SEAMAN EMPLOYMENT APPLICATION FORM 	
 PERSONAL PARTICULARS

NAME: MD. MASUD AHMED	EDUCATION  : MARINE FISHERIES ACADEMY,  GRADUATE              

POSITION APPLIED FOR :MASTER/CH OFFICER         NATIONALITY:  BANGLADESH        RELIGION :  ISLAM

HEIGHT: 5’ 7’’        DATE OF BIRTH :  4- AUG-1979   PLACE OF BIRTH  : NARSINGDI.

PARMANENT ADDRESS:  C/O: MD. HELAL UDDIN , VILL:   NIAMATPUR  , P.O:  NARSINGDI GOVT. COLLEGE NARSINGDI , 
P.S: NARSINGDI  SADAR    DIST:  NARSINGDI   ,  COUNTRY : BANGLADESH [  PH:   01711164551]

CDC NO: C/O/4572                                           DATE OF EXPIRE  :  09 -03 -2020
PASSPORT NO:  W 0817824/AG 9149625     DATE OF  EXPIRE:   06-12-2022

COC:  CLASS-1         Issue date : 26-04-18     Expire date : 15-05-21 

ANCILIIIARY  CERTIFICATE:
COURSE NAME	CERT. NO 	DATE OF ISSUE	VALIDITY	INSTITUTE	
PST	BDPST-001647	22-05-2016	11-10-2021	BMTI	
FPFF	BDFPFF -001497	22-05-2016	11-10-2020	BMTI	
PSCRB	BDPSCRB-001475	22-05-2016	11-10-2021	IIMT	
GMDSS	GMDSS- 196/04	16/05/2016	15-05-2021	DOS, DHAKA	
AFF	BDAFF-001373	22-05-2016	11-10-2021	MIST	
SHIP SIMULATOR &BTM	BDSMSBT-000091	22-05-2016	21-05-2021	IIMT	
EFA	BDECDIS-000303	22-05-2016	13-10-2020	MIST	
PSSR	BDPSSR-001846	22-05-2016	13-10-2020	BMTI	
TANKER FAM	TF /0419/02	18/09/2004	31-12-2016	IIMT	
BRM	BDBRMALMST-000087	22-05-2016	21-05-2021	BMTI	
STFOT	BMTI/STOT-117	20-07-2009	31-12-2016	BMTI	
SSO	BDSSO-000397	22-05-2016	21-05-2021	BMTI	
ECDIS	BDECDIS-000303	24-05-2016	23-05-2021	BMTI	
MEDICAL CARE 	BDMC-000199	22-05-2016	21-05-2021	BMTI	
STPOTO (TASCO) - SPECIALISED TRG. PROG ON OIL TANKERS	031.030626	16.01.2017	06.09.2020	
DOS, DHAKA	
CHEMCO - SPECIALISED TRAINING PROGRAMME ON CHEM .TNKR OPRS[endose]	
032.030625	16.01.2017	11.10.2020	 DOS, DHAKA 
	
SECURITY AWARNESS TRAINING	BDSWT-316	29.08.2013	25.08.2018	DOS, DHAKA	

SEA SERVICE EXPERIENCE:

NAME OF THE SHIP	RANK	FROM	TO	TOTAL	GRT	COMPANY NAME	TYPE OF VESSEL	
M.T. SALAMAT 2	DK. CADET	10-05-05	09-03-06	10 M 29 D	3121 	PHP SHIIPPING LINE	 BITUMIN TANKER	
M.T. BORAK	4TH OFF.	10-03-06	10-08-06	5 M	3121	PHP SHIIPPING LINE	BITUMIN  TANKER	
M.V.ASRAR –A- MOSTAFA	3RD OFF.	05-10-06	08-04-07	6 M 03 D	4676	CONTINENTAL LINER AGENCIES	GENERAL CARGO	
M.V. ASRAR – A- MOSTAFA	3RD OFF.	09-04-07	24-11-07	07 M 15 D	4676	CONTINENTAL LINER AGENCIES	GENERAL CARGO	
M.V. ASRAR –A- MOSTAFA	3RD OFF.	25.11.07	07.07.08	06 M12 D	4676	CONTINENTAL LINER AGENCIES	GENERAL CARGO	
M.T.. CF BRIXHAM	3RD OFF.	07-08-09	22-12-09	04 M 15 D	4568	V SHIP  MANAGEMENT(HOQ N SONS )	(DIESEL+ F.O) TANKER	
M.T. CF KIEL	3RD OFF.	10-06-10	26-08-10	02 M1 16  D	4568	LUNA SHIP MANAGEMENT(MAS)	OIL  TANKER	
M.T. KIEL	3RD OFF.	26-08-10	30-11-10	03 M  04  D	4568	LUNA SHIP  (MAS)	 OIL  TANKER	
M.V.VISION	2ND OFF.	20-12-10	16-06-2011	5 M  26  D	9957	QC LINE	CONTAINER	
M.V.SPARNA	2ND OFF.	03-04-12	03-11-12	7 MONTHS	52000	SANTAKU SENPAKU (HOQ N SONS)	BULK	
M.V.IKAN JEUH	2ND  OFF.	13-09-13	08-03-14	5 M 25 DAYS	21483	FAST MARINE SERVICES(HOQ N SONS)	BULK	
M.V.CRYSTAL SAPPHIRE	CH. OFF	29-04-14	23-12-14	7 M 26 DAYS	28739	A-Z SHIPPING	BULK	
M.V AKIJ WAVE	CH. OFF	22-05-15	03-08-15	2 M 13 DAY	27052	A-Z SHIPPING	BULK	
M.V.SRI PREM APARNA	CH. OFF	05-11-15	10-03-16	4 M  10 DAY	38678	TARGET SHIP MANAGEMENT	BULK	
M.V. YANGTZE	CH. OFF	11-03-16	20-03-16	07 DAYS	38678	ASIATIC SHIP MANAGEMENT	BULK	

M.V. GULF TRADER	CH. OFF	20-08-16	09-01-17	4 M 20DAYS	39709	NAVISPEC SHIP MANAGEMEN SERVICES	BULK	
M.V KUANYIN	CH OFF	06-06-17	24-11-17	5 M 18 DAYS	14912	FENWICK/FAIRMONT SHIP MANAGEMENT	BULK	
M  T BANGLAR AGRAGOTI	CH  OFF	20-04-2019	10-11-2019	6 M 20 DAYS	24167	BSC	CHEMICAL TANKER	

CONTACT NO:     O1711164551/   01777139717
E-MAIL:    masud814@yahoo.com

	MD. MASUD AHMED   
	Applicant Signature: