SAKR MANNING AGENCY Issue Date 15.05.

2022

FOR RECRUITING EGYPTIAN LABOR ABROAD Revision Date 27.05.2023

Crewing Management Manual Revision 1.2

Seafarer Employment Application Page 3

Application For Position as CHIEF ENGINEER

Register Code.
Other Position (If Any)
Register Date 29/07 /2023
Last up Date Data
Expected Salary

1. PERSONAL DETAILS
Full Name SAMY Elsayed Mohamed Abd Elmawguod
Date Of Birth 27/08/1975 Place Of Birth ALEX.
Nationality Egyptian Marital Status Single ☐ Married √
Height (Cm) 170cm Overall Size M Shirt Size M
Weight (Kg) 65kg Trouser Size M Shoes Size 41
2. EDUCATION
College / 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 18str.ELGOMROWK ALEX.
E-Mail Samy1975.se@gmail.com Mobile / Tel +2 01005890947
4. TRAVEL DOCUMENTS
Type Document No. ISS. Date Exp. Date ISS. By (Authority) Place of Issue
Passport A22378031 26/04 /2018 25/04/2025 Egyptian Authority ALEX.

Seaman Book S00032833 18/07 /2023 13/06/2028 EAMS ALEX.

Other Seaman Book
5. PROFESSIONAL QUALIFICATION / CERTIFICATE OF COMPETENCY
Certificate Name Number Issue Date Expiry Date Issued By Issued At
COC ( Rank) ………….. 3507 18/07 /2023 13/06/2028 EAMS Alex.
GOC NTRA Cairo
D.P. INDUCTION
D.P. ADVANCED
D.P. OPERATOR (UNLIMITED)
6. NEXT OF KIN
Full Name Relationship
Address
Tel. No. Mobile
7. HEALTH CERTIFICATES & VACCINATIONS

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 Flag State Number Issue Date Expiry Date Issued By Issued At
International Medical √ 03/08/2023 01/08/2025 EAMS Alex.
Yellow Fever √ Ministry of Health

Cholera √ Ministry of Health

Vaccination Name First Dose Second Dose

Covid-19 23/11/2021 (Other Does or Remarks)
Johnson&Johnson X

8. MARINE COURSES

Course Name Number Issue Date Expiry Date Issued By / At

Personal Survival Techniques
Proficiency In Personal Survival Techniques L695089 20/06 /2023 18/06/2028 A. A. S. T
Fire Prevention and Fire Fighting
Advanced Fire Prevention and Fire Fighting L694930 19/06 /2023 18/06 /2028 A. A. S. T
Elementary First Aid L695529 22/06 /2023 18/06 /2028 A. A. S. T
Medical Care Studies
Personal Safety and Social Responsibilities L695643 22/06 /2023 18/06 /2028 A. A. S. T
Proficiency Of Security Awareness Training Seafarers L695885 04/07 /2023 18/06 /2028 A. A. S. T
Proficiency as a ship Security officer ( PSSO )
Proficiency In Survival Craft & Rescue Boats L695498 22/06 /2023 21/06 /2028 A. A. S. T
G.M.D.S.S
Communications
Advanced Communications
ECDIS Advanced Simulator (Management Level)
ECDIS Simulator (Operation Level)
Prevention and Combating of Marine Pollution 33826 /13 /EG 10/10 /2013 XXXXXX A. A. S. T
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
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Abel Seafarer Engine
Proficiency for Abel Seafarer Engine ( III/5 ) EAMS / Alex.
Electro Technical Rating
Proficiency for Electro Technical rating ( III/7 ) EAMS / Alex.

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 COMPLETE SEA – SERVICE DETAILS

Name: Rank: Register Code:

Flag
Company Name Rank Vessel Name Signed On Signed Off Period Vessel Type D.W.T. Engine Type BH KW
MULTIPURPO
ELREEDY SHIPPING ELREEDY STAR
AGENCY
CH.ENG. CMA CGM
EGYPT 27/01/2023 24/05/2023 4 S& 22000 MITSUBISHI 11200 8250
CONTAINER
MULTIPURPO
ELREEDY SHIPPING ELREEDY STAR
AGENCY
CH.ENG. CMA CGM
EGYPT 10/12/2021 24/07/2022 7 S& 22000 MITSUBISHI 11200 8250
CONTAINER
MULTIPURPO
ELREEDY SHIPPING ELREEDY STAR EGYPT
AGENCY
CH.ENG. CMA CGM
03/09/2020 09/02/2021 5 S& 22000 MITSUBISHI 11200 8250
CONTAINER

ELREEDY SHIPPING PANAMA BARRERAS

AGENCY
CH.ENG. SCII 13/04/2021 28/10/2021 6.5 CEMENT 5500
DEUTZ
4150 3096

NAMMA SHIPPING RORO

LINE
CH.ENG. MASSARAH SAUDI 03/11/2018 25/04/2020 17
PASSENGER
11495 WERKSPOOR 4150 3096
ARABIA
NAMMA SHIPPING SAUDI RORO KAWASAKI - 2×1000
CH.ENG. MAWADAH ARABIA 12/12/2017 22/09/2018 9 16961 7500
LINE PASSENGER MAN V9 40/54 0
SAUDI
NAMMA SHIPPING ARABIA RORO
CH.ENG. MAHABBAH 02/01/2016 26/07/2016 7 14707 IHI PIELSTICK 9450 7000
LINE PASSENGER

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SPECIALI
SED
EXPERIEN
CE
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

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