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Gemini Maritime CV Formate

This document is an application form for employment at Gemini Maritime Agency, specifically for the position of Oiler/Engine Cadet. It includes sections for personal details, education background, identity documents, family details, certificates, sailing experience, references, and medical history. The applicant must declare the truthfulness of the information provided and authorize contact with referees.

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chanduvai6969
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51 views4 pages

Gemini Maritime CV Formate

This document is an application form for employment at Gemini Maritime Agency, specifically for the position of Oiler/Engine Cadet. It includes sections for personal details, education background, identity documents, family details, certificates, sailing experience, references, and medical history. The applicant must declare the truthfulness of the information provided and authorize contact with referees.

Uploaded by

chanduvai6969
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
You are on page 1/ 4

Revision No:

GEMINI MARITIME AGENCY Page: Page 1 of 4


(License Num: MLA-117 & MLC 2006 Certified)
Form No: Photo
Address 6 & 6/2, Gardeen Street, Ring Road, Shyamoli – 1207, Dhaka
Email crewing@gmabd.com Website www.gmabd.com

Application for Employment

1 Position REGISTRATION NO

Position applied for: Oiler/ Engine Cadet


Are you willing to accept any other positions?
If YES, which positions would you consider?
Readiness From

2 Personal details

Given Name: Sur Name: Marital Status:


Date of Birth: Date of Place: Nationality:
Height(cm): Weight(kg): Safety Shoe: Boiler Suit:
Mailing Address: Post Code:

: +88 : +88 Email: :

3 Education Background

Name of Institute From Year To Year Highest Qualification Attained


School
College
Pre Sea-Training
Other Qualifications

4 Identity documents

DOCUMENT COUNTRY NUMBER ISSUE DATE PLACE OF ISSUE EXPIRY DATE


Passport:
Seaman’s book:
Visa – US ‘C1/D’ YES / NO
Holding Australian MCV YES / NO

5 Family details

Next Of Kin/Nominee First Name: Sur Name: Relationship:


Address:
Hand Phone No. Telephone No.
Relation Name P.O.B D.O.B. PPT NO. D.O.I. P.O.I. D.O.E.

6 National Certificate of Competency (Highest certificate of competency held)

Class/Grade Issuing Country Certificate No. Date Issued Place Issued Valid Until
CLASS-

6a National Dangerous Cargo Endorsements


Endorsement Type Certificate No. Date Issued Place Issued Valid Until
Petroleum
Liquefied Gas
Chemicals
7 Flag State Equivalent Certificates of Competency issued by other countries (Issued by countries other than in Section 6)

Class Issuing Country Certificate No. Date Issued Place Issued Valid Until
Liberia
Panama
Bahamas

7 Flag State Equivalent Dangerous Cargo Endorsements (Issued by countries other than in Section 6a)

Country Endorse Type/ Level Certificate No. Date Issued Place Issued Valid Until
Liberia
Marshall Islands Management
Panama Adv. Oil & Chemical

8 Certificates (STCW and Value added)

Issue Date Expiry Date


Course Institution Place Cert. No.
(DD/MM/YY) (DD/MM/YY)
Personal Survival Techniques
Basic / Advance Fire Fighting
Fire Prevention and Fire Fighting
Elementary First AID
Basic Training for Oil and Chemical Tanker
Cargo Operation
Medical First Aid
Capt.’s Medical Guide/ Medical Care
Proficiency in Survival Craft and rescue Boats
other than First Rescue Boat-PSCRB
Personal Safety and Social responsibility
Ship Security Officer
Tanker Familiarization (Oil, Chem, Gas)
Adv. Oil Tanker Course
Adv. Chemical Tanker Course
Bridge & Eng. Room Resource Mgmt.
Shipboard Safety Officer
Marine Environment Protection
ISPS Code Familiarization
Automatic Radar Plotting Aid (ARPA)
Electronic Navigation System
Security Awareness Training (SAT)
Security Training for Seafarer with
designated Security Duties
High Voltage Installation
Elect. Chart Display & Info System
OTHER RELEVANT COURSES
Rating as Able Seafarer Engine (III/5)
Rating as Able Seafarer Deck (II/5)
9 Record of previous service
(Please give a full record starting with the last vessel on which you served)

VESSEL DWT GRT MAIN ENGINE BHP / SIGN ON SIGN OFF SEATIME Reason For
VESSEL NAME COMPANY FLAG RANK
TYPE (MT) (MT) Maker Type (KW) (DD/MM/YY) (DD/MM/YY) (MM-YY) Termination
10 For Engineers (Please provide Makers, Model & Capacity details)

Boilers

Generators

Cranes / Grabs

Purifiers

11 Sailing Experience: (Please advise PRESENT RANK EXPERIENCE on each type of vessel)

CONT/RFG G. CARGO BC/OBO/RR PCC/PCTC OIL/VLCC CHEMICAL PRODUCT LPG/LNG OTHERS TOTAL RANK
(MM-DD) (MM-DD) (MM-DD) (MM-DD) (MM-DD) (MM-DD) (MM-DD) (MM-DD) (MM-DD) EXPERIENCE

LAST SALARY DRAWN EXPECTED SALARY

12 References (Please give the name and address of your current or immediate past employer)
Company Name
Address
Contact Person / Designation
Contact Number/ E-Mail

13 Miscellaneous ( Please give the details of your FC account )


Bank Name Branch :
Account Name
Bank Address
Account No. Swift / BIC Code

14 Medical history
Have you ever signed off a ship due to medical reasons? Yes/No
Have you undergone any operation in the past? Yes/No
Have you consulted a doctor during the last 12 months for an illness/accident? Yes/No
Do you have any health or disability problems now? Yes/No

(If the answer is YES to any of the above, please give full details and attach a separate page if necessary)

15 Declaration
I hereby declare that the above particulars are true and authorize you to contact the referees listed above.

Name/Signature Date

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