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