SEAFARER EMPLOYMENT APPLICATION FORM
Sir,
With due respect & humble submission I beg to lay before
you that I’m Md. Nazmul Huq Shakil. I
passed out from Bangladesh Marine Academy (A Branch of
World Maritime University, Sweden) as a cadet of 51st batch. I
am very much interested in joining your company.
POST APPLIED FOR: ENGINE CADET
(A) TYPES OF VESSEL APPLYING FOR: Email ID nazmulsshhaakkiill@[Link]
n_shakil@[Link]
(a) Tanker [Chemical/Oil/Gas] Contact +8801766073271,
(b) Container +8801916352662
(c) Cargo Language English, Bengali
(B) PERSONAL PARTICULARS:
Name In Passport: MOHAMMAD NAZMUL HUQ SHAKIL
Present Address: 17/3-A,West Matikata, Dhaka Cantonment, Dhaka-1206
Permanent Address Vill: Ahmedpur, PO: Ahmedpur
PS: Aminpur, Dist: Pabna
Date of Birth: 13th November 1994
Place & Country of Birth: Pabna, Bangladesh
Nationality Bangladeshi
Religion Islam
Gender Male
Marital Status Unmarried
(C) GUARDIAN'S PARTICULARS:
Next of kin: Md. Zillur Rahman Sheikh Relationship: Father
Occupation: Service Holder Company: Bashundhara Group
Address of Next of kin: 17/3-A, West Mobile No: +8801718524922
Matikata, Dhaka Cantonment, Dhaka-1206
Office address: Baridhara Residential Area Nationality: Bangladeshi
Note: Retention period of completed form is permanent if employed.
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(D) ACADEMIC QUALIFICATIONS:
From To Institutions Course/Degree Grade
2015 2016 Bangladesh Marine Academy BMS 3.33(4.00)
2009 2011 Adamjee Cantonment College HSC 5.00
2001 2009 Adamjee Cantonment Public SSC 5.00
School
(E) PERSONAL DOCUMENTS:
Document Document No Issue Date Expiry Date
International Passport BB0260652 26/05/2014 25/05/2019
Discharge book (CDC) C/O/9646 26/01/2017 25/01/2022
(F) STCW CERTIFICATES:
A-V/1-1-1 Basic Training For Oil & 01-08-2016 to 14-08-2016 Bangladesh Marine
Chemical Tanker Cargo Operations Academy
A-VI/6-1 Security Awareness Training 20-02-2016 Bangladesh Marine
Academy
27-02-2016 to 28-02-2016 Bangladesh Marine
A-VI/6-2 Designated Security
Academy
Duties
A-VI/1-2 Fire Prevention & Fire Bangladesh Marine
05-03-2016 to 07-03-2016
Fighting Academy
A-VI/1-4 Personal Safety & Social Bangladesh Marine
02-04-2016 to 04-04-2016
Responsibilities Academy
Bangladesh Marine
A-VI/1-3 Elementary First Aid 04-06-2016 to 06-06-2016
Academy
A-VI/1-1 Personal Survival Bangladesh Marine
07-05-2016 to 09-05-2016
Techniques Academy
MEDICAL AND VACCINATION REMARKS APPROVED BY
Medical Examination (MLC ) Approved Port Health Officer
Yellow Fever Approved Port Health Officer
Cholera Vaccination Approved Port Health Officer
Note: Retention period of completed form is permanent if employed.
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(G) EXTRA QUALITIES & SKILLS:
1. Event Management
2. Leadership
3. MS Office, Microsoft Excel, Power Point.
4. AUTOCAD Design for Engineering Drawing (2D & 3D)
5. C++ Programming
6. Welding
7. Games and Sports
Sir, it will be a great news for me that I will be selected for your shipping company as a trainee
engineer & it will be remarkable for me to complete my sea time in a company like yours. I
would like to provide valuable contribution through my knowledge and skills to develop and
maximize my abilities towards my profession in the maritime industry.
(H) DECLARATION BY APPLICANT:
I certify that all statements given on this application are correct and true to my
knowledge. I also understand that falsification or misrepresentation ( intentionally
or unintentionally ) in this or any other personnel records can result in my immediate
dismissal and forfeiture of all wages, allowances and benefits if I am employed by
the Company. I do agree to submit myself to a thorough medical examination, which
I must successfully pass as one of the conditions for being accepted for
employment.
DATE:27/05/2017 ------------------------------------
Signature of the
Applicant
All the documents are attested with this CV
Note: Retention period of completed form is permanent if employed.
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Attested Documents
1. CDC
2. Passport
3. Pre-Sea Engineering Science( Phase-1 )
4. Nationality & Character Certificate
5. Mark sheet
6. Six Basic Course certificates
7. Basic Tanker Course
Note: Retention period of completed form is permanent if employed.
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Note: Retention period of completed form is permanent if employed.
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