17 Kursu str.

Liepaja, LV 3401
AJANTESS AJANTESS INTERNATIONAL Ltd. Tel: 371 63484421
Ap pl i cati on for S ea S taff E mp l oymen t Fax: 371 63484440
Form ASSE 0204 ayax@kernel.lv
NOMINATION FOR M/V:
Position applied for: Date:
Surname: First Name:
Date of Birth: Place of birth:
Nationality: Departure airport :
Home address:
Tel.:   Marital status:
Number of children under the age of 18:
Next of Kin / Relationship /Address:
Marine college:
E-mail @

CERTIFICATES:
Description Number Place Issue Expiry
License of Competency
G r a d e:
Endorsement
Watch keeping G r a d e:
Passport
Citizen 
Seamans book
GMDSS
GMDSS Endorsement
ARPA
SSO Ship’s Security Officer Certificate
Personal survival techniques, safety and social
responsobility
Proficiency in survival craft, resque boats
Fire prevention and fire fighting
Elementary first aid
Chemica tanker certificate
Oil tanker certificate
Liquid Gas certificate
GOW
IGS
U.S. Visa
Medical Certificate
Vaccination

Languages: English  Other: fluently  good  satisfactory 

PREVIOUS SEA SERVICE:

From To Rank Vessel`s name / Flag Type DWT Company name
MM.YY MM.YY
Minimum salary: Euro