SEAMAN EMPLOYMENT APPLICATION

    Position:
    Marital status:
    Nationality:
    Name:
    First & Family Name:
    Next of Kin:
    Date of Birth / Place of Birth
    Relationship:
    Mother’s Name & Family Name
    Address:
    Father’s Name:
    Tel:
    Home address:
     

     

     

     
    No of Children under 18:

    Name:
    Name:
    Name:
    Name:
    Name:
     

     

    Home Telephone :
    Mobile Telephone:
    Email:
     

    Please send Passport Size photo as an email attachment
    LICENSES / C.O.C.
    Document
    STCW 95 Code
    Endorsement Number
    Place issued
    Issued
    Expiry
    Master
    II/2
    Chief Mate
    II/2
    Chief Engineer
    III/2
    2nd Engineer
    III/2
    Officer in Charge of Navigational Watch
    II/1
    Officer in Charge of Engineering Watch
    III/1
    Rating forming part of a Navigational Watch
    II/4-II/5
    Rating forming part of an Engineering Watch
    III/4-III/5
    Electrical Engineer
    III/6
    Ship’s Cook Certificate
    S E A S E R V I C E - Last Five Years
    Vessel’s name
    Type Of vessel
    Position
    DWT
    Engine type/HP
    Flag
    Company /Country/ Telephone number
    Period From-To