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    Application Form

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    Егор Борса
    This document is an application form for employment at Bibby Ship Management. It requests personal information such as name, date of birth, contact details, citizenship, passport information, medical certifications, qualifications, employment history including vessel names and details, minimum salary requirements, references, and additional comments. Instructions at the bottom provide formatting guidance for entering dates and selecting from drop-down lists.

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

    Application Form

    Uploaded by

    Егор Борса
    40 views5 pages
    This document is an application form for employment at Bibby Ship Management. It requests personal information such as name, date of birth, contact details, citizenship, passport information, medical certifications, qualifications, employment history including vessel names and details, minimum salary requirements, references, and additional comments. Instructions at the bottom provide formatting guidance for entering dates and selecting from drop-down lists.

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    This document is an application form for employment at Bibby Ship Management. It requests personal information such as name, date of birth, contact details, citizenship, passport information, medical certifications, qualifications, employment history including vessel names and details, minimum salary requirements, references, and additional comments. Instructions at the bottom provide formatting guidance for entering dates and selecting from drop-down lists.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    40 views5 pages

    Application Form

    Uploaded by

    Егор Борса
    This document is an application form for employment at Bibby Ship Management. It requests personal information such as name, date of birth, contact details, citizenship, passport information, medical certifications, qualifications, employment history including vessel names and details, minimum salary requirements, references, and additional comments. Instructions at the bottom provide formatting guidance for entering dates and selecting from drop-down lists.

    Copyright:

    © All Rights Reserved
    Download as XLS, PDF, TXT or read online from Scribd
    Download as xls, pdf, or txt
    of 5

    BIBBY SHIP MANAGEMENT

    Please send photo (in jpg or gif


    format)
    42-A Marshala Biryuzova Str, Sevastopol, Ukraine as an attachment to the e-mail
    Phone : +380 692 540403, 540909, 403852, Fax +380 692 540403
    crew@ee.bibbyshipmanagement.com;
    www.ee.bibbyshipmanagement.com

    APPLICATION FORM
    Position: Position 2: Date of readiness:
    Surname: Name: Middle :
    Фамилия: Имя: Отчество:
    Date of Birth: Country of Birth: Citizenship:
    Home Address:
    Phone, Mobile, E-mail:
    DOCUMENTS
    Passport No: Place of Issue Date of Issue Date of Expiry
    S/book No: Place of Issue Date of Issue Date of Expiry
    U.S Visa C1/D Place of Issue Date of Issue Date of Expiry

    Date of Date of
    Description Certificate Number Issue Expiry
    Place of Issue

    License
    Endorsement:
    Endorsement is valid for: Oil tanker Chemical tanker Gas tanker
    Basic Safety Training
    Medical First Aid
    Advanced Fire Fighting
    Proficiency In Survival Craft
    Medical Care
    Fast Rescue Boat Leader
    ROP/ARPA
    G.M.D.S.S.
    Manoeuvring & Ship Handling
    Ship Security Officer
    Ship Safety Officer
    Ro-Ro Passenger Ships
    Bridge Team Management
    ECDIS
    Oil Tanker Familiarization Course
    Oil Tanker Specialized Training
    Dangerous And Hazardous Substances
    Chemical Tanker Specialized Training
    Liquefied Gas Tanker Specialized Training
    Inert Gas System
    Crude Oil Washing
    Ship's Crane Operator
    Offshore Survival
    High Voltage Certificate
    BOSIET / FOET
    HUET
    DP Induction course
    DP Advanced course
    DP Full course
    DP Full course (Limited)
    HLO
    DP Maintenance Certificate
    Yellow Fever Vaccination
    Other certificate:
    Other certificate:
    Seaman’s books and endorsements issued by other countries:
    Pre-Sea Training / Nautical School / Institute / University Qualification: Year passed:
    Year Type of Engine Shipmanager Manning
    Vessel Name Flag DWT HP Rank From To
    Built vessel Type or Owner Agent

    Minimum Salary: USD / Month Level of English: Marlins %     

    Family Date of
    Relation Address and Telephone Personal details
    Name Surname Birth
    Height, sm
    Weight, kg
    Color of Hair
    Eyes
    Shoes Size
    Overall Size

    Next of Kin: Marital Status:


    Additional information:
    Nationalities you worked with:
    Types of cargo you worked with:
    Other information about yourself

    REFERENCES from previous employers:


    Company Name: Contact Details:
    Company Name: Contact Details:
    Company Name: Contact Details:

    Where did you heard about our Company?: Friends: Newspaper: Bigboard: Internet: Other:

    Thank you for registering your CV !


    Уважаемые кандидаты,

    Для внесения информации о


    вашей карьере, пожалуйста
    используйте формат даты
    DD.MM.YY ( напр. 23.12.08).
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    выпадающие списки,
    используйте только те значения,
    которые указаны в списке.
    В противном случае эти
    данные не смогут быть
    зарегистрированы нашей
    системой.

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