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PERSONAL DATA
PERSONAL INFORMATION
Family Name SHARAF First Name (s) AHMED
Birth Date 15/12/1991 Birth Place DAKAHLIYA
Nationality EGYPTIAN Religion MUSLIM
Marital Status SINGLE Children NIL
Height (cm) 176 (CM) Weight (kg) 74 (KG)
Nearest Airport CAIRO AIRPORT Alternative Airport BURJ Al Arab AIRPORT
ADDRESS (include telephone country & advise also secondary or contact addresses if any)
Street & Nr. DAMAS HOSPITAL STREET Email Address
Ahmd.sharaf91@gmail.com
Ahmd.sharaf91@yahoo.com
Location DAMAS Mobile Phone 00201022906046
City MIT GHAMR Phone
State, Country DAKAHLIYA , EGYPT Fax
Skype ID Ahmd.sharaf91@gmail.com P.O. Box
NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary)
Family Name SHARAF First Name(s) AHMED
Nationality EGYPTIAN Relationship FATHER
Street & Nr. DAMAS HOSPITAL STREET Email Address
Location DAMAS Mobile 00201064404621
City MIT GHAMR Phone
State, Country DAKAHLIYA , EGYPT Fax
P.O. Box
REMARKS
MY FATHER WIL BE IN CHARGE OF EVERYTHING IN CASE OF EMERGENCY
Requested Rank 3RD
OFFICER OR TRAINING OFFICER Availability Date ANY TIME
Vessel Type CHEMICAL OR OIL TANKER Minimum Salary 00000000
English Language Skills
Spoken: fluent
Written: fluent
Other Foreign Languages ARABIC
Professional School / Academy
- Name & Period (From - To)
ARAB ACADEMY FOR SCIENCE, TECHNOLOGY & MARITIME TRANSPORT
FROM ( 2010 TO 2015)
Other Skills IDEAL WITH COMPUTER PROFESSIONALY , AND TEAM WORK REGULATOR
Further Remarks
, WORK LONG HOUR UNDER PRESSURE
I SERVED IN THE EGYPTIAN NAVY FORCES FOR ONE YEAR (2015_2016 )
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge.
Date:
22/12/2016
Signature:
AHMED AHMED AHMED MOHAMED EL SAYED SHARAF
LIST OF DOCUMENTS
CAPT. ABIR ELZAIN, AUG15, REV 1.3
SEAFARER'S APPLICATION FORM
2nd
officer applying for 3rd
officer or training officer
A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES
Document Name (Description)
Document
Number
Country Issue Place
Issue
Date
Exp. Date
Passport A07234138 EGYPT MITGHAMR(33)20 09/07/2012 08/07/2019
Seaman's Book (national) 202096 EGYPT ALEXANDRIA 12/12/2016 30/01/2020
CERTIFICATES OF COMPETENCY , 2nd
MATE (COC),, 10265 EGYPT EGYPTIAN AUTHORITY FOR
MARITIME SAFETY
07/12/2016 30/01/2020
Medical Examination Report 195959 EGYPT ALEXANDRIA 18/12/2016 17/12/2018
Vaccination against Yellow Fever EGYPT ALEXANDRIA 12/08/2012 12/08/2022
Vaccination against Cholera EGYPT ALEXANDRIA 12/08/2012 12/08/2022
B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES
Document Name (Description)
Document
Number
Country Issue Place
Issue
Date
Exp. Date
2nd MATE 1204/16/EG EGYPT ARAB ACADEMY (AASTMT) 10/11/2011
6
XXXXXXXX
BASIC TRAINING FOR OIL AND CHEMICALTANKER
CARGO OPERATION
51533/16/EG EGYPT ARAB ACADEMY (AASTMT) 13/112016 09/11/2021
ADVANCED FIRE PREVENTION AND FIRE FIEGHTING 42092/16/EG EGYPT ARAB ACADEMY (AASTMT) 25/09/2016 21/9/2021
GMDSS/( GOC ) 46506/16/EG EGYPT ARAB ACADEMY (AASTMT) 19/10/2016 12/10/2021
MARINE RADAR. AND AUTOMATIC RADAR PLOTTING
AIDS
50329/16/EG EGYPT ARAB ACADEMY (AASTMT) 08/11/2016 XXXXXXXXXX
