APPLICATION FOR EMPLOYMENT

THIS APPLICATION MUST BE FULLY AND ACCURATELY COMPLETED

AND SUBMITTED TO PERSONNEL MANAGER

PHOTO

Indo Star
Sejahtera pt.
OVERSEAS EMPLOYMENT SERVICE

PERSONEL INFORMATION
Last Name _____________________First Name_________________ Date of Birth_________________
Current Address _____________________________________________________________________
Phone __________________Nationality ___________________Position Desired ___________________
Passport No. _______________Issue Date ____________________Exp. Date____________________
Visa ______________________Issue Date ____________________Exp. Date ____________________
Height ______________Weight___________Sex ___________Marital Status ______________________
Next of kin / Family Name ____________________________________________________________
Relationship ________________________________Number of Children ________________________

EDUCATION AND OTHER COURSE

Name and Address

Years
Attended

Date
Graduated

Type of
School
Trade
School
Additional
Training
Course/STCW 95

Date

Subject
Studied

EMPLOYMENT HISTORY
Dates
Month Year

Name
and Address Employer

Position

Type of
Company

Reason
For Leaving

FM
TO
FM
TO
FM
TO
FM
TO
FM
TO
FM
TO
FM
TO
FM
TO
All of the answers and information in this Application are true and correct to the best of
my knowledge and belief. I understand that supplying false information or misrepresenting
or omitting any facts or information called for in this Application is cause for my Dismissal.
Date ____________________________Signature of Applicant ____________________________________
Please do not write below this space