Wa0004.0

Issue Date 15.05.
2022
SAKR MANNING AGENCY Revision Date 19.07.2022
Revision 1.1
Crewing Management Manual Page 3
Application For Position as Electrician

Register Code.
Other Position (If Any)
1. PERSONAL DETAILS
Register Date
Full Name Mohamed Hamdy Fathy Hares
Last up Date Data
Date Of Birth 1\1\1988 Place Of Birth BEHEIRA
Expected Salary
Nationality Egyptian $60 Marital Status Single Married
Height (Cm) 179 Overall Size Shirt Size 2XL
Weight (Kg) 85 Trouser Size 36 Shoes Size 44
2. EDUCATION
College / School Industrial technical high school
Marline Test Issued Date Result % Issued By (Authority) Issued At
English Language Fluent Good Average Poor

……… Language Fluent Good Average Poor
3. CONTACT DETAILS
Home Address / City Damanhour \ Shubra road EL Nasr Street
E-Mail Mohamedhares221@gmail.com Mobile / Tel +201095198350
4. TRAVEL DOCUMENTS
Type Document No. ISS. Date Exp. Date ISS. By (Authority) Place of Issue
Passport A30645288 11\6\2022 10\6\2029 Egyptian Authority BEHEIRA
Seaman Book S00012886 3\2\2021 31\1\2026 EAMS Alex.

Republica De PA0186678 7\2\2022 1\10\2026 Panama Panama
panama
5. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY
Certificate Name Number Issue Date Expiry Date Issued By Issued At
COC EAMS Alex.
GOC NTRA Cairo
D.P. INDUCTION
D.P. ADVANCED
D.P. OPERATOR (UNLIMITED)
6. NEXT OF KIN
Full Name Islam Hamdy Fathy Hares Relationship brother
Address Damanhour \ Shubra road EL Nasr Street
Tel. No. Mobile +201017541846
7. HEALTH CERTIFICATES & VACCINATIONS
Flag State Number Issue Date Expiry Date Issued By Issued At
International Medical xxx-xxx-xx 14\6\2021 13\6\2024 EAMS Alex.
Yellow Fever Ministry of Health
Cholera Ministry of Health
Vaccination Name First Dose Second Dose
Covid-19 (Other Does or Remarks)
Pfizer Pfizer Pfizer
8. MARINE COURSES
1 of 5 SMA/CMF/01
Course Name Number Issue Date Expiry Date Issued By / At
Personal Survival Techniques 20403\19\EG 9\6\2019 29\5\2024 Arab

Academy.alex
Proficiency In Personal Survival Techniques
Arab
Fire Prevention and Fire Fighting 20403\19\EG 9\6\2019 29\5\2024
Academy.alex
Advanced Fire Prevention and Fire Fighting
Arab
Elementary First Aid 20403\19\EG 9\6\2019 29\5\2024
Academy.alex
Medical Care Studies
Personal Safety and Social Responsibilities 20403\19\EG 9\6\2019 29\5\2024 Arab
Academy.alex
Arab
Proficiency Of Security Awareness Training Seafarers 33226\19\EG 17\9\2019 15\9\2024
Academy.alex
Proficiency as a ship Security officer ( PSSO )
Arab Republic of
Proficiency In Survival Craft & Rescue Boats NC 23105 14\1\2021 30\12\2025
Egypt
G.M.D.S.S
Communications
Advanced Communications
ECDIS Advanced Simulator (Management Level)
ECDIS Simulator (Operation Level)
Prevention and Combating of Marine Pollution
Radar & ARPA Simulator and Search &rescue
ARPA Simulator and Search
Marine Radar and automatic Radar Plotting
Bridge resource Management (B.R.M)
Engine resource Management (E.R.M)
Navigational Watch keeping
Proficiency for Rating forming part of Navigational watch (II/4) EAMS / Alex.
High voltage training – operation of ship (1000 Volt and More)
Passenger Safety Cargo Safety and Hull integrity
Crowd Management Training
Crisis Management and Human Behavior Training
Safety training for Personal Prov. Direct Passengers
Practical Ability to Prepare Meals and (MLC 2006)
Personal Hygiene and Envir. Protection (MLC 2006)
Safety and Health in the Provision Meals (MLC 2006)
Food Storage and inventory Control (MLC 2006)
Ships Cook Certificate (MLC 2006) EAMS / Alex.
Abel Seafarer Deck
Proficiency for Abel Seafarer Deck ( II/5 ) EAMS / Alex.
Engineering Watch keeping EAMS / Alex.
Proficiency for Rating forming part of a watch in engine room
Abel Seafarer Engine
Proficiency for Abel Seafarer Engine ( III/5 ) EAMS / Alex.
Arab Republic of
Electro Technical Rating NET 25
Egypt
Proficiency for Electro Technical rating ( III/7 ) 00019 29\7\2021 xxx-xxx-xx EAMS / Alex.
2 of 5 SMA/CMF/01
3 of 5 SMA/CMF/01
COMPLETE SEA – SERVICE DETAILS
Name: Rank: Register Code:
Company Name Rank Vessel Name Signed On Signed Off Period Vessel Type D.W.T. Engine Type BH KW
Maridive & oil services Electrician MD 208 12\3\2018 10\4\2018 29 AHTS (DP2) 1855 WARTSILA 6130 4430
Maridive & oil services Electrician ZOHR2 20\10\2019 17\11\2019 28 PSV(DP2) 3214 MAK 8064 6000
Maridive & oil services Electrician ZOHR2 4\6\2020 1\712020 27 PSV(DP2) 3214 MAK 8064 6000
4 of 5 SMA/CMF/01
SPECIALISED EXPERIENCE
Name Type From To Comments
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, given and sign by
persons whose names appear on them.
DATE SIGNATURE
5 of 5 SMA/CMF/01

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Issue Date 15.05.

SAKR MANNING AGENCY Revision Date 19.07.2022

Crewing Management Manual Page 3

Application For Position as Electrician

English Language Fluent Good Average Poor

Seaman Book S00012886 3\2\2021 31\1\2026 EAMS Alex.

Personal Survival Techniques 20403\19\EG 9\6\2019 29\5\2024 Arab

Name: Rank: Register Code:

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