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CURRICULUM VITAE / RESUME

Last Name / Surname First Name


Position applied for Second choice
Date of birth Place of birth
PHOTOS
Date of availability
Nationality
English’s Level (basic, medium, fluent, bilingual)
Complete Home address
Home phone Mobile phone
E-mail

NEXT OF KIN (NOK) DETAILS – PERSON CONTACTED IN CASE OF EMERGENCY

Last Name First Name


Relationship (i.e. Wife, Father etc.)
NOK address
NOK Contact Number

DOCUMENTS’ DETAILS

Name of document Number Place of issue Date of issue Date of expiry


National Seaman’s Book
USA Visa
Medical certificate Issued NA NA
Yellow Fever Vaccination NA NA
License License No. Grade of License Place of issue Date of issue Date of expiry

Certificate of Competency Place of issue Date of issue License No.

SEA SERVICE EXPERIENCES

Vessel’s Engine
Rank Company Name of vessel Vessel’s type GRT From To
flag /KW

Eye colour Shoe Size (European standard) Weight (kg)


Hair colour Height (cm) Overall size (S/M/XL/XXL)

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