Job Application

Our 1st Business Priority is the dedicated seagoing, well – trained and competent personnel!

Download it as a MS Word file and send it back with e-mail. You can download application form here as a Microsoft Word document. Save it on your computer, fill it up in peace and send it back to us as attached document in your E-mail.

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Rank

Rank: Second Rank:

Date Available:

Personal data (Fields marked with * must be completed prior to sending the application form)

Full name * Marital status:
Address * No. of children supported
Home Phone No * Spoken languages
Mobile Phone No * Education
E-mail * Height
Place of birth Weight
Date of birth Colour of Eyes
Citizenship Colour of Hair
Expected Wage Shoes
Nearest Airport Identification Mark on Body

Next of Kin

Full name Relationship:
Address Phone No:
Email Mobile No:

Passport

Country Number Place issued Date issued Expiry date

Visa

Country Number Place issued Date issued Expiry date

Certificate of Competency

Grade of License Country Number Place issued Date issued Expiry date

Seaman's Book

Country Number Place issued Date issued Expiry date

Medical

Medical Country Medical Clinic Place issued Date issued Expiry date Medical Certificate No

Drug and Alcohol

Place issued Date issued Expiry date

Yellow Fever

Place issued Date issued Expiry date

Certification and Training

Certificate Country Number Place issued Date issued Expiry date

Reference

Company name
Name
E-mail
Telephone
Reason for leaving last employer

Previous Sea Experience

Vessel Name Vessel Type Flag Eng Type DWT HP Company Rank Joined Leave