ECDIS SIMULATOR (OPERATION LEVEL ) 40890/16/EG EGYPT ARAB ACADEMY (AASTMT) 08/09/2016 XXXXXXXXX
COMMUNICATIONS 48356/16/EG EGYPT ARAB ACADEMY (AASTMT) 30/10/2016 XXXXXXXXX
MEDICAL FIRST AID 43098/16/EG EGYPT ARAB ACADEMY (AASTMT) 04/10/2016 28/09/2021
PRESONAL SAFETY AND SOCIAL RESPONSIBILITIES 41912/16/EG EGYPT ARAB ACADEMY (AASTMT) 22/09/2016 19/09/2021
PROFICIENCY OF SECURITY AWARENESS TRAINING
FOR SEAFARERS WITH DESIGNATED SECURITY
DUTIES
43799/16/EG EGYPT ARAB ACADEMY (AASTMT) 05/10/2016 02/10/2021
PROFICIENCY IN PERSONAL SURVIVAL TECHNIQUES 47943/16/EG EGYPT ARAB ACADEMY (AASTMT) 27/10/2016 24/10/2021
PROFICIENCY IN SURVIVAL CRAFTS AND RESCUE
BOATS
41223/16/EG EGYPT ARAB ACADEMY (AASTMT) 18/09/2016 07/09/2021
PREVENTION AND COMBATING OF MARINE POLLUTION 42924/16/EG EGYPT ARAB ACADEMY (AASTMT) 29/09/2016 XXXXXXXXXX
CERTIFICATES OF COMPETENCY ,, 2nd
MATE (COC),, 10265 EGYPT EGYPTIAN AUTHORITY FOR
MARITIME SAFETY
07/12/2016 30/01/2020
Date:
22/12/2016
Signature:
AHMED AHMED AHMED MOHAMED EL SAYED SHARAF
CAPT. ABIR ELZAIN, AUG15, REV 1.3
SEAFARER'S APPLICATION FORM
Vessel's Name IMO No. Flag GT DWT kW Ship Type Eng. Make Rank
S/On
Date
S/Off
Date
Employer
(company to contact for
reference)
M.V / LIMESTONE II 7610464 TANZANIA 21,630 34,146
8823 KW
12000 BHP
BULK CARRIER SULZER 6 RND 76 DECK CADET 16/03/2013 03/04/2014
3RD
FLOOR –AL KHALLAFI BLDG,(BLOCK-A),
AL WUHEIDA STREET, MAMZAR AREA
,DUBAI ,UAE … EMAIL …
gas777@emirates.net.ae ,
mrfh2020@yahoo.com
Tel: 0097142668495
Fax: 0097142668494
Date:
22/12/2016
Signature:
AHMED AHMED AHMED MOHAMED EL SAYED SHARAF
CAPT. ABIR ELZAIN, AUG15, REV 1.3

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Personal Data and Seafarer's Application Form

  • 1. PERSONAL DATA PERSONAL INFORMATION Family Name SHARAF First Name (s) AHMED Birth Date 15/12/1991 Birth Place DAKAHLIYA Nationality EGYPTIAN Religion MUSLIM Marital Status SINGLE Children NIL Height (cm) 176 (CM) Weight (kg) 74 (KG) Nearest Airport CAIRO AIRPORT Alternative Airport BURJ Al Arab AIRPORT ADDRESS (include telephone country & advise also secondary or contact addresses if any) Street & Nr. DAMAS HOSPITAL STREET Email Address Ahmd.sharaf91@gmail.com Ahmd.sharaf91@yahoo.com Location DAMAS Mobile Phone 00201022906046 City MIT GHAMR Phone State, Country DAKAHLIYA , EGYPT Fax Skype ID Ahmd.sharaf91@gmail.com P.O. Box NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary) Family Name SHARAF First Name(s) AHMED Nationality EGYPTIAN Relationship FATHER Street & Nr. DAMAS HOSPITAL STREET Email Address Location DAMAS Mobile 00201064404621 City MIT GHAMR Phone State, Country DAKAHLIYA , EGYPT Fax P.O. Box REMARKS MY FATHER WIL BE IN CHARGE OF EVERYTHING IN CASE OF EMERGENCY Requested Rank 3RD OFFICER OR TRAINING OFFICER Availability Date ANY TIME Vessel Type CHEMICAL OR OIL TANKER Minimum Salary 00000000 English Language Skills Spoken: fluent Written: fluent Other Foreign Languages ARABIC Professional School / Academy - Name & Period (From - To) ARAB ACADEMY FOR SCIENCE, TECHNOLOGY & MARITIME TRANSPORT FROM ( 2010 TO 2015) Other Skills IDEAL WITH COMPUTER PROFESSIONALY , AND TEAM WORK REGULATOR Further Remarks , WORK LONG HOUR UNDER PRESSURE I SERVED IN THE EGYPTIAN NAVY FORCES FOR ONE YEAR (2015_2016 ) I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge. Date: 22/12/2016 Signature: AHMED AHMED AHMED MOHAMED EL SAYED SHARAF LIST OF DOCUMENTS CAPT. ABIR ELZAIN, AUG15, REV 1.3 SEAFARER'S APPLICATION FORM 2nd officer applying for 3rd officer or training officer
