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APPLICATION FOR SEAGOING POSITION

Last Name: *

First Name: *

Date of birth: *

Address: *

ZIP-Code: *

City: *

Country: *

Phone:

Cellphone:

e-mail: *


Apply for a Position as: *



CERTIFICATE OF COMPETENTCY* Rank* No* Issuing country* Issue date* Expiry date*


Documents / Certificates ID Number Issue Date Expiry Date
PASSPORT DETAILS
US VISA C1/D
VACCINATION YELLOW FEVER
SEAMANS BOOK NATIONAL
SEAMANS BOOK FLAGSTATE (if applicable)
MEDICAL FITNESS CERTIFICATE*
BASIC SAFETY CERTIFICATE
ADVANCED FIRE FIGHTING
PROFICIENCY OF SURVIVAL CRAFT & RESCUE BOAT
MEDICAL FIRST AID
GENERAL OPERATORS CERTIFICATE / GMDSS
BASIC TANKER CERTIFICATE
ADVANCED OIL TANKER CERTIFICATE
ADVANCED CHEMICAL TANKER CERTIFICATE
ECDIS TRANSAS NAVI-SAILOR 4000 HANDS-ON TRAINING
ECDIS IMO MODEL COURSE 1.27
SHIP SECURITY OFFICER CERTIFICATE
SECURITY DUTIES TRAINING CERTIFICATE
MECIAL CARE CERTIFICATE
SHIP HANDLING COURSE
RATINGS FORMING PART OF A NAVIGATIONAL WATCH II/4
ELECTRIC ARC/ GAS WELDING
FRAMO COURSE
BRIDGE TEAM MANAGEMENT
ARPA IMO 1.07
ARPA IMO 1.08 (Management)
SHIP-TO-SHIP HANDLING COURSE
COOKERY COURSE


English PROFICIENCY (Score at Marlin’s test):

Short Background:

Salary expectation:

Reason why you want to join us:

SAILING EXPERIENCE:
VESSEL NAME IMO NUMBER TYPE RANK DATE EMBARKED DATE DISEMBARKED MANAGER

All fields with an asterisk (*) are required fields and must be filled in.