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    Gulzar Ahmad
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    This document appears to be an application form for the position of marine officer or crew member with WAHA Marine Agency. It requests personal details like name, nationality, date of birth, contact information, passport details, certificates, qualifications, references from previous employers, and record of sea service including vessel names, companies worked for, positions held, and dates of employment. The level of detail requested is typical for an application to work in the marine/shipping industry.

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    This document appears to be an application form for the position of marine officer or crew member with WAHA Marine Agency. It requests personal details like name, nationality, date of birth, contact information, passport details, certificates, qualifications, references from previous employers, and record of sea service including vessel names, companies worked for, positions held, and dates of employment. The level of detail requested is typical for an application to work in the marine/shipping industry.

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    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    51 views4 pages

    CV Format Parviz.

    Uploaded by

    Gulzar Ahmad
    This document appears to be an application form for the position of marine officer or crew member with WAHA Marine Agency. It requests personal details like name, nationality, date of birth, contact information, passport details, certificates, qualifications, references from previous employers, and record of sea service including vessel names, companies worked for, positions held, and dates of employment. The level of detail requested is typical for an application to work in the marine/shipping industry.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as doc, pdf, or txt
    of 4

    WAHA MARINE AGENCY

    Application Form
    Paste photo

    Full Name
    (Surname) (Given Name) (Middle Name)

    Readyness
    Rank Applied for
    to Join
    Current salary
    Nationality
    Expected Salary

    Date of Birth Age


    Place Of Birth Country Of Birth

    Permanent Address

    Present Address

    Telephone Number
    Mobile Number
    Email
    Nearest International Boiler Suite Size
    Airport Safety Shoe Size

    Next of Kin Details


    Name Relationship
    Contact Details
    Passport Details
    Date Issued
    Passport Number
    Expiry Date
    Place Issued Country of Issue
    Seaman Book Details
    Date Issued
    Seaman Book Number
    Expiry Date
    Place Issued Country of Issue
    Certificate of Competency Details
    Date of Issue
    Certificate Grade
    Expiry Date
    Certificate Number Country Of Issue
    STCW Regulation Revalidation Date
    GMDSS Certificate Details
    Date of Issue
    Certificate Number
    Expiry Date
    Date of Issue
    Endorsement Number
    Expiry Date
    Flag Documents
    Do You Have any VALID flag Endorsements and Flag Seaman Book [ St. Vincent / Marshal
    WAHA MARINE AGENCY
    Island/Panama/Liberian]
    If yes, Please advise Flag Name & Details of Documents:

    STCW Certificate Details


    Issue Date Expiry Date Issued At
    Basic Safety Training
    Personal Survival Techniques
    Proficiency in Survival Crafts
    & Rescue Boats
    Fire Prevention & Fire
    Fighting
    Advanced Fire Fighting
    Basic First Aid
    Medical Care / Medical First
    Aid
    Personal Safety & Social
    Responsibility
    Ships Security Officer[SSO]
    ARPA
    ROC
    Offshore Training Certificate Details
    Issue Date Expiry Date Issued At
    Basic/Advanced Offshore
    Safety
    H2S
    Sea survival
    Safe Lifting
    Welding Safety
    HUET

    Anchor Handling Experience – Deck Officers & Deck Ratings


    Do You have Anchor Handling Experience Yes
    If ‘Yes’, Please fill up separate Company Anchor Handling Experience sheet
    Reference From Last Two Employers
    Company 1 Company Name Hadi H. AL Hammam
    Contact Person & Designation Albert
    Hadi H. Al-Hammam Est. Marine Services
    Marine Operations Division
    Prince Naif Street, North Rahima
    P.O Box 3, Rahima 31941
    Via. Dammam
    Kingdom of Saudi Arabia

    E-mail : marineopd@hadihammam.com

    E-mail : albert@hadihammam.com

    Contact Numbers Tel : + 966 (0)3 668 2230 / 6672969 ext. 111

    Mobile : +966 (0)501902548


    Fax :+ 966 (0)3 6673512
    WAHA MARINE AGENCY
    Company 2 Company Name Waha Offshore
    Contact Person & Designation Sunil Kumar
    Crew Coordinator

    Waha Capital PJSC.

    Abu Dhabi 28922

    Contact Numbers Tel : +971 -2 4039323


    Mob : +971-50 4438042

    Fax : +971- 2 667 7383;

    Website:www.wahacapital.ae
    WAHA MARINE AGENCY
    Record of Sea Service [starting from Last Ship]
    GRT Type of Sign on Sign off
    Vessel Name Company Type of Vessel BHP RANK
    Engine DATE DATE
    Waha 2 Waha Offshore AHT 497 2x2250 Master 16/03/11 17/09/11
    Marine
    Waha 2 Waha Offshore AHT 497 2x2250 Master 12/07/10 23/11/10
    Marine
    Waha 2 Waha Offshore AHT 497 2x2250 Master 01/10/09 10/03/10
    Marine
    Hadi-18 Hadi H.AL AHTS 1777 2x3000 Master 12/03/09 17/08/09
    Hammam
    Hadi-22 Hadi H.AL AHTS 1260 2x2700 Master 20/10/08 12/03/09
    Hammam
    Hadi-11 Hadi H.AL AHTS 1592 2x2800 Master 31/07/08 20/10/08
    Hammam
    Hadi-18 Hadi H.AL AHTS 1777 2x3000 Master 14/04/08 30/07/08
    Hammam
    Lady Mar Cap L.L.C AHT 1600 10/08/06 20/02/07
    2x2500 Master
    Hammond
    Aura Tidewater AHTS 2370 2x2580 Master 22/05/06 01/08/06
    Marine
    Gulf Balder Tidewater Marin AHT 1580 2x3700 Master 29/08/05 22/05/06
    Neftegaz 58 BUE Marine AHTS 2737 2x3600 Master 11/11/04 29/08/05

    OM BUE Marine AHTS 1571 2x2500 Master 20/02/04 11/11/04

    Type of Engines: for engineers only, BHP : for Engineers and AHTS / TUG Masters & Officers

    I hereby confirm that all the above furnished details are true

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