Neptune Shipmanagment Services Pte Ltd

Fleet Personnel Department/ Marine Training Department

456 Alexandra Road #07-00 NOL Building Singapore 119962
Email: Seastaff_Recruit@apl.com

APPLICATION FOR SEA-GOING EMPLOYMENT

(DECK OFFICER/ENGINEER OFFICER)

Attach recent
color photo
(Passport Size)
POST APPLIED FOR JUNIOR OFFICER
(Form to be filled in by Applicant in block letters)

THIS FORM HAS BEEN DESIGNED TO PROVIDE US WITH THE BASIC INFORMATION FOR EASY PROCESSING OF
YOUR APPLICATION. IT ALSO SERVES AS OUR PERSONNEL RECORD SHOULD YOU BE EMPLYED. IT IS ESSENTIAL
FOR YOU AND HELPFUL TO THE INTERVIEWER THAT THE FORM IS NEATLY AND CAREFULLY FILLED IN. ALL
PARTS ARE TO BE COMPLETED. PLEASE STATE “N.A.” WHEN NOT APPLICABLE.
PERSONAL PARTICULARS:

NAME (AS IN PASSPORT): SILAMBARASAN A/L MUNIANDY

ADDRESS: NO 64C, TAMAN DESA AMAN 4,

LRG 8,SG.LALANG SUNGAI PETANI,
08000 BEDONG KEDAH DRUL AMAN

     

     

TELEPHONE: (1) 044580560 TELEPHONE (2)/FAX:      

MOBILE: +60194915634 EMAIL ADDRESS:

silambarasanmuniandy21@gmail.com
WEIGHT: 65 (KGS) HEIGHT178 (CM)

DATE & PLACE OF BIRTH: 21/06/1992 MARITAL STATUS: SINGLE

NATIONALITY: COUNTRY OF DOMICLE:       RELIGIONHINDU

MALAYSIAN

NRIC NUMBER (FOR SINGAPOREANS/MALAYSIANS):920621-02-6249

NEXT OF KIN:      DATE OF BIRTH:21/06/1992 RELATIONSHIP:SINGLE

ADDRESS (IF DIFFERENT TO ABOVE):      

TELEPHONE:      
NATIONAL SERVICE LIABILTY (FOR SINGAPOREANS ONLY): Please choose an option

LANGUAGE/DIALECT PROFICIENCY: ENGLISH

SEAMAN’S DISCHARGE BOOK NO: TRADE       EXPIRY:      

4587303141A
PASSPORT NO: A26590380 PLACE/DATE EXPIRY: 29/MAY/2017
ISSUE:MALAYSIA/29 MAY
2012

VISA HELD: (1)       PLACE/DATE ISSUE:      EXPIRY:      

VISA HELD: (2)       PLACE/DATE ISSUE:      EXPIRY:      

VISA HELD: (3)       PLACE/DATE ISSUE:     EXPIRY:      

S.T.C.W. 95 ENDORSEMENT Yes PLACE/DATE ISSUE:      EXPIRY:      

S.T.C.W. MODULAR CERTIFICATES (PHOTOCOPIES REQUIRED)

Certificate of Competency/Diploma
Licence/certificate Certificate Number Country of Issue Date of Issue Date of Expiry
CERTIFICATE OF 31100784DII MALAYSIA 15-JAN-2014 15-JAN-2019
WATCHKEEPING
RATING FOR
DECK
                             
                             
                             

No Type of STCW Course Place of Issue Date of Date of

Issue Expiry
1 FIREFIGHTING COURSE (BASIC/ADVANCE) MARINE 21-04-2016 20-04-2021
DEPARTMENT
MALAYSIA
2 FIRST AID AT SEA (BASIC/ADVANCE) NICHE 15-O4-2016 -
MASTERPIECE
SDN.BHD
3 PERSONAL SAFETY & SOCIAL                 
RESPONSIBILITIES (PSSR)
4 PERSONAL SURVIVAL CRAFT &* RESUCE PELITA 04-09-2015 10-09-2020
BOAT (PSC) AKADEMI
SDN.BHD
5 MEDICAL FITNESS CERTIFICATE                  
6 GMDSS / GOC MALAYSIA 05-06-2015 04-06-2020
MARITIME
ACADEMY
7 SHIP HANDLING COURSE                  
8 TANKER FAMILIARIZATION / ADVANCE MARINE 17-10-2012      
TANKER COURSE DEPARTMENT
MALAYSIA
9 RADAR OBSERVER / ARPA COURSE / MARINE 10-07-2015      
RADAR SIMULATOR DEPARTMENT
 MALAYSIA
10 NAVIGATIONAL CONTROL / ELECTRONIC PELITA 19-06-2015     
NAVIGATION COURSE AKADEMI
SDN.BHD
11 DANGEROUS CARGO ENDORSEMENT (OIL)                  
12 BRIDGE RESOUCE MANAGEMENT (BRM)                  
13 BRIDGE TEAM MANAGEMENT (BTM)                  
14 HAZMAT COURSE                  
                            
