Professional Documents
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Form
Form
Form
C FORM No:QS:10A
Rev 00
Date of Issue: 02/04
Application For Employment Page 1 of 5
Please Use Black Ball Point Pen & Capital Letters As Far As Possible
Surname Middle Name First Name
RESSY IBRAHIM MUNTAHA IBRAHIM RESSY
Liberian
Panamanian
Marshal Islands
IOM
Bermuda
INDOS No :
QATAR SHIPPING COMPANY Q.S.C FORM No:QS:10A
Rev 00
Date of Issue: 02/04
Application For Employment Page 2 of 5
Others
Weight : _______65______ Kg
Height : ___1________mts ______74____ cm
Boiler Suit Size Shoe Size
MEDIUM 41
Child
M/F
Child
M/F
Child
M/F
* Tick Visa USA UK Australia Brazil
Valid
QATAR SHIPPING COMPANY Q.S.C FORM No:QS:10A
Rev 00
Date of Issue: 02/04
Application For Employment Page 3 of 5
GMDSS / MCC
Petroleum Tanker Safety
(STPOTO)
Chemical Tanker Safety
(CHEMCO)
Gas Tanker Safety (GASCO)
Oil Tanker Familiarisation
(OTFC)
Chemical Tanker Familiarisation
(CTFC)
Gas Familiarisation (GTFC)
Ship Simulator
Engine Room Simulator
Hazmat Course
Bridge Team Management
Engine Resource Management
Revalidation Course
FRAMO
NOR CONTROL
PMS SYSTEMS
Risk Management/Loss
Prevention
QATAR SHIPPING COMPANY Q.S.C FORM No:QS:10A
Rev 00
Date of Issue: 02/04
Application For Employment Page 4 of 5
OPA 90
Commercial Knowledge
Courses
Ship Security Officers Course
ISM Course
ISO Course (9000,14000,18000)
Yellow Fever
Educational Qualification
Name of Institute / College From To Type of Degree
Previous Sea Service (Date Commencing from Last Vessel Until First Vessel)
Sr.No. Name of Owners Name of Type DWT BHP Engine type UMS Rank From To Total Reason
Y/N
/ Manager Vessel MM/DD for
S/OFF
1
10
11
12