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    Hari Prasad Nandikolla
    This document contains an application form for employment with Anglo Eastern Group. It requests personal information such as name, address, education history, sea service experience, licenses held, and a summary of qualifications. Additional sections provide details on cargo carried and areas of knowledge for chemical tankers. The form is 12 pages long and collects comprehensive information to evaluate candidates for marine positions.

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    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd

    Msds

    Uploaded by

    Hari Prasad Nandikolla
    79 views14 pages
    This document contains an application form for employment with Anglo Eastern Group. It requests personal information such as name, address, education history, sea service experience, licenses held, and a summary of qualifications. Additional sections provide details on cargo carried and areas of knowledge for chemical tankers. The form is 12 pages long and collects comprehensive information to evaluate candidates for marine positions.

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    © © All Rights Reserved

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    This document contains an application form for employment with Anglo Eastern Group. It requests personal information such as name, address, education history, sea service experience, licenses held, and a summary of qualifications. Additional sections provide details on cargo carried and areas of knowledge for chemical tankers. The form is 12 pages long and collects comprehensive information to evaluate candidates for marine positions.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    79 views14 pages

    Msds

    Uploaded by

    Hari Prasad Nandikolla
    This document contains an application form for employment with Anglo Eastern Group. It requests personal information such as name, address, education history, sea service experience, licenses held, and a summary of qualifications. Additional sections provide details on cargo carried and areas of knowledge for chemical tankers. The form is 12 pages long and collects comprehensive information to evaluate candidates for marine positions.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    of 14

    ###

    ANGLO EASTERN GROUP


    Kindly affix a regular & recent
    License No. RPSL-MUM-088 valid until 30-01-2022 passport size PHOTOGRAPH
    Tel : (91-22) 61124600 Fax : (91-22) 61124650
    E-Mail : manning.bom@angloeasterngroup.com
    APPLICATION FORM
    Date Applied Application No
    Rank Applied For Date Of Availability
    PERSONAL DESCRIPTION AND INFORMATION
    Given Name Country
    (First / Middle) Last Name Res.
    Height (cm) Weight (Kg) BMI
    Date of Birth Place Nationality

    Address
    City Pin Code State
    Contact Details Mobile No
    E-Mail INDOS
    Marital Status Last Salary Drawn Nearest Airport
    Last Employer
    Company Name Name of Person & Designation Phone Number

    Refer 2 Senior Officers you have sailed with


    Name Company Rank Contact No

    EDUCATIONAL BACKGROUND [ please include pre-sea training ]


    Academic Last School /
    Qualification College
    Pre Sea Training Apprenticeship
    TRAVEL DOCUMENTS
    Documents Number Place of issue Date of issue Date of Expiry
    Passport
    CDC(National) Chennai
    U.S. Visa C1/D
    Yellow Fever

    Form : AEI-FPD 01 Revision : 1 Page : 3 Issue date : 01 Mar 17


    Flag CDC/COC Liberian Panama Y Marshall Island Bermuda Bahamas

    Licence Grade - [Description] Country of issue Number Date of Issue Date of Expiry

    * Applied for Higher License or Revalidation


    Date of Date of
    DCE Number Place of Issue
    Issue Expiry
    PETROLEUM Management
    CHEMICAL Management
    GAS

    SEA SERVICE
    ENGINE Total
    13 Vessel Name Vessel Type Company NameRank From To
    TYPE GRT TEU Mnts Days

    Form : AEI-FPD 01 Revision : 1 Page : 4 Issue date : 01 Mar 17


    ACTUAL TIME SERVED IN MONTHS [ for officers only ].

    TANKER
    CONT
    VESSEL TYPE OSV CEME / BULK GENC
    /RORO/PCC TOTAL
    TANK/PRT CHEM LNG / LPG

    RANK M D M D M D M D M D M D M D
    Mstr/C.Eng.
    Ch.Off. /2.Eng.
    2nd.Off./3.E
    3rd.Off./4.E
    R/Off./El.Off
    AE/O
    Cdt/Jr.Eng.
    Rating
    Total
    SUMMARY OF KNOWLEDGE AND EXPERIENCE ACQUIRED [Give a brief resume of your Career and Experience at
    Sea, e.g. Type of Ships, Engines, Specific Trades (E.G. ICE / Lighterage etc.), reactivation, New Buildings, Shore
    Experience, Computer Knowledge etc.]

