crewdata.com
SEAFARER'S APPLICATION FORM http://crewdata.com
Position: ELECTRICIAN
or ELECTRICAL ENGINEER
Readiness: 09.05.2018
Citizenship: Egypt
Last name: Hassan Marital status single
First name: Basem Children:
Middle name: Samy Nationality: Egyptian
Birth date: 15.09.1992 Birth place: Egypt
Home address: Alexandria, Smoha, Egypt Phone mobile: 002(010)29087735 Phone home: 004(07)31952771
Email: basm201091@gmail.c
om
English level: Fluently Marlins Test: 91
Salary Minimum: 1900 Expected: 6000 Last: $/month
Education
Educational institution Speciality Faculty Place Number From Till Hurghada Secondary
Industrial
Electrical fixtures and
equipment
High
School
hurghada/EGY 107 20.09.2009 20.09.2012
Passports, Licenses & Certificates
Title Class Number Place of issue Issued Valid
Passports & Visas
Seaman's book 204541 alexandria, EGY 14.05.2017 13.05.2022 Civil passport 0201492 alexandria, EGY 05.12.2015 01.01.2100 Travel passport A17133640 alexandria, EGY 27.12.2015 26.12.2022 Certificates & Licenses
Advanced Fire Fighting (VI/3) 24088.17.EG alexandria, EGY 11.06.2017 06.07.2022 Medical First Aid (VI/4.1) 24088.17.EG alexandria, EGY 11.06.2017 06.07.2022 Personal Survival Techniques (A-VI/I-l) 24088.17.EG alexandria, EGY 11.06.2017 06.07.2022 deletePersonal Safety and Social Responsibilities (A- V1/1-4)
24088.17.EG alexandria, EGY 11.06.2017 06.07.2022
Proficincy of security awareness training for seafarers with designated security duties
38872/18/EG alexandria, EGY 16.12.2018 16.12.2023
Medical Certificates
Yellow Fever Vaccination alexandria, EGY 03.10.2017 03.10.2037 Medical Fitness Certificate alexandria, EGY 03.10.2017 02.10.2019 Sea-going experience
Vessel’s
name
Flag Type Engine
Rank
From Shipowner
Year DWT HP Till Crew Agency
1 Skippers y
SLE Bulk Carrier Sulzer
Electrician
27.05.2019
Shippers ship . Trade .
LTD
198*-*****-**** 27.11.2019 Merjo marine
2 Maridive 519
BLZ
Offshore Support
Vessel
Caterpillar
Electrician
25.03.2019 Maridive group
200*-****-**** 24.05.2019 Merjo marine
2 Hassan Basem created by
crewdata.com
3 Maridive m
BLZ AHTS Niigata
Electrician
09.03.2019 Maridive group
201*-****-**** 09.04.2019 Merjo marine
4
Maridive mwm
601
BLZ AHTS Niigata
Electrician
28.09.2018 Maridive group
201*-****-**** 09.02.2019 Merjo marine
5 Sealady
SLE AHTS Caterpillar
Electrician
11.07.2018 Ships and bote
200*-****-**** 21.08.2018 Merjo marine
6 Mv setia lestari
PAN AHTS Caterpillar
Electrician
12.10.2017 Marine core & charter
200*-****-**** 12.04.2018
Fujairah national
shipping
7 Ansar 18
SAU AHTS Caterpillar
Electrician
08.06.2017 Merjo marine
200*-****-**** 20.08.2017 Merjo marine
Crewing Agencies or Marine Companies
Crew Agency City Country Contact Person Phone
Merjo marine alexandria Egypt El masri Adel 002(012)01407755 Fujairah national shipping Dubai United Arab Emirates Soltan Ahmed 971(56)6606671 General Physical State
Height (cm) Weight (kg) Shoes Clothes Hair color Eye color 178 72 42 M brown light brown
Date applied: 13.01.2020 Signature: