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    CRW 03 - Sea Staff Application Form

    Uploaded by

    Gigi Padilla
    The document is an application for employment with a logistics company. It requests information such as personal details, certifications, sea experience, and references from applicants.

    Copyright:

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

    CRW 03 - Sea Staff Application Form

    Uploaded by

    Gigi Padilla
    41 views2 pages
    The document is an application for employment with a logistics company. It requests information such as personal details, certifications, sea experience, and references from applicants.

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    application form

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    © © All Rights Reserved

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    The document is an application for employment with a logistics company. It requests information such as personal details, certifications, sea experience, and references from applicants.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    41 views2 pages

    CRW 03 - Sea Staff Application Form

    Uploaded by

    Gigi Padilla
    The document is an application for employment with a logistics company. It requests information such as personal details, certifications, sea experience, and references from applicants.

    Copyright:

    © All Rights Reserved
    Download as XLSX, PDF, TXT or read online from Scribd
    Download as xlsx, pdf, or txt
    You are on page 1of 2

    SKEIRON Logistics Pte Ltd CRW 03

    APPLICATION FOR EMPLOYMENT


    POSITION APPLIED FOR : DATE AVAILABLE :

    FAMILY NAME : NAME :

    NATIONALITY: WEIGHT : HEIGHT :

    DATE OF BIRTH : PLACE OF BIRTH : Photo

    ADDRESS:

    MOST CONTACTABLE NO. : EMAIL ADDRESS :

    PASSPORT NO. : EXPIRY DATE :

    SEAMAN'S DISCHARGE BOOK NO. : EXPIRY DATE :

    NAME OF NEXT OF KIN: RELATIONSHIP:

    CONTACT NO: ADDRESS:

    STCW Certificates Checklist Certificate Number Training Centre Place of Issue Date of Issue Expiry date

    Certificate of Competency ( CoC )

    General Operator Certficate ( GMDSS )

    Flag State Endorsement for Certificate of Competency

    Flag State Endorsement for General Operator Certificate

    Bridge / Engine Resoruce Management Certificate

    Deck Ratings / Engine Ratings Wacthkeeping Certificate


    (COP II/4/5 or COP III/4/5)

    ETO / ETR Certificate ( III/6 / III/7 )

    Basic Safety Training ( BST )

    Proficiency in Survival Craft and Rescue Boat ( PSCRB )

    Personal Safety & Social Responsibility ( PSSR )


    Advance Fire Fighting / Fire Prevention & Fire Fighting
    ( AFF ) / ( FP&FF )

    Medical First Aid ( MFA )

    Medical Care Onboard ( MCOB )

    Ship Security Officer ( SSO )

    Security Training for Seafarers with Designated Security Duties


    (SDSD )
    Crane Certificate

    Welding Certificate

    Ship's Cook Certificate - MLC 2006 compliance

    ECDIS

    Prepared by: HSE Department Rev. 01


    Approved by: CEO
    1 March 2021
    SKEIRON Logistics Pte Ltd CRW 03
    APPLICATION FOR EMPLOYMENT
    PREVIOUS SEA EXPERIENCE - Note: Sequence for entering sea service records: Latest service should be entered at row no. 1 and then older services downward.

    Engine Sign On Sign Off No. of


    Rank Name Of Vessel Vessel Type Flag GRT Trading area
    (ex: 2X 1500KW) (dd/mm/yy) (dd/mm/yy) days
    0

    Prepared by: HSE Department Rev. 01


    Approved by: CEO
    2 March 2021

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