Application Form

Pleace produce your application and forward it to our database.

Field market with * are essential.

POSITION(s) DESIRED:

(You can select up to three different positions in order of preference)

*


PERSONAL DETAILS
*  Surname
* Name
*  Date of Birth

* Place of Birth
*  Citizenship
* Marital Status
Children

 Next Kin

Next Kin Address

* Sex * Height(cm) * Weight(kg) * Colour of eyes
* Shoes size
* Suit size


ADDRESS
* Street
* House-Flat
* City
* Country
* Phone
Fax
Mobile
E-Mail

IDENTITY DOCUMENTS
No
Issued
(dd.mm.yyyy)
Expiry
(dd.mm.yyyy)
Place
(City only)
* Passport National
Seaman's book
Seaman's book
Seaman's book
Schengen Visa
U.S. Visa

EDUCATION
Qualification obtained
Name of School
Location of School (City only)
Graduaton
(Year)

PROFICIENCY IN LANGUAGES
(English is essential. Please select at least one more language in dependence on your ability)
Languages
(Proficiency)
Languages
(Proficiency)
  *  

CERTIFICATES
No
Issued
dd.mm.yyyy
Expiry
dd.mm.yyyy
Place
(City only)
Personal Survival
Fire Fighting
First Aid
Personal Safety and Social resp.
Crowd management training
Medical Examination
Yellow Fever

WORKING EXPERIENCE

Name of Company
Address of Employer
(City, Street etc.)

Name of Contact Person (Surname, Name)

Phone of Contact Person
Position
From:
dd.mm.yyyy
To:
dd.mm.yyyy

SHIPBOARD EXPERIENCE
Name of Vessel
Type of Vessel

Name of Employer (Company name)

Phone of Contact Person
Position
Sign-ON
dd.mm.yyyy
Sign-OFF
dd.mm.yyyy