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