F7.

3 Employment Application form

sea chefs River Cruises Ltd

"($'$
Interview No
"osition applied for "ER#$NAL #urname Age Present Address: Permanent Address: Date and Place of Birth: Passport No: Seamans Boo# No: Marital stat"s: Next of %in: Present Emplo ment: E'er applied to this (ompan before) $ecr"itment Agenc :

Crew I.!.
!epartment !ate First Names Sex: Mobile Telephone No: Home Telephone No: E-mail address: Nationalit : !ss"e place: !ss"e place: $elationship: Address: Telephone No: Since &hen: *hen)

!ss"e date: !ss"e date:

Expir date: Expir date:

Main depart"re airport: Ha'e o" e'er had an diffic"lties &ith the a"thorities+ ,i-e- Police+ ("stoms+ !mmigration etc-.) !f so+ for &hat reasons)

(I#'$R&%E$&"LE% N'

"osition

Name and Address of Employment

From ) 'o *!ates+

Reason for Leavin,

LAN-.A-E#

/air EN01!SH 0E$MAN /$EN(H !TA1!AN SPAN!SH $2SS!AN 3THE$:

#po/en *ell

Excellent

/air

0ritten *ell

Excellent

/air

Readin, *ell

Excellent

Issue 45 Issue date 4-44-67465 123

F7.3 Employment Application form

sea chefs River Cruises Ltd N $ I'A C . ! E

Education High School (ollege Trade+ B"siness or 3ther School

Name and "lace of #chool

&ears Attended

&ear -raduated

!I"L$%A#2CER'IFICA'E#

!iploma 2 Certificate Basic Safet Training Section ,A-8!54-6. Section A-856 ,par- 4+6+9+:+;. ,state &hich paragraphs. Section A-859 ,par- 4+6+9+:+;. ,state &hich paragraphs. (ro&d Management (risis Management

No.

!ate of Issue

E3piry !ate

!uration of 'rainin,

4I#A

2SA ,(45D4. S(HEN0EN

!ss"e date: !ss"e date:

!ss"e place: !ss"e place: &E# &E#

Expir date: Expir date: N$ N$

%E!ICAL

Are you currently under a doctors care with medication? !f es please specif : Do you have any recurring medical problems? !f es please specif :

Are you on any medication? &E# N$ !f es please specif : Do you have any physical and/or mental condition that would limit your ability to perform the job you are seeking? Height : State if any defect in: Hearing: 8ision: Speech: *eight:

! confirm that the abo'e is to the best of m #no&ledge and belief correct! also "nderstand that an false statement abo'e is reason form dismissal if engaged!ate Please attach a cop of the follo&ing doc"ments: No !ocuments 4Passport ,photo+ name+ expir and 'isa pages. 6Seaman<s Boo# 98accination Boo# :="alification (ertificates ;Training (ertificates 'o 6e completed 6y the interviewer Name of interviewer 1ang"ages: Evaluation Criteria
ENFR -ER -R

#i,nature of applicant

E3piry

*Comments+

!ate
I'A #"N

#u,,ested "ositions 4

Comments
Issue 45 Issue date 4-44-67465 723

F7.3 Employment Application form

sea chefs River Cruises Ltd IN'ERNAL .#E $NL& Appearance: Experience: %no&ledge: 6 9 : #u,,ested 4essels $verall Evaluation
Interview outcome

4 Poor
"assed ) Contract offered

6 /air

9 0ood

: 8er 0ood
"assed ) No offer

; Excellent
Failed

"assed ) #tand 6y Contract offered

4 6 9

#i,nature of Interviewer

Issue 45 Issue date 4-44-67465 323