Seagoing Personnel Application
Seagoing Personnel Application
Seagoing Personnel Application
Please complete this accurately, giving as many details as possible of your skills and experience relating to this job
application. Guide lines will be presented when intended field is selected. Please note that the fields highlited in light orange
shading are mandatory fields and must not be left blank.
1. PERSONAL DATA
Reg. No.
Home Phone Number Mobile Phone Number Email Address Home Address
No 31, Farouk Abdelwahab St,
+2035577392 +201012175353 ykataya@gmail.com
sidi bisher, Alexandria, Egypt.
Identification Number:
29906060200759 Expiry Date 16-10-2022
ى4
( لقوم44م ا4لرق44)ا
2. EDUCATION
Department Engine/ETO
Summer training at Landmark Marine Company. For ship management and marine survey.
5. MEDICAL HISTORY
It is of utmost importance that all illnesses other than minor afflictions should be stated.
(C) Have you ever signed off a ship due to medical reasons?
Please list any training you have received or courses which you feel is relevant to the Application.
For each of the following courses please select yes for acquired courses and state both the issue date and the expiry
date
Photo
Rank applied
for: Engine Cadet
Photo