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HERE, YOU'LL FIND THE BEST CREW AVAILABLE IN EUROPEAN UNION !
         
 
   
SEAMAN`s  APPLICATION  FORM
A. SEAMAN`S PERSONAL DETAILS

 
Photo (passeport size)  

 
POSITION TO APPLY FOR
CERTIFIED FOR
NAME / SURNAME
FATHER`S NAME MOTHER`S NAME
DATE / PLACE OF BIRTH NATIONALITY
ADDRESS
CONTACT PHONE NR.
MARITAL STATUS

MARRIED

YES No

CHILDREN

YES No

HOW MANY UNDER
18YRS OLD

NEXT OF KIN RELATION
     
SEAMAN`S BOOK NO. ISS / VALID DATE
CIVIL PASSPORT NO. ISS / VALID DATE
GRADUATED FROM
ENGLISH ABILITY   FLUENT   VERY GOOD       GOOD   FAIR
B. NATIONAL CERTIFICATION
CERTIFICATE
NUMBER
ISSUING - VALIDATION DATE
ISSUING PLACE
CERTIFICATE OF COMPETENCY
ENDORSEMENT OF CERTIFICATE
GMDSS (DECK OFF.)
ENDORSEMENT OF GMDSS
SHIP SECURITY OFFICER
BASIC SAFETY
PROFICIENCY IN SURV CRAFT
MEDICAL FIRST AID
RO/RO PASSENGER
ADVANCED FIRE FIGHTING
RADAR (DECK OFF.)
ARPA (DECK OFF.)
OIL TANKER SAFETY
CHEMICAL TANKER SAFETY
LPG SAFETY
LAST MEDICAL
C. FLAG CERTIFICATION
FLAG
TYPE / No.
(S.BOOK/ENDORS/STICKER)
RANK
ISSUED
VALID
Based on NATIONAL
ENDORSEMENT
NUMBER
 
D. PREVIOUS SEA SERVICE
VESSEL
 
FLAG
  
TYPE/DWT
ENG/HP
RANK
  
S/ON
  
S/OFF
OWNERS
 
 
 
 
 
 
 

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