Business Management System

Personnel Registration Form

To Be Completed by ALL Joining Personnel
Personal Details

First Name(s): Surname:

Address:

City: Country:

Post Code: Nationality:

Email Address: Company:

Telephone No: Mobile No:

Date of Birth: Place of Birth:

Passport Expiry
Passport No:
Date:
ID (CTPS, CNH, RG)
CPF (N/A for Non-
(N/A for Non-Brazilian
Brazilian personnel)
personnel)

Visa: Visa Expiry Date:

Medical Expiry Date: Blood Type:

Norwegian Medical O&G UK Medical

Expiry Date: Expiry Date:
Yellow Fever Vac. Cert Anti-Tetanus Vac.
Expiry Date: Cert Expiry Date:

Any Known Allergies:

(See note below)

Offshore Survival Date Last Induction

Expiry Date: Tour:

Last Vessel: Job Title:

SS7 SAP No: Cabin No:

Vantage Card No:

Next of Kin Details:

Name: Relationship:

Address:

Postcode: Telephone No:

Email Address: Mobile No:

Nearest Airport

Yes 
Does your Next of Kin speak and
Language(s) Spoken:
understand English language?
No 

N.B. Please inform the Medic of any existing medical issues, including medication brought on board
and treatments you are undergoing:

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© Copyright Subsea 7
 Business Management System

To Be Completed by ALL MARINE Personnel Only

Offshore Industry Certificates/Courses

Certificate
Cert/Course Number/Class Issue Date Expiry Date OPITO/OLF
Nationality

Off F/F & Survival:

HLO:

Helideck Crew:

CAA Radio:

Crane OP:

FRC:

Coxswain:

Safety Officer:

DPO:

DP Maintenance:

Nat. Discharge Book

No:

Flag Discharge Book

No:

Other:

Rev 18 Date: 01-

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© Copyright Subsea 7
 Business Management System

STCW 95 Certificates/Courses
Cert Name Class Nationality Issue Date Expiry Date Remarks

Flag CEC:

National C of C:

GMDSS:

SSO:

Deck/ER Rating/Cook:

ECDIS:

Fire Fighting:

Medical:

Food Handlers Cert:

First Aid Cert:

Personal Survival:

PSC/RB:

Signed: Date:

Rev 18 Date: 01-

CL-GL-VM-VSL-100 Section A - Page 3 of 3
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© Copyright Subsea 7