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| APPLIED JOB POSITION |
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 Position Applied For
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Second Choice
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| PERSONAL DETAILS |
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Surname
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| Firstname(s)
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Address
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Address
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ZipCode and City
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Country
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Nationality
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| Phone
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Please remember country code in front of phone no. |
| Mobile Phone
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Please remember country code in front of phone no.
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| E-mail
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| Date of Birth
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| Place of Birth
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| Nearest Airport
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| English Proficiency
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| Marital Status
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| PASSPORT / DOCUMENTS |
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Number Date of Issue Date of Expiry Issuing Authority |
| Passport
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| Seaman's Book National
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| Seaman's Book Internat.
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| VISA
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| Tanker Certification
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Oil Gas Chemical General Tanker Certificate |
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| CERTIFICATE OF COMPETANCE |
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| Certificate of Competance |
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| Issuing Authority |
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| STCW |
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| COURSES / CERTIFICATES |
(All documents must be STCW95 endorsed) |
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Number Date of Issue Date of Expiry |
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| PREVIOUS SEA SERVICE |
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| Start Date End Date |
Vessel Name Vessel Type Flag Engine Rank Company |
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| PERSONAL COMMENTS |
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| Personal comments
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| SEND APPLICATION |
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| Send to |
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