1 - Employment Application - 2023

Employment Application Form
PHOTO
sea chefs Cruises Ltd, sea chefs River Cruises Ltd, sea chefs River Management Ltd, Ocean Spa Ltd, sea chefs Asia Ltd and
sea chefs Malta Ltd
Interview No: Crew I.D.:
Position applied for: Department: Date:
Surname: First Names:

Age
Address
Sex:
Name Building/Block Mobile Telephone No:
City/Town Home Telephone No:
Zip/Post Code
E-mail address:
Country
Date and Place of Birth: Nationality:
Passport No: Issue date: Issue place: Expiry date:
PERSONAL
Seaman’s Book No: Issue date: Issue place: Expiry date:

Marital status: Relationship:
Address:
Next of Kin:
Telephone No:
Present Employment: Since when:
Ever applied to this
When?
Company before?
Recruitment Agency: Main departure airport:
Have you ever had any difficulties with the authorities, in any Jurisdiction or Country (i.e. Police, Customs, Immigration
etc.)? And if so, for what reasons?
This information is required to provide safety and security onboard our vessels and compliance with relevant Authorities’
requirements. Once the information provided is verified it will be destroyed and no record will be held.
Position: Name and Address of Employment: From – To (Dates): Reason for Leaving:
EMPLOYMENT
HISTORY
Spoken Written Reading

Fair Well Excellent Fair Well Excellent Fair Well Excellent
ENGLISH
GERMAN
LANGUAGES
FRENCH
ITALIAN
SPANISH
RUSSIAN
OTHER:
Education Name and Place of School Years Attended Year Graduated

EDUCATION
High School
College
Trade, Business
or Other School
SCHENGEN
MULTI / SINGLE USA
Issue date: Issue place: Expiry date:
VISA
USA (C1/D1) Issue date: Issue place: Expiry date:

TYPE D PERMIT Issue date: Issue place: Expiry date:
FC7.1 Employment Application Form Issue: 6 / Issue date: 12.02.2021 1/2

Employment Application Form
sea chefs Cruises Ltd, sea chefs River Cruises Ltd, sea chefs River Management Ltd, Ocean Spa Ltd, sea chefs Asia Ltd and sea chefs Malta Ltd
Duration of
Certificates for SEA-GOING ONLY No. Date of Issue Expiry Date
Training
CERTIFICATES
Basic Safety Training

DIPLOMAS /
Section (A-VI/1.2)
Section A-V/2 (par. 1,2,3,4,5) (state which paragraphs)
Section A-V/3 (par. 1,2,3,4,5) (state which paragraphs)
Crowd Management
Crisis Management
Are you currently under a doctor’s care with medication? YES NO

If yes, please specify:
Do you have any recurring medical problems? YES NO

MEDICAL
Are you on any medication? YES NO

Do you have any physical and/or mental condition that would limit your ability to perform the job you are applying for?
Height: Weight:
State if any defect in:
Hearing:
Vision:
Speech:
We require your medical information for our legal obligation to conform with relevant laws, regulations and international
conventions which makes it obligatory for the company to hold and process such information. (International Maritime
Organization (IMO), International Labor Organization (ILO), Maritime Labor Convention (MLC), The International Convention
on Standards of Training, Certification and Watchkeeping for Seafarers (STCW). This obligation is based on the obligatory
medical examinations for issuance of the Fit-for-Duty Certificates. If your employment application is not successful, your medical
data will be immediately deleted.
I have read and understood the company’s Privacy Policy on

Collection, Processing and Protection of Personal Data
I confirm that the above is to the best of my knowledge and belief correct.
I also understand that any false statement above is reason form dismissal if engaged.
Date: Signature of applicant:
Please attach a copy of the following documents:
No Documents 1 Sea-Going 2 River √ Expiry (Comments)

1. Passport (photo, name, expiry and visa pages)1, 2
2. Seaman’s Book 1
3. Vaccination Book 1
4. Qualification Certificates 1, 2
5. Training Certificates 1
To be completed by the interviewer

Suggested
Name of interviewer: Date:
Positions
Languages: ENG: GER: FR: ITA: SPN: RUS: OTH:
Comments:
Evaluation Criteria:
1
Appearance: 2
INTERNAL USE ONLY
Experience: 3
Knowledge: 4
Suggested Vessels
Overall 1 2 3 4 5 1
Evaluation: Poor Fair Good Very Good Excellent 2
Interview Passed – Passed – Passed –
Failed 3
outcome: Contract offered Stand by Contract offered No offer
Signature of Interviewer:
FC7.1 Employment Application Form Issue: 6 / Issue date: 12.02.2021 2/2

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Employment Application Form

Interview No: Crew I.D.:

Position applied for: Department: Date:

Surname: First Names:

Seaman’s Book No: Issue date: Issue place: Expiry date:

Spoken Written Reading

Education Name and Place of School Years Attended Year Graduated

USA (C1/D1) Issue date: Issue place: Expiry date:

FC7.1 Employment Application Form Issue: 6 / Issue date: 12.02.2021 1/2

Basic Safety Training

Are you currently under a doctor’s care with medication? YES NO

Do you have any recurring medical problems? YES NO

Are you on any medication? YES NO

I have read and understood the company’s Privacy Policy on

Date: Signature of applicant:

Please attach a copy of the following documents:

No Documents 1 Sea-Going 2 River √ Expiry (Comments)

To be completed by the interviewer

FC7.1 Employment Application Form Issue: 6 / Issue date: 12.02.2021 2/2

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