Application

You may send us information about yourself in different ways:

1 . Download file with application form in MS Word format (~100 kb), fill in it and send it to us by e-mail.

2. Fill in the form, given below, and press the button Send. Don’t forget to leave your coordinates (phone or e-mail address), so that we can contact you to confirm the application.

1. Personal details

Rank Date available Min. Salary Last Salary
Surname Name Date of birth Place of birth
Address Nationality Marital status
Home phone Mobile phone E-mail Skype
Children   Father's name Father's year of birth
      
Number of children How many under 18? Mother's name Mother's year of birth

2. Next of kin

Name Relation Year of birth
Address Contacts

3. Education

Year Graduated Shcool(s) attended Degree Highest award received

4. English Level

Excellent Very good Fair Poor

5. MARLINS TEST

Listening Grammar Vocabulary Time&Numbers Pronouncation Reading Total

6. Personal Documents

  

7. Flag Documents

Document Number Issued Valid Place of Issue Document Number Issued Valid Place of Issue
Seaman's Book Antigua & Barbuda
Travel Passport Panama
USA Visa/Schengen Malta
National License Jamaica
Endorsement
GMDSS License
GMDSS Endorsement

8. Medical Documents

 

9. PERSONAL DESCRIPTION
Document Issued Valid   Size Color
Medical Examination Height, cm  Overall  Eyes 
Drug and Alcohol Test Weight, kg  Shoes  Hair 
Yellow Fever      
       

10. STWC 78/95 Certificates

Document Number Issued Valid Place of Issue
Basic Safety (STWC 78/95)
Advanced Fire Fighting
Prof. in Survival Craft & Rescue Boats
Prof. in fast Rescue Boats
Medical care
Medical 1st Aid
Hazardous & Dangerous Cargoes
Radar & ARPA Certificate
ECDIS (Electronic Chart Display and Information System)
BNWAS (Bridge Navigation Watch Alarm System)
Ship Security Officer
Ship Safety Officer
Ship Handling Arrangements
Bridge Team Management
Maintenance of Electrical & Electronic Engineering
Ro-Ro Pass Ships
Breathing Apparatus (H2S)
BOSIET (Basic Offshore Safety Induction & Emergency Training)
HUET (Helicopter Underwater Escape Training)
Cargo & Ballast Handling
 
Tanker Certificate
Chemical Tanker Certificate
Oil Tanker Certificate
Crude Oil Washing
Liquefied Gas Certificate
Inert Gas Systems

11. Sea Service Records

Shipowner/
Crewng agency		 Vessel's Name Flag Type of Vessel Year of Built DWT/TEU M/E Type BHP Rank Date From Date To

Please complete addresses of your previous employers for references

Company: Tel: Company: Tel:
Address: Address:
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