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    F0606 Application For Employment

    Uploaded by

    Ihwan Asrul
    This 3-page document is an application for employment as a seaman. It requests personal details, qualifications, certificates, endorsements, experience, medical information, and English language ability. The applicant provides their name, date of birth, passport information, qualifications, seafaring experience across 12 ships, medical documents, and English language competency level. The bottom section is for comments and signatures from the company's HR department and manning agent regarding the applicant.

    Copyright:

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

    F0606 Application For Employment

    Uploaded by

    Ihwan Asrul
    23 views3 pages
    This 3-page document is an application for employment as a seaman. It requests personal details, qualifications, certificates, endorsements, experience, medical information, and English language ability. The applicant provides their name, date of birth, passport information, qualifications, seafaring experience across 12 ships, medical documents, and English language competency level. The bottom section is for comments and signatures from the company's HR department and manning agent regarding the applicant.

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    F0606 Application for Employment

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    This 3-page document is an application for employment as a seaman. It requests personal details, qualifications, certificates, endorsements, experience, medical information, and English language ability. The applicant provides their name, date of birth, passport information, qualifications, seafaring experience across 12 ships, medical documents, and English language competency level. The bottom section is for comments and signatures from the company's HR department and manning agent regarding the applicant.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    23 views3 pages

    F0606 Application For Employment

    Uploaded by

    Ihwan Asrul
    This 3-page document is an application for employment as a seaman. It requests personal details, qualifications, certificates, endorsements, experience, medical information, and English language ability. The applicant provides their name, date of birth, passport information, qualifications, seafaring experience across 12 ships, medical documents, and English language competency level. The bottom section is for comments and signatures from the company's HR department and manning agent regarding the applicant.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    Form F06-06

    Issue Date: 01.09.05


    APPLICATION FOR EMPLOYMENT Issue No: 02
    Rev. Date: ---
    MAGNUS CARRIERS
    (SEAMAN) Rev. No: 00
    CORPRATION Page: 1/3

    A. Personal data & Documents

    Date of birth. Seaman Name.


    Name of father. Seaman Middle Name.
    Name of mother. Seaman Surname.
    Name of wife. Rank.
    Number of children. Nationality.
    Address. Religion.
    Seaman’s Book no.
    Passport number. Place of issue.
    Place / date of issue. Date of issue.
    Passport exp. date. Last sign off date.

    B. Qualifications & Diplomas according to STCW’95 conventional requirements.

    Name of Certificate: Number: Issued on: Expires on: Authenticated on:

    National certificate
    of competence
    National endorsement of
    competence certificate*

    GMDSS G.O.C. (IV/2)*

    Personal Survival
    Techniques (VI/1.1)
    Fire Prevention & Fire-
    fighting (IV/1.2)
    Elementary First Aid
    (IV/1.3)
    Personal Safety & Social
    Responsibility (IV/1.4)

    Medical First Aid (VI/4)

    Medical Care (VI/4)

    Survival Craft & Rescue


    Boats (VI/2.1)
    Fast Rescue Boats
    (VI/2.2)
    Advanced Fire-fighting
    (VI/3)
    Tanker Familiarization
    Course (V/1)
    Shore-based fire-fighting
    course (V/1)
    Oil Tanker Specialized
    Training (V/1)
    Chemical Tanker
    Specialized Training (V/1)

    C. Flag State Endorsements of Recognition for certificates with (*)

    Name of Certificate: Number: Issued on: Expires on: Authenticated on:


    Form F06-06
    Issue Date: 01.09.05
    APPLICATION FOR EMPLOYMENT Issue No: 02
    Rev. Date: ---
    MAGNUS CARRIERS
    (SEAMAN) Rev. No: 00
    CORPRATION Page: 2/3

    C. Flag State Endorsements of Recognition for certificates with (*) continues….

    Name of Certificate: Number: Issued on: Expires on: Authenticated on:

    D. Seaman’s book:

    Nationality: Number: Issued on: Expires on: Authenticated on:

    E. Additional Courses.

    Documents: Number: Issued on: Expires on: Authenticated on:


    1

    10

    F. Experience / Service Record.

    Serviced from /
    Ship’s Name Company DWT Ship Type Eng. Type Rank
    to
    1

    F. Experience / Service Record (continuous…)


    Form F06-06
    Issue Date: 01.09.05
    APPLICATION FOR EMPLOYMENT Issue No: 02
    Rev. Date: ---
    MAGNUS CARRIERS
    (SEAMAN) Rev. No: 00
    CORPRATION Page: 3/3

    Serviced from /
    Ship’s Name Company DWT Ship Type Eng. Type Rank
    to
    9

    10

    11

    12

    G. English language competency level (interview & exam test required).

    Ability Understands Speaks Reads Writes Comments on language ability (mandatory)

    Excellent
    Good
    Fair
    Poor Score on English Language Test Exam: …………………

    H. Medical.

    Document: Number: Issued on: Expires on: Authenticated on:

    Medical Card (I/9)


    Vaccinations

    Authenticity of Diplomas &


    Licenses checked & verified.

    CONFIDENTIAL
    Manning Agent Signature.
    F. Inquiry and/or Interview Results.

    Company H/R Dept. Comments: Manning Agent Comments:

    Human Resources Manager


    Signature

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