Application
Application
Application
PERSONAL DETAILS
TITLE MR SURNAME FIRST NAME DATE OF BIRTH NATIONALITY COLOUR OF EYES HEIGHT (CM)
SEX OTHERS NAMES PLACE OF BIRTH MARITAL STATUS COLOUR OF HAIR WEIGHT (KG)
KOTOKA INTERNATIONAL AIRPORT
MALE
FEMALE
17
TH
JULY 1981
2. ADDRESS
NO & STREET CITY POST CODE COUNTRY TEL. NO. MOBILE E-MAIL FAX
NO. 5 NAMIBIA STREET, AKOSOMBO AKOSOMBO, EASTERN REGION +233 GHANA 00233243041631 00233243041631 opp4rich@yahoo.com NOT AVAILABLE
Photo
3. NEXT OF KIN
FULL NAME ADDRESS CITY TEL. NO.
BEATRICE OPPON P.O BOX GP 605, ACCRA ACCRA 00233243572985
SISTER GHANA
NOT AVAILABLE
4. CHILDREN
NAME OF CHILD
NIL NIL NIL NIL
SEX
5. TRAVEL DOCUMENTS
TYPE PASSPORT SEAMAN BOOK OTHER SEAMAN BOOK US C1/D VISA OTHER VISAS DOCUMENT NO.
H1845562 GH00980 EE2 00154
ISS.DATE
27-03-2006 11-09-2008 14-12-2007 04-08-2010
EXP. DATE
26-03-2016 10-09-2013 13-12-2012 03-08-2012
ISS. BY (AUTHORITY)
GHANA IMMIGRATION SERVICE GHANA MARITIME AUTHORITY (GMA) GHANA MARITIME AUTHORITY (GMA) US EMBASSY, GHANA
PLACE OF ISSUE
ACCRA ACCRA ACCRA ACCRA
6. EDUCATION
SCHOOL NAME SCHOOL NAME
REGIONAL MARITIME UNIVERSITY
FROM FROM
2003
TO TO
2007
ADISADEL COLLEGE
1997
1999
NUMBER
N/A
ISSUE DATE
14-11-2008
EXPIRY DATE
N/A
ISSUED BY (AUTHORITY)
REGIONAL MARITIME UNIVERSITY REGIONAL MARITIME UNIVERSITY
ISSUED AT
ACCRA
EE 00154
14-12-2007
13-12-2012
ACCRA
NUMBER
ISSUE DATE
EXPIRY DATE
RESULT % RESULT %
ISSUED AT ISSUED AT
43
NUMBER
PST/117/08 BFP/054/08
EXPIRY DATE
01-08-2013 24-08-2013
ISSUED BY (AUTHORITY)
REGIONAL MARITIME UNIVERSITY RMU
ISSUED AT
ACCRA ACCRA ACCRA ACCRA ACCRA ACCRA
RMU
RMU
G.M.D.S.S. A.R.P.A. RADAR OBSERVATION HAZMAT OIL TANKER ADVANCED OIL TANKER CHEMICAL TANKER ADVANCED CHEM. TANKER GAS TANKER ADVANCED GAS TANKER CRUDE OIL WASHING INERT GAS PLANT SHIP SECURITY OFFICER BRIDGE TEAM MANAGEMENT DP INDUCTION DP SIMULATOR MANNED MODEL PASSENGER SHIP CROWD MANAGEMENT PASSENGER SHIP PASSENGER SAFETY PASSENGER CRISIS MANAGEMENT PASSENGER SHIP FAMILIARIZATION PASSENGER SHIP SAFETY OTHER OTHER
EXPIRY DATE
10-09-2013
ISSUED BY (AUTHORITY)
GHANA MARITIME AUTHORITY
ISSUED AT
ACCRA
15. VACCINATIONS
NAME YELLOW FEVER CHOLERA TYPHOID TETANUS HEPATITIS A POLIO ISSUE DATE
24-02-2010 24-02-2010
EXPIRY DATE
23-02-2010 23-02-2010
ISSUED BY (AUTHORITY)
MINISTRY OF HEALTH GHANA MINISTRY OF HEALTH GHANA
ISSUED AT
ACCRA ACCRA
RANK
E/E
E/E
VESSEL NAME
M.V KOTA TEGAP MV VENUS MV NORTHSEA MV OLYMBUS
SIGNED ON
SIGNED OFF
VESSEL TYPE
CONTAINER BULK CARRIER BULK CARRIER CONTAINER
G.R.T.
7683 63781 58132 60000
D.W.T.
13332 119532 89354 101620
ENGINE TYPE
MAN B&W HYUNDAI SULZER SULZER
BHP
7506.7 23839 21463 23250
KW
5600 17784 16012 17345
PACIFIC INTERNATIONAL LINES (PIL) NO. 140 CECIL STREET. SINGAPORE 065644293360 hanmyint@gmail.com MR. HAN MYINT
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