                             

EDUCATION & TRAINING

A. GENERAL EDUCATION:
SCHOOLS, COLLEGES, ATTENDED PERIODS:

1) SEKOLAH JENIS KEBANGSAAN BEDONG 1999-2003

2) SEKOLAH JENIS KEBANGSAAN 2003-2004
MALAKOFF
3) SEKOLAH MENENGAH KEBANGSAAN 2005-2009
BEDONG
4)            
HIGHEST STANDARD PASSED: SPM

B. TECHNICAL OR FURTHER EDUCATION:

COLLEGE ATTENDED PERIODS:

1) SARAWAK MARITIME ACADEMY 2010-2012

2)           
3)            
CERTIFICATE/DIPLOMA OBTAINED: DIPLOMA

C. TRAINING – APPRENTICESHIP OR CADETSHIP:

COMPANIES PERIODS:
1) HUB SHIPPING SDN.BHD 27/12/2012 - 03/082013
2) BELL SHIP      
3) HUB SHIPPING SDN.BHD 22-06-2014 - 23-03/2015
STATE TYPE OF WORK:
DECK CADET

D. IT SKILLS AND TECHNICAL KNOWLEDGE:

PLEASE STATE THE SOFTWARE APPLICATIONS YOU ARE FAMILIAR WITH.
MIROSOFT WORD
     
     

SUMAMMARY OF EXPERIENCE
PLEASE FILL UP THE APPROPRIATE TABLE
ENGINEER APPLICANTS PERIODS NAVIGATOR APPLICANTS PERIOD
B& W       TANKER 24/04/2014 - 30/05/2014
SULZER       BULK CARRIER      
MAN       ORE CARRIER      
SEMT PIELSTICK       GENERAL CARGO      
SHIP
STEAM TURBINE      CONTAINER SHIP 17 MONTH
OTHERS       OTHER      
TANKER      
EXPERIENCE

NAME & ADDRESS TYPE OF FG ./H.T./ RANK PERIOD

OF EMPLOYERS: SHIPS/ENGINES – COASTAL: SERVICE
GRT/BHP FROM ____ TO
1)HUB SHIPPING CONTAINER/GRT:8214 F.G DECK CADET 27/12/2012 -
SDN.BHD 03/08/2013
2)BELSHIPS TANKER COASTAL DECK CADET 24/04/2014-
30/05/2014
3)HUB SHIPPING CONTAINER/GRT:8214 F.G DECK CADET 22/06/2014-
SDN.BHD 23/03/2015
4)                             
5)                            
6)                            
7)                            

SHORE EMPLOYMENT:
NAME/ADDRESS NATURE OF PERIODS REASON FOR LAST DRAWN
OF PAST WORK FROM_____ TO LEAVING LAST SALARY (US$)
EMPLOYERS EMPLOYMENT
                             
                             
                             
                             
                             
                             
                             

TESTIMONIALS/ REFERENCES OF PREVIOUS EMPLOYMENT (IF ANY) TO BE ATTACHED:

DATE AVAILABLE FOR EMPLOYMENT WITH N.S.S.P.L

Answer the question by choosing the correct choice accordingly.

i. Have you ever applied to join NSSPL before?
No

If yes, please state date and position applied.

     
 ii. Have you ever been convicted in a court of law?
No

If yes, please state date and position.

     

iii. Have you ever been placed on probation for criminal offence or detained for any other reasons?No

If yes, please state date and position.

     

iv. Have you ever suffered from any serious illness or physical defects eg. Epilepsy?
No

If yes, please state date and position.

     

DECLARATION TO BE SIGNED BY THE APPLICANT

I hereby declare that information given in this form to be true and correct and that I have withheld nothing
that would affect this application. I also understand that if employed, my services may be terminated if any
of the information given above is false or not revealed. I understand that a strict medical examination is a
condition precedent to selection for appointment and I express my willingness to be examined (if required)
and to furnish the results accordingly with full details of my past medical history as required.

___________________________ ___________________________
Signature of Applicant Date

RESERVED FOR OFFICIAL USE ONLY