Professional Documents
Culture Documents
APPLICATION FORM
Страница 1
GENERAL INFO
Oil Tanker Specialized Training
Dangerous And Hazardous Substances
Chemical Tanker Specialized Training
Liquefied Gas Tanker Specialized Training
Inert Gas System
Crude Oil Washing
Ship Safety Officer
HUET
Maintenance of electrical and electronic equipment
Bridge Team Management
BOSIET / FOET
High Voltage Certificate
HLO
DP Maintenance Certificate
Offshore Survival
Ship's Crane Operator
Yellow Fever Vaccination
Other certificate:
Other certificate:
Other certificate:
DOCUMENTS ISSUED BY OTHER COUNTRIES:
Страница 2
GENERAL INFO
V 2.1
APPLICATION FORM
Expiry date
Expiry date
Страница 3
GENERAL INFO
Year passed:
Страница 4
SEA SERVICE
SEA SERVICE (starting from the last contract)
Year Type of Gross Sign on Sign off
Name of vessel Flag DWT Engine BHP KW Rank Shipping Comp
Built vessel tonnage Date Date
REFERENCES: Next
Relationship Surname, Name DOB A
(Please indicate name&contact details of your current and two previous employers) of kin
Name of the Company / Contact Person:
Email ( No.
Name of the Company / Contact Person:
Email ( No.
Name of the Company / Contact Person:
Email ( No.
Страница 5
SEA SERVICE
Level of English : Marlins Score: Marital status
Where did you hear about our company? Friends: Newspaper: Internet: Other:
Страница 6
SEA SERVICE
Address/Tel number
Страница 7
SEA SERVICE
Страница 8