CURRICULAM VITAE / APPLICATION FORM

CREW DETAILS: (please use BLOCK letters)

FULL NAME Mohamed gamal

RANK 2nd Officer ( Chief Officer COC )
DATE OF BIRTH 26-Nov-91
PLACE OF BIRTH Ismailia , Egypt
NATIONALITY Egyptian
MARITAL STATUS Single
RELIGION Muslim
MOBILE & EMAIL & SKYPE ID 201024883740 mohamedjamal1177@gmail.com
CONTACT ADDRESS shobak ikrash ,dyarb negm.alsharqya ,egypt

BLOOD GROUP B+
PORT OF DEP & ARRIVAL Cairo Airport
COVERALL SIZE L
SAFETY SHOE SIZE 44

LICENSE DETAILS: (if not applicable - please mention N/A)

No. Document Type Number Place / Date of Issue Expiry

1 COC 6824 21-2-2023 Egypt 3-Nov-27
2 COE N/A
3 GMDSS- GOC 49121\16\EG 01-11-2021 Egypt 1-Nov-26
4 GMDSS- GOE N/A

TRAVEL DOCUMENT: (if not applicable - mention N/A)

No. Document Type Number Place / Date of Issue Expiry

1 PASSPORT A33415021 18-03-2023 Egypt 17-Mar-30
2 SEAMAN BOOK / CDC S00029190 22/02/2023 Egypt 3-Nov-27
3 ILO / MLC MEDICAL 12046 09-03-2023 egypt 8-Mar-25

CERTIFICATE OF PROFICIENCY: (if not applicable - mention N/A)

No. Certificate Title Number Place / Date of Issue Expiry

1 N/A N/A N/A

BST – Basic Safety Training
2 PSCRB – Proficiency in Survival 35322/22/EG 11/17/2022 16-Nov-27
Craft and Rescue Boat

3 FRB/FRC – Fast Rescue Boat/Craft N/A N/A N/A

4 AFF – Advance Fire Fighting 34413/22/EG 11/10/2022 9-Nov-27

5 MFA – Medical First Aid 4650/20/EG 2/6/2020 5-Feb-25

 6 MCO – Medical FiCare Onboard 33391/22/EG 11/3/2022 2-Nov-27

7 SSO – Ship Security Officer 36232/22/EG 11/27/2022 23-Nov-27

8 RADAR 31454/22/EG 10/19/2022 N/A

9 ARPA 31454/22/EG 10/19/2022 N/A

10 ECDIS 35263/22/EG 11/17/2022 16-Nov-27

11 BRM – Bridge Resource 59993/16/EG 12/22/2016 N/A

Management

OTHER TRAININGS & CERTIFICATION: (if not applicable – mention N/A)

No. Document Type Number Place / Date of Issue Expiry

1 BOSIET – OPITO
2 H2S – Basic
3 AED
4 HUET 1/28/2021 1/27/2025

NEXT OF KIN DETAILS: (mandatory)

Contact Details
Sl. No. Name Relationship with Crew Address
(E-mail / Telephone
1 Gamal Mohamed Father Same 201117071803

REFERENCE DETAILS: (mandatory for previous 2 company’s)

Contact Details
Sl. No. Employer Name Contact Person / Dept. Designation / Dept.
(E-mail / Telephone
1 Will provide after complete all process

DATE: 31-Aug-23
PLACE: KSA
CREW Mohamed Gamal
SEA SERVICE DETAILS: (mandatory last 2 - 4 yrs. of sea service)

Total Days (on-

No. Name of Vessel Type of Vessel Rank GRT / BHP Sign On Sign Off Area/Field of Operation Company
board)

1 ARKSTAR EAGLE 1 AHTS 2nd Officer 1373 25-Feb-2017 19-May-2017 83 UAE Allinz middle east

2 AMIL 17 AHTS 2nd Officer 1641 8-Aug-2019 17-Jan-2020 162 UAE Allianz middle east

3 GMS SHMAL 5601 SPJB 2nd Officer 4063 7-Sep-2020 30-Jan-2021 145 UAE GMS

4 PEPPER 4501 SPJB 2nd Officer 3666 7-Feb-2021 22-Sep-2021 227 UAE GMS

5 ZAMIL LB1 SPJB 2nd Officer 4011 20-Dec-2021 14-Jun-2022 176 KSA Zamil Offshore

6 ZAMIL LB1 SPJB 2nd Officer 4011 14-May-2023 Till Now KSA Zamil Offshore

10

11

12

TOTAL SEA SERVICE (in days) 793

DATE: 31-Aug-23
PLACE: KSA
CREW NAME & SIGN: Mohamed Gamal