  • 2. A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATES Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date Passport A07234138 EGYPT MITGHAMR(33)20 09/07/2012 08/07/2019 Seaman's Book (national) 202096 EGYPT ALEXANDRIA 12/12/2016 30/01/2020 CERTIFICATES OF COMPETENCY , 2nd MATE (COC),, 10265 EGYPT EGYPTIAN AUTHORITY FOR MARITIME SAFETY 07/12/2016 30/01/2020 Medical Examination Report 195959 EGYPT ALEXANDRIA 18/12/2016 17/12/2018 Vaccination against Yellow Fever EGYPT ALEXANDRIA 12/08/2012 12/08/2022 Vaccination against Cholera EGYPT ALEXANDRIA 12/08/2012 12/08/2022 B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date 2nd MATE 1204/16/EG EGYPT ARAB ACADEMY (AASTMT) 10/11/2011 6 XXXXXXXX BASIC TRAINING FOR OIL AND CHEMICALTANKER CARGO OPERATION 51533/16/EG EGYPT ARAB ACADEMY (AASTMT) 13/112016 09/11/2021 ADVANCED FIRE PREVENTION AND FIRE FIEGHTING 42092/16/EG EGYPT ARAB ACADEMY (AASTMT) 25/09/2016 21/9/2021 GMDSS/( GOC ) 46506/16/EG EGYPT ARAB ACADEMY (AASTMT) 19/10/2016 12/10/2021 MARINE RADAR. AND AUTOMATIC RADAR PLOTTING AIDS 50329/16/EG EGYPT ARAB ACADEMY (AASTMT) 08/11/2016 XXXXXXXXXX ECDIS SIMULATOR (OPERATION LEVEL ) 40890/16/EG EGYPT ARAB ACADEMY (AASTMT) 08/09/2016 XXXXXXXXX COMMUNICATIONS 48356/16/EG EGYPT ARAB ACADEMY (AASTMT) 30/10/2016 XXXXXXXXX MEDICAL FIRST AID 43098/16/EG EGYPT ARAB ACADEMY (AASTMT) 04/10/2016 28/09/2021 PRESONAL SAFETY AND SOCIAL RESPONSIBILITIES 41912/16/EG EGYPT ARAB ACADEMY (AASTMT) 22/09/2016 19/09/2021 PROFICIENCY OF SECURITY AWARENESS TRAINING FOR SEAFARERS WITH DESIGNATED SECURITY DUTIES 43799/16/EG EGYPT ARAB ACADEMY (AASTMT) 05/10/2016 02/10/2021 PROFICIENCY IN PERSONAL SURVIVAL TECHNIQUES 47943/16/EG EGYPT ARAB ACADEMY (AASTMT) 27/10/2016 24/10/2021 PROFICIENCY IN SURVIVAL CRAFTS AND RESCUE BOATS 41223/16/EG EGYPT ARAB ACADEMY (AASTMT) 18/09/2016 07/09/2021 PREVENTION AND COMBATING OF MARINE POLLUTION 42924/16/EG EGYPT ARAB ACADEMY (AASTMT) 29/09/2016 XXXXXXXXXX CERTIFICATES OF COMPETENCY ,, 2nd MATE (COC),, 10265 EGYPT EGYPTIAN AUTHORITY FOR MARITIME SAFETY 07/12/2016 30/01/2020 Date: 22/12/2016 Signature: AHMED AHMED AHMED MOHAMED EL SAYED SHARAF CAPT. ABIR ELZAIN, AUG15, REV 1.3
  • 3. SEAFARER'S APPLICATION FORM Vessel's Name IMO No. Flag GT DWT kW Ship Type Eng. Make Rank S/On Date S/Off Date Employer (company to contact for reference) M.V / LIMESTONE II 7610464 TANZANIA 21,630 34,146 8823 KW 12000 BHP BULK CARRIER SULZER 6 RND 76 DECK CADET 16/03/2013 03/04/2014 3RD FLOOR –AL KHALLAFI BLDG,(BLOCK-A), AL WUHEIDA STREET, MAMZAR AREA ,DUBAI ,UAE … EMAIL … gas777@emirates.net.ae , mrfh2020@yahoo.com Tel: 0097142668495 Fax: 0097142668494 Date: 22/12/2016 Signature: AHMED AHMED AHMED MOHAMED EL SAYED SHARAF CAPT. ABIR ELZAIN, AUG15, REV 1.3