    ME / RT VALUE ADDED EXPERIENCE / TRAINING


    Yard delivery
    Engine Y Major Conversion Dry Dock Gantry / Self Unloa Crane
    STCW/ Grab
    Framo Pump Ice Navigation
    Experience BTM Course Upgradation
    Experience Experience
    Office Comments

    Form : AEI-FPD 01 Revision : 1 Page : 5 Issue date : 01 Mar 17


    INFORMATION SHEET - CHEMICAL TANKERS
    MST
    CARGOES CARRIED C/O 2/O 3/O C/E 2/E 3/E 4/E
    R
    DODECYLBENZENE (LAB)
    HYDROGEN PEROXIDE
    ACRYLONITRILE
    SULPHURIC ACID
    1 NITRIC ACID
    2 PHENOL
    3 EPICHLOROHYDRIN (ECH)
    4 CAUSTIC SODA
    5 HEXANE
    6 XYLENE
    7 MDI / DIPHENYLMETHANE DIISOCYANATE
    8 TOLUENE
    9 METHANOL
    10 PALM OILS
    11 VEGETABLE OILS
    12 MOLASSES
    13 ETHYLENE DICHLORIDE (EDC)
    14 STYRENE MONOMER
    15 BENZENE
    16 VINYL ACETATE MONOMER (VAM)
    17 IPA / NBA
    18 METHYL ETHYELENE GLYCOL (MEG)
    19 LUB ADDITIVES / LUBRIZOL
    20 SODIUM HYDROSULPHIDE
    21 PHOSPHORIC ACID
    22 PROPYLENE OXIDE / ETHYLENE OXIDE
    23 PARAFFIN WAX
    24 TALLOW
    25 METHYL TETRA BUTYLE ETHER (MTBE)
    MST
    26 OTHER INFORMATION / AREAS OF KNOWLEDGE :- C/O 2/O 3/O C/E 2/E 3/E 4/E
    R

    Form : AEI-FPD 01 Revision : 1 Page : 6 Issue date : 01 Mar 17


    27 DEEP WELL PUMPS EXPERIENCE
    28 SPECIALISED FRAMO COURSE
    29 CLOSED LOADING / VECS.
    CDI
    1 OIL COMPANY INSPECTIONS ( BP, SHELL, EXXON)
    2 USCG - LETTER OF COMPLIANCE
    3 CARGO HEATING - OIL/STEAM/DECK HTR.
    4 TANK COATING TYPE - S.S, RUBBER COATED
    5 WALL WASH TESTING (HC/CL)
    6 PERMANGEMATE TESTING (PTT)
    7 PASSIVATING STAINLESS STEEL TANKS
    8 ISM / ISO
    9 TRADING IN US WATERS
    10 N2 PADDING
    11 CARGO COOLING SYSTEMS
    12 OPA 90 TRAINING / VGP
    13
    14
    15
    16

    Form : AEI-FPD 01 Revision : 1 Page : 7 Issue date : 01 Mar 17


    Form : AEI-FPD 01 Revision : 1 Page : 8 Issue date : 01 Mar 17
    Form : AEI-FPD 01 Revision : 1 Page : 9 Issue date : 01 Mar 17
    Form : AEI-FPD 01 Revision : 1 Page : 10 Issue date : 01 Mar 17
    Form : AEI-FPD 01 Revision : 1 Page : 11 Issue date : 01 Mar 17
    Form : AEI-FPD 01 Revision : 1 Page : 12 Issue date : 01 Mar 17
    Form : AEI-FPD 01 Revision : 1 Page : 13 Issue date : 01 Mar 17
    CANDIDATES SUMMARY OF KNOWLEDGE AND EXPERIENCE CONTD.
    SUMMARY OF KNOWLEDGE AND EXPERIENCE ACQUIRED [Give a brief resume of your Career and Experience
    at Sea, e.g. Type of Ships, Engines, Specific Trades (E.G. ICE / Lighterage etc.), reactivation, New Buildings,
    Shore Experience, Computer Knowledge etc.]

    Page 5 [Annex] SEL / REV-02 / 01-AUG-05

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