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Engineer
Position
-select position-
CH/ENG
2 ENG
3 ENG
El/Eng
Home Phone
Mobile phone
E-mail
Expected salary USD
Home address
Surname
Name
Nationality
Photo
Date of birth
Height (cm)
Color of Eyes
Shoes
Place of birth
Weight (kg)
Color of Hairs
Clothes
Father’s Name
Mother’s Name
Mother’s Family Name
Next of kin
Relation
Address
LICENSE / PASSPORTS
№
Date of issue
Date of expire
Place
Seaman’s Passport
Travel Passport
Certificate of competence
Endorsement
Foreign License
Marital status
Children till 18 years
English
Education
Limitations
Identity №
USA visa valid
Other skills
SPECIAL COURSE ATTENDED STCW - 95
№
Date of issue
Date of expire
Place
Basic / Personal safety
Advanced fire fighting
Security Officer
Yellow Fever
Other
№
Date of issue
Date of expire
Place
Medical first aid
Survival Craft
Hazardous cargoes
Electro Equipment
Last Medical Test
SEA SERVICE
Vessel’s Name/Flag
Year of built
Type\DWT
Engine – HP
Rank
Sign On
Sign Off
Shipping Co.
Salary
Rating
Position
-select position-
OS
AB
Motorman
Fitter/Welder
Wiper
Oiler
Cook/CH. cook
Bosun
Messman
Pumpman
Electrician
Home Phone
Mobile phone
E-mail
Expected salary USD
Home address
Surname
Name
Nationality
Photo
Date of birth
Height (cm)
Color of Eyes
Shoes
Place of birth
Weight (kg)
Color of Hairs
Clothes
Father’s Name
Mother’s Name
Mother’s Family Name
Next of kin
Relation
Address
LICENSE / PASSPORTS
№
Date of issue
Date of expire
Place
Seaman’s Passport
Travel Passport
Certificate of competence
Endorsement
Foreign License
Marital status
Children till 18 years
English
Education
Limitations
Identity №
USA visa valid
Other skills
SPECIAL COURSE ATTENDED STCW - 95
№
Date of issue
Date of expire
Place
GMDSS general operator
GMDSS endorsement
ARPA
Radar observation
Security Officer
Safety Officer
Medical Care on board
Yellow Fever
№
Date of issue
Date of expire
Place
Basic / Personal safety
Advanced fire fighting
Medical first aid
Survival craft & rescue b.
Hazardous cargoes
S. Handling Arrang-ts
Oil Tanker
Last Medical Test
SEA SERVICE
Vessel’s Name/Flag
Year of built
Type\DWT
Engine – HP
Rank
Sign On
Sign Off
Shipping Co.
Salary
Officer
Position
-select position-
Master
CH/OF
2 OF
3 OF
Home Phone
Mobile phone
E-mail
Expected salary USD
Home address
Surname
Name
Nationality
Photo
Date of birth
Height (cm)
Color of Eyes
Shoes
Place of birth
Weight (kg)
Color of Hairs
Clothes
Father’s Name
Mother’s Name
Mother’s Family Name
Next of kin
Relation
Address
LICENSE / PASSPORTS
№
Date of issue
Date of expire
Place
Seaman’s Passport
Travel Passport
Certificate of competence
Endorsement
Foreign License
Marital status
Children till 18 years
English
Education
Limitations
Identity №
USA visa valid
Other skills
SPECIAL COURSE ATTENDED STCW - 95
№
Date of issue
Date of expire
Place
GMDSS general operator
GMDSS endorsement
ARPA
Radar observation
Security Officer
Safety Officer
Medical Care on board
Yellow Fever
№
Date of issue
Date of expire
Place
Basic / Personal safety
Advanced fire fighting
Medical first aid
Survival craft & rescue b.
Hazardous cargoes
S. Handling Arrang-ts
Oil Tanker
Last Medical Test
SEA SERVICE
Vessel’s Name/Flag
Year of built
Type\DWT
Engine – HP
Rank
Sign On
Sign Off
Shipping Co.
Salary
