13.

COMPLETE SEA SERVICE DETAILS

LAST VESSELS FIRST
NAME: LAST RANK: Engine Cadet AVALIABILITY DATE:
Immediately
Anas Adel Elsayed Ahmed Darwish 17.05.2023
MONTHS TYPE OF ENGINE TYPE
COMPANY NAME RANK VESSEL NAME SIGNED ON SIGNED OFF D.W.T. BHP KW
(eg 4.2) VESSEL ( ENGINEERS ONLY)

None

14. SECURITY & REFERENCE CHECK CONTACT DETAILS

1st COMPANY 2nd COMPANY 3rd COMPANY
COMPANY NAME None

ADDRESS None

PHONE NO. None

E-MAIL None

CONTACT PERSON None

I declare that the information I have given is, to the best of my knowledge, true and complete. I also declare that the documents submitted are genuine and have been signed by the person whose name appears on them.

Name Anas Adel Elsayed Ahmed Darwish Signature Date 17.05.2023