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APPLICATION FOR POSITION AS CADET

Last Name: *

First Name: *

Date of birth: *

Address: *

ZIP-Code: *

City: *

Country: *

Phone:

Cellphone:

e-mail: *


Apply for a Position as: *

Place of academy / seafarer’s school:

Available from:

Available until:

Minimum Duration:

Desired duration ¹:

Availability and validity of documents / certificates:

Documents / Certificates ID Number Issue Date Expiry Date
PASSPORT DETAILS
US VISA C1/D
SEAMANS BOOK
MEDICAL FITNESS (national)*
BASIC SAFETY
SECURITY DUTIES STCW VI/6
WATCH LICENSE STCW VI/6
VACCINATION YELLOW FEVER
GENERAL OPERATORS CERTIFICATE / GMDSS
BASIC TANKER CERTIFICATE


Previous Seagoing experience ²:

Previous experience on oil or chemical tankers:

Relevant times spend abroad ³:

English proficiency:

Salary expectation:

Career Goal:

Motivation to sail at sea:


All fields with an asterisk (*) are required fields and must be filled in.
¹ if different than minimum duration
³ state duration and ship types
³ state duration and country, minimum 1 month and more