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    Aaaaaaaaaaaaaaaaaaaa: 1. CONTACT DETAILS (Enter Details)

    Uploaded by

    Joshua Kinney
    Magmaris Ltd. is an offshore, crewing, shipping, and consulting agency located in Šibenik, Croatia. The document is an application form for employment with sections for contact details, next of kin, certificates of competency, certificate checklist, STCW certificates, and previous sea service experience. Applicants are asked to provide personal information, qualifications, contact information for references, and employment history to be considered for open positions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Aaaaaaaaaaaaaaaaaaaa: 1. CONTACT DETAILS (Enter Details)

    Uploaded by

    Joshua Kinney
    24 views2 pages
    Magmaris Ltd. is an offshore, crewing, shipping, and consulting agency located in Šibenik, Croatia. The document is an application form for employment with sections for contact details, next of kin, certificates of competency, certificate checklist, STCW certificates, and previous sea service experience. Applicants are asked to provide personal information, qualifications, contact information for references, and employment history to be considered for open positions.

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    mag amrris

    Original Title

    AppMagmaris2

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    Magmaris Ltd. is an offshore, crewing, shipping, and consulting agency located in Šibenik, Croatia. The document is an application form for employment with sections for contact details, next of kin, certificates of competency, certificate checklist, STCW certificates, and previous sea service experience. Applicants are asked to provide personal information, qualifications, contact information for references, and employment history to be considered for open positions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    24 views2 pages

    Aaaaaaaaaaaaaaaaaaaa: 1. CONTACT DETAILS (Enter Details)

    Uploaded by

    Joshua Kinney
    Magmaris Ltd. is an offshore, crewing, shipping, and consulting agency located in Šibenik, Croatia. The document is an application form for employment with sections for contact details, next of kin, certificates of competency, certificate checklist, STCW certificates, and previous sea service experience. Applicants are asked to provide personal information, qualifications, contact information for references, and employment history to be considered for open positions.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 2

    Magmaris Ltd.

    F-005/01.13.

    aaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaaa
    Office Use Only
    Ref. No.
    Attach
    Photo
    Here

    Offshore, Crewing, Shipping & Consulting Agency


    Ivana Gundulia 41, 22000 ibenik, Croatia
    tel: + 385 22 340 476 ;Fax: + 385 22 340 491;
    e-mail: [email protected]

    Please complete this form in black ink or type

    1. CONTACT DETAILS (Enter details)


    RANK

    Country of Residence

    DEPARTMENT
    (Deck/Engineer)

    Availability /expected
    wages

    Title

    Date and place of Birth

    First Name

    Nationality

    Surname

    Tel No 1

    Address

    Tel No 2

    Height (CM)

    E mail

    Waist (Inch)

    Nearest Airport

    Weight (Kg)

    Skype ID

    Shoe size/ Overall size

    2. NEXT OF KIN DETAILS

    T-Shirt size/ Cargo Pant Size

    (Enter details)

    NOK Name

    NOK Address

    NOK Tel No
    NOK Relationship
    3. CERTIFICATE OF COMPETENCY (Latest only)
    Details

    No. Cert.

    4. CERTIFICATE CHECK LIST


    Details

    Issue Date

    Expiry Date

    Place of Issue

    (Enter details)

    Issue Date Expiry Date

    No. Certificate

    Place of Issue

    Passport
    Seamans Book National
    Seamans Book Internat.
    USA VISA
    VISA
    5. STCW CERTIFICATES
    Issue Date Expiry Date
    Basic training
    Advanced Fire Fighting
    Medical Care
    Medical First Aid
    Proficiency in survival
    craft and rescue boat
    Navigation, Radar &
    ARPA Simulator
    Tanker Familiarization
    ECDIS

    No. Certificate

    Place of Issue

    Magmaris Ltd.

    F-005/01.13.

    GMDSS
    Ship Handling Simulator
    BOSIET
    ITSO
    HUET
    DP system
    maintenance

    6. SEA SERVICE (Previous Sea Experience Earliest Date First)


    Company

    Rank

    Vessel
    Name

    Vessel
    type

    Flag

    GRT

    DWT

    Engine
    Type

    KW

    Signed on

    Signed off

    Reason for
    discharg

    I confirm that the details given are to the best of my knowledge accurate and true, that I am in legal possession of the
    above qualifications and certificates. I also agree that my personal details can be used by Magmaris ltd for
    employment purposes.

    Signiture :

    Date:

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