SEAFARER'S APPLICATION FORM
1. PERSONAL PARTICULARS
English Name Htet Shar Date of Birth 18.11.1995 Place of Birth Myingyan
Chinese Name Hight/Weight 160 cm/68 kg Next Of Kin U Myint Thein Win
Position Applied Wiper/Oiler (3/4) Type of Blood B Shoes Size (Yard) 42
Boiler Suit L
Address Thar Paung , Myingyan Township , Mandalay Division Post Code
Home No.
ID No. 9/MAKHANA(N) 273901 Mobile No. 09-795478195
2. MARINE COLLEGE/SCHOOL ATTENDED
Name of School Speciality Year of Graduation Type of Diploma held
Government Technological College (Myingyan) Mechanical 2020 BE (Mechanical)
3. CERTIFICATES
Category Capacity (Any) Number Date of Issue Date of Expiry Issuing Authority
C.O.C. EER(R 3/4) ERP114938 14.12.2022 23.12.2024 DMA
GMDSS
Seafarer's Passport 114938 28.1.2020 27.1.2030
Passport ME943839 18.1.2020 17.1.2025 YANGON
Seaman Identity Doocument (SID) MS013895 23.6.2020 22.6.2025 DMA
Discharge Book DMA
Familiarization and Basic Safety Training ERP114938 25.3.2020 23.12.2024 DMA
Proficiency in Survival Craft and Rescue Boats PGI/PRC-29-79/2020 7.8.2020 6.8.2025 DMA
Efficient Deck Hand (EDH) DMA
Advanced Fire-fighting Training
Proficiency in Medical First Aid
Medical First Aids (MFA)
Medical Care On Board (Master & C/O only)
Radar Observation and Plotting and radar simulator
OPERATIONAL USE OF ECDIS
ARPA Simulator
Oil & Chemical Tanker Familiarization (TF Oil & Chemical) ERP114938 25.3.2020 23.12.2024 DMA
Security Awareness Training ERP114938 25.3.2020 23.12.2024 DMA
Seafarers with Designated Security Duties ERP114938 25.3.2020 23.12.2024 DMA
SSO cert
Bridge Resource Management (BRM)
Engine Resource Management (ERM)
Hight Voltage
Certificate Of Welding
Oil Tanker Operation(AOT)
Chemical Tanker Operation(ACT)
Cholera
HK License
4. SEA SERVICE
Name of Company Taihua Maritime Ltd
Name of Vessel MT T-RISHA
Type of Vessel Oil & Chemical Tanker
Type of M.E. WARTSILA 6L46C, 4 Stroke (6300 kW)
Flag Liberia
DWT/BHP 11320 GRT
Trading Area World Wide
Rank E/C
Date of Sign-on 22.11.2021
Date of Sign-off 16.9.2022
Remarks Complete Contract
Result of interview:
Recommended to: Date:
