03.2011

05.09.2011

00.05.24

MT. AEGIALI

MARINE SVC.

TANKER

MONROVIA

141181

74718

1996

MAN B&W

6S50MC

18660

EE

22.12.2010

24.02.2011

00.02.03

MV. NIKITA-A

SILVIASHIP MANAGEMET

GC

PANAMA

25221

13365

1985

MAN B&W

6L60MCE

10000

EE

09.11.2009

01.06.2010

00.07.22

MV.GENIOUS

MANSHIP PTE LTD.

CONTAINER

SINGAPORE

9954

5117

2008

MAN B&W

6S50MC-C

9480

JR.EE

22.04.2009

09.09.2009

00.04.21

QC VISION

MANSHIP PTE LTD.

CONTAINER

SINGAPORE

9957

5032

2005

MAN B&W

6L58/64

9730

JR.EE

20.11.2008

15.03.2009

00.04.25

Total=68m17d

10

For Engineers (Please provide Makers, Model & Capacity details)

Auxiliary Engines

MODEL-6L23/30H, MAN B&W 4 STROKE, 975KW, 900RPM. HIMSEN, 750KW

DAIHATSU 6DL-20,690PS, 507 KW. SULZER,MODEL-4S20D, 480KW, 900RPM, YANMAR

Generators

MODEL-6L23/30H, MAN B&W 4 STROKES, 975KW, 900RPM. HIMSEN, 750KW

DAIHATSU 6DL-20,690PS, 507 KW. SULZER,MODEL-4S20D, 480KW, 900RPM

YANMAR 6DL-20,690PS, 600 KW

Cranes / Grabs

Tsuji Japan, Electro hydraulic, CHHS 2524,

Motor-170KW,Capacity- 25 Tones

IHI JAPAN 3O TONS HYDRO ELECTRIC SYS

Purifiers and Boilers

AALBORG,V4-0-TFO-010 BOILER,CAPACITY-800KW,PRESSURE 08KG WITHEXHAUST GAS ECONOMIZER, SAACKS COMP,VERTICAL BOILER-WORKING PRESSURE-08 BAR

11

Sailing Experience: (Please advise PRESENT RANK EXPERIENCE on each type of vessel)

CONT/RFG (MM-DD)

G. CARGO (MM-DD)

BC/OBO/RR (MM-DD)

PCC/PCTC (MM-DD)

OIL/VLCC (MM-DD)

CHEMICAL (MM-DD)

PRODUCT (MM-DD)

LPG/LNG (MM-DD)

OTHERS (MM-DD)

TOTAL RANK EXPERIENCE

09-05

13-04

51-09

68MM17DD

LAST SALARY DRAWN

5000USD

EXPECTED SALARY

55OOUSD

12

References (Please give the name and address of your current or immediate past employer)

Name of company

PACIFIC INTERNATIONAL LINES (PTE) LTD.

Name of person to contact

CAPT. JURAMI HAMID

Address

140 CECIL STREET # O3-00, PIL BUILDING, SINGA

SINGAPORE 069540, PO BOX 3206

No. / Facsimile

+65 62218133

E-Mail / Web

ad1kmc@r.postjobfree.com

13

Miscellaneous ( Please give the details of your FC account )

Bank Name

ISLAMI BANK BANGLADESH LIMITED

BRANCH :

UTTARA BRANCH

Account Name

FC ACCOUNT

Bank Address

UTTARA, DHAKA, BANGLADESH. SWIFT CODE-IBBLBDDH--207

Account No.

20502071200003708 (MFCD 37)

Swift / BIC Code

IBBLBDDH207

Bank Name

DUTCH BANGLA BANK LIMITED, BANGLADESH, BANGLADESH

BRANCH :

DHAKA BANGLADESH

Account Name

SAVING

Bank Address

DUTCH BANGLA BANK LIMITED, DHAKA

SWIFT CODE

DBBL-BDDH-147

Account No.

147-***-*****

14

Medical history

Have you ever signed off a ship due to medical reasons?

Yes/No

NO

Have you undergone any operation in the past?

Yes/No

NO

Have you consulted a doctor during the last 12 months for an illness/accident?

Yes/No

NO

Do you have any health or disability problems now?

Yes/No

NO

(If the answer is YES to any of the above, please give full details and attach a separate page if necessary)

15

Declaration

I hereby declare that the above particulars are true and authorise you to contact the referees listed above.

MD.NAZRUL ISLAM

01.01.2018

Name/Signature

Date

Contact this candidate