Norwegian Cruise Line - Crew Data Form

Hire Date

MAPSID
(month)

(day)

(year)

NAME

Dept
(last)

(first)

(middle)

Position
Onboard / ship

Address
City

Postal Code

Country
Phone #
(country code), (city code), #

Email:
SS# (US only)
ARC #
Sex
male

female

(month)

(day)

single

married

divorced

widowed

separated

(hair)

(eyes)

(height)

(weight)

(month)

(day)

(year)

(month)

(day)

(year)

(month)

(day)

(year)

D.O.B
(year)

Birthplace

Home Airport

Citizenship / Country
Passport #

Passport Issue Date

Country / City of issue:

Passport Expire Date

Visa #

C-1/D visa expires

Date of last physical exam

(month)

(day)

(year)

Languages (other than English)

Emergency Contact

Dependant Information

Name

Name

Date of Birth

Relationship

Name

Date of Birth

Address

Name

Date of Birth

Name

Date of Birth

Name

Date of Birth

City/State
Country
Phone #
Other # ie:
Fax / Cell
Sign off Date

Signature

Please complete and fax back to (305) 436-4138