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    Application Form: Next of Kin/relationship/address

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    igorhost902
    This document is an application form for employment. It requests personal details such as name, date of birth, address, language skills and education history. It also asks for documentation like certificates of competency, passport information and records of special training. The form inquires about previous work experience including vessel names, flags, owners and dates of employment. It provides space for remarks, recommendations on wage expectations and availability to work. The applicant signs and dates the completed form.

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

    Application Form: Next of Kin/relationship/address

    Uploaded by

    igorhost902
    19 views2 pages
    This document is an application form for employment. It requests personal details such as name, date of birth, address, language skills and education history. It also asks for documentation like certificates of competency, passport information and records of special training. The form inquires about previous work experience including vessel names, flags, owners and dates of employment. It provides space for remarks, recommendations on wage expectations and availability to work. The applicant signs and dates the completed form.

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    ba0b8f906a9ef095ab32f7c03d79954e

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    This document is an application form for employment. It requests personal details such as name, date of birth, address, language skills and education history. It also asks for documentation like certificates of competency, passport information and records of special training. The form inquires about previous work experience including vessel names, flags, owners and dates of employment. It provides space for remarks, recommendations on wage expectations and availability to work. The applicant signs and dates the completed form.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    19 views2 pages

    Application Form: Next of Kin/relationship/address

    Uploaded by

    igorhost902
    This document is an application form for employment. It requests personal details such as name, date of birth, address, language skills and education history. It also asks for documentation like certificates of competency, passport information and records of special training. The form inquires about previous work experience including vessel names, flags, owners and dates of employment. It provides space for remarks, recommendations on wage expectations and availability to work. The applicant signs and dates the completed form.

    Copyright:

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

    APPLICATION FORM

    Rank Date of birth


    Surname Place of birth
    First name Home address
    Patronymic Home phone Mobil
    personal details

    Marital stat E-mail


    Next of kin/relationship/address
    Test Marlins Test Height Clothes size Hair color
    Language knowledge (english)
    Result Result Weigh Shoes size Eye color
    Education University (School, College) Year of graduation Speciality

    Document Grade Number Place of issue Issued date Expire date


    Documents

    Seaman's book
    Passport (national)
    Passport (foreign)
    Visa (USA, others)
    Seaman’s passport (Cyp., others)
    CERTIFICATE OF COMPETENCY
    GMDSS
    RADAR, ARPA
    BASIC SAFETY TRAINING EVIDENCE
    SURVIVAL CRAFT & RESCUE BOAT
    Certificates

    ADVANCED FIRE FIGHTING


    MARPOL/SOLAS
    MEDICAL FIRST AIDS
    MEDICAL CARE
    SSO
    PHYSICAL EXAMINATION REPORT
    YELLOW FEVER
    D & A TEST
    HAZMAT/Carriage of dang.&hazard.subst.
    Special training

    HAZMAT training program "C", title 49 (USA)


    Oil tanker training program
    Chemical tanker training program
    Other courses:

    Type of vessel Owner's name Date Date


    Name of vessel Flag Rank
    DWT Crew management company from to
    Previous experience for last 5 years

    Nationality of crewmembers sailed with: Your comments:


    Remarks:

    Recommendations min wage


    Phone of last shipowner (Crew company) expected wage
    Others: expect.duration
    Application form readiness to work
    is accepted by Date Signature of applic

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