FIGURE 13 SELECTION AND ENGAGEMENT CHECKLIST MSML

GENERAL
MSML ID Column1
Last Name MOUSTAFA
Fore Name(s) MAHMOUD
Rank SECOND MATE
Date of Birth 7-Jan-88
Place of Birth ALEXANDRIA
Nationality EGYPTIAN
TRAVEL DOCUMENTS DoI DoE Document No
Passport with not less than (4) blank / empty pages 8/24/2022 23 August 2029 A31332443
Seaman's Book (National) 04 October 2022 14 August 2027 S00025813
Seafarer's Identity Document
US Visa / Police clearance required if not available
Schengen Visa / Optional
Yellow Fever 11 October 2022 UNLIMITED 1922
CONTACT INFORMATION
Mobile No 1 +201097811576 Mobile No 2
Res Tel No +2035257274 Manning Agent
Email ID TOPGUNFOREVER1988@GMAIL.COM Manning Agent Email ID
Departure Airport HBE AIRPORT OR CAIRO INTERNATIONAL
PRE - EMPLOYMENT DOCUMENTS DATE RESULT
Mideast Application Form
Marlins Test NOVERMBER 2022 93 %
Psychometric Assessment for Sr. Officers only
Pre - joining CES for all officers NOVERMBER 2022 83 %
Background Security Check 1 (Last Employer)
Background Security Check 2 Police clearance
VESSEL & EMBARKATION INFORMATION
Vessel Name PANDA ECDIS Type Fitted ENCS
Vessel Flag PANAMA Ack for Introduction to MMS
Port of Embarkation 11/4/2021 Date of Departure 01 May 2022
Visa for Port of Embarkation ALEXANDRIA Length of Contract (months) 6 MONTHS
MEDICAL DOCUMENTS Issuance Date Expiry Date
International Medical Certificate. "STCW 95 / MLC ‘2006" 10 October 2022 09 October 2024
Mideast Medical (only Sr Officers 1 time)
Flag State Medical (if applicable)
Drug & Alcohol Test
Pre - Joining Chemical Blood Test
STCW & OTHER CERTIFICATES Issuance Date Expiry Date
Certificate of Competency 22 September 2022 14 August 2022 Grade & Nationality of CoC
Certificate of Proficiency for Ratings
Certificate of Competency/Proficiency Verification
EFA / MFA / Medicare
PSSR
PST
PSCRB
FPFF / AFF
Oil Tanker Course BEING RENEWED Familiarization / Specialized
Chemical Tanker Course BEING RENEWED Familiarization / Specialized
Dangerous Cargo Endorsement (Oil) BEING RENEWED Operational / Management
Dangerous Cargo Endorsement (Chemical) BEING RENEWED Operational / Management
GMDSS (Deck only) 07 September 2022 29 August 2027
ROC/ARPA (Deck only)
SSO Course (Master & C/Off only A-VI/5)
Security Training 21 August 2022 17 August 2027 (Seafarers with Designated Security Duties A-VI/6-2)
ECDIS - Generic (Deck only) 29 August 2022 UNLIMITED IMO 1.27 compliant
ECDIS - Type Specific (Deck only-Tick Checkbox) JRC (700/900/2000) JRC (7201/9201)
ECDIS - Type Specific (Deck only-Tick Checkbox) SPERRY FURUNO
Ship Handling (Master & Chief Officer only)
BTM / BTRM / ERM 12 October 2022 UNLIMITED
SOTC (Master & Chief Officer only)
Certificate of Qualification as Cook
VALUE ADDED TRAINING Issuance Date Expiry Date
CES for all officers 21 November 2022 20/11/2024 Valid for 2 years. Request training to arrange.
Risk Assessment
Accident / Incident Investigation
Liquid Cargo Handling Simulator
Certified Welder
HAZMAT For RoRo. Training to arrange if not available
Training in Forlift Operation For RoRo. Training to arrange if not available
Crane Operation For RoRo. Training to arrange if not available
Food & Catering Management
FLAG STATE DOCUMENTS (VESSEL) Issuance Date Expiry Date
CoC
Seaman's Book
Dangerous Cargo Endorsement (Oil)
Dangerous Cargo Endorsement (Chemical)
SSO Endorsement
GMDSS (Deck only)
FLAG STATE DOCUMENTS (OTHER) Issuance Date Expiry Date
CoC
Seaman's Book
Dangerous Cargo Endorsement (Oil) BEING RENEWED
Dangerous Cargo Endorsement (Chemical) BEING RENEWED
SSO Endorsement
GMDSS (Deck only) 07 September 2022 29 August 2027
All of the above information has been verified and found to be correct. and Certificates are valid for the expected tour of duty plus Two (2) months and Passport valid for
the expected tour of duty plus Six (6) months /180 days.
I confirm that I am in possession of all of the above mentioned documents in ORIGINAL
Seafarer's Name:- MAHMOUD MOUSTAFA ABDALLAH Date:- 22/1/2022

Version No.011-Mar 2022 - Copyright Mideast Ship Management Ltd. © All Rights Reserved