Name:

Rank:

Photo

Present Address:

Phone No.

Place  /  Date of Birth

YANGON  / 

Gender : MALE

Nationality  /  Religion

MYANMAR  /  BUDDHIST

Marital Status

MARRIED / SINGLE

Next of Kin  /  Relation

U-DAW                                 / 

Size of Clothes  /  Shoes:

Permanent Address

Document

Number

Issued at

Date of Issue

Date of Expiry

Seafarer’s Passport

YANGON

Seaman’s Book

YANGON

NONE

Certificates Of Proficiency

STCW Regulation No./Grade

Officer’s Certificate of Competency

COC-

D.M.A

Panama License /Seaman’s Book

CT-

Endorsement for Officers

COE-

D.M.A

Navi., Radar and ARPA Simulator Certi.

RN-

D.M.A

Radar Observer on Merchant Ship

R-

D.M.A

Watch keeping Certificate of Ratings

EER-

D.M.A

Tanker Familiarization Certificate

TF-

D.M.A

Proficiency for Ship Security officer

COP-

D.M.A

Certi. of Completion on Basic Safety Trai.

BST-

D.M.A

Profi. in Survival Craft & Rescue Boats

PSC-

D.M.A

Advanced Fire Fighting

AFF-

D.M.A

Medical Care Onboard

AMC-

D.M.A

Certi. of proficiency in Medical First Aid

MFA-

D.M.A

Radio Personnel

RE-

D.M.A

GMDSS General Operator’s Certificate

GOC-

D.M.A

Efficient Deck Hand

EDH-

D.M.A

Advanced Oil Tanker Operations Certi.

AOT-

D.M.A

Advance Chemical Tanker Operation

ACT-

D.M.A

Bridge Team Management Certificate

BMT-

D.M.A

Name of Ship

GRT

BHP

Engine/ VSL’s type

Rank

Period

Company’s Name

Reason

From - To

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2.

3.

4.

5.

6.

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