O M C 2 0 0 0 Shipping Co., Ltd.
No. 17/49, Soi 41, Ram Intra Road, Bangkok 10230, Thailand.
O M C 2 0 0 0 Shipping Co., Ltd.
PERSONAL PROFILE AND HISTORY OF EMPLOYMENT
POSITION APPLIED: .
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FULL NAME: |
PARENTS' NAMES: |
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DATE OF BIRTH: |
PLACE OF BIRTH: YANGON |
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NATIONALITY: MYANMAR |
MARITAL STATUS: |
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HEIGHT: , WT: Kg/Lbs |
NEXT OF KIN: |
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FULL OF HOME ADDRESS:
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TRAVELLING DOCUMENTS
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No. |
DOCUMENT |
No. |
ISSUED AT |
ISSUED ON |
DATE OF EXPIRY |
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1. |
PASSPORT |
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YANGON |
1ST- |
- |
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IF ENDORSE (P.P) |
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2ND- |
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2. |
SEAMAN BOOK |
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YANGON |
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NA |
DETAILS OF PREVIOUS SEA SERVICES
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No. |
VESSEL NAME |
RANK |
GRT/BHP |
TYPE OF VSL/ENG |
PERIOD |
COMPANY NAME |
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ON |
OFF |
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1. |
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2. |
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3. |
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4. |
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5. |
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6. |
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7.
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8.
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HOLDING CERTIFICATES AND DOCUMENTS
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DOCUMENT |
GRADE |
No. |
ISSUED AT |
ISSUED ON |
DATE OF EXPIRY |
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NATIONAL LICENCE / CERTIFICATE |
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YANGON |
1ST- |
- |
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CERT. ENDORSEMENT |
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2ND- |
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OTHER LICENCE / CERTIFICATE |
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CERT. ENDORSEMENT |
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BST CERT (4 Tickets) |
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ADVANCED F. F. CERT |
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P.S.C & RB CERT |
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EDH CERT (Deck) |
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WK CERT (Deck) |
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EER CERT (Engine) |
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WK CERT (Engine) |
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MEDICAL CARE CERT |
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MEDICAL FIRST AID CERT |
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SHIP S. O. COURSE |
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SHIP S. A. COURSE |
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GMDSS (GOC) CERT |
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GOC ENDOSEMENT |
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ARPA COURSE |
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RADAR O. COURSE |
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TANKER F. COURSE |
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S. OIL TANKER COURSE |
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S. CHEMICAL COURSE |
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BRIDGE T. M. COURSE |
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SHIP M. H. COURSE |
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C. M. & H. B. COURSE |
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CROWD MANAGEMENT |
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I hereby declare that all information herein given is correct and all certificates listed above are genuine and re-validated to STCW 95:
DATED: SIGNED: