BRIEF APPLICATION FORM OF


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(Position applied for 1st Choice / 2nd Choice)
Surname(as in Travel passport)*

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Name*

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Date of birth*

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Place of Birth*

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Nationality*

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Religion*

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Marital Status*

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Address:*
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Nearest Airports:*
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Tel:*
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Mob.:*
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English Language Level*
Skype ID:*
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E-mail:*
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Next of kin:*
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Next of kin address, tel:*
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Marlins Test Result, %:*
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Father’s name:*
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Mother’s name:*
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Select a file
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SEA SERVICE (Last five years)

Sign On Sign Off Rank Vessel Name/Flag Vessel Type DP1 ME Type Company Operation Area
GRT DP2 ME Power, Kw/HP PIC Name/Contact Ports of Call

LIST OF DOCUMENTS SUBMITTED

  Grade Number Date of Issue Place of Iissue Expire
Certificate of Competency
Endorsement
CERTIFICATE Issue Place Expire CERTIFICATE Issue Place Expire
ARPA, RADAR Tanker Familiarization
GMDSS - GOC Oil Tankers Advanced
GMDSS - GOE Chemical Tankers Advanced
Basic Safety Training Gas Tankers
Proficiency in Survival Craft Crude Oil washing
Fast Rescue Boats Inert Gas System
Medical Care DP Induction Course
Medical First Aid DP Simulator Course
Advanced Fire Fighting Full DP Ticket
Hazardous Cargoes DP System Maintenance
Ship Safety Officer (ISM) BOSIET
Ship Security Officer (ISPS) HUET
Security Designated Duties FOET
Security Awareness H2S
High Voltage Seaman’s Book (CDC)
BRM/BTM/ERM Travel Passport
ECDIS ILO Medical Certificate
Ship Handling Arrangement Yellow Fever vaccination
EEM US Visa
Flag License/CDC ARAMCO Approval
Min salary/ Max duration: Coverall: Shoes: Height: Weight: Blood:
Message
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