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    Seaman'S Employment Application Form: Personal Particulars

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    dasfasd
    This document is a seaman's employment application form. It requests personal information such as name, date of birth, nationality, as well as certification details like passport information, certificates of competency, medical certifications, and sea service history for the last five years. The form also has a section for special remarks to be filled out by the office only.

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    Seaman'S Employment Application Form: Personal Particulars

    Uploaded by

    dasfasd
    354 views1 page
    This document is a seaman's employment application form. It requests personal information such as name, date of birth, nationality, as well as certification details like passport information, certificates of competency, medical certifications, and sea service history for the last five years. The form also has a section for special remarks to be filled out by the office only.

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    Original Title

    seafarer cv

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    This document is a seaman's employment application form. It requests personal information such as name, date of birth, nationality, as well as certification details like passport information, certificates of competency, medical certifications, and sea service history for the last five years. The form also has a section for special remarks to be filled out by the office only.

    Copyright:

    © All Rights Reserved
    Download as RTF, PDF, TXT or read online from Scribd
    Download as rtf, pdf, or txt
    354 views1 page

    Seaman'S Employment Application Form: Personal Particulars

    Uploaded by

    dasfasd
    This document is a seaman's employment application form. It requests personal information such as name, date of birth, nationality, as well as certification details like passport information, certificates of competency, medical certifications, and sea service history for the last five years. The form also has a section for special remarks to be filled out by the office only.

    Copyright:

    © All Rights Reserved
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    SEAMAN’S EMPLOYMENT APPLICATION FORM

    Position applied for: Second choice (if any): Available from:


    Family name: First name:
    Foto
    Personal particulars
    Date of birth: Place of birth: Nationality:
    Marital status: Color of hair: Color of eyes:
    Height (cm): Weight (kg): Size: Shoes:
    Name of father:_____________ Name of mother:_____________ Name of spouse:_______
    Children under 18 (name/date of birth):______________________________________________________________________
    Home address:
    Telephones:
    Next of Kin: Surname________Name_____________ Relationship__________
    Address/Telephones
    The same
    E-mail:

    Documents and certificates


    Documents No Place of issue Date of issue Valid until
    Seaman’s passport
    Civil travel passport
    Civil passport ID №

    Certificates of Grade No Place of issue Date of issue Endorsement


    Competency valid until
    National
    Malta
    Liberia
    Name of Marine School (Academy):_____________________________________________________ Graduated on _______

    STCW Certificates No Date of issue Valid until


    Basic safety/survival at sea
    GMDSS
    ROPS, ARPA
    Advanced fire-fighting
    Proficiency in survival craft
    Medical care / First aid
    Dangerous cargo (Hazmat)
    Security officer
    Safety officer
    Yellow fever
    US VISA
    Sea Service during last five years (count backwards)
    Rank Vessel’s Main engine Ship-owner/Manager From To
    (mm.yy) (mm.yy)
    Name Flag Type DWT Type HP

    Наличие справок о плавании и отзывов о работе приветствуется


    Notes:

    Special Remarks (to be filled by office only)


    English: ______ PS Test: _____ Other: -
    ___________________________________________________________________

    Signature _____________________________ Date __________________

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