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Request "Crewing / sea-folk"

страны*

Position applied for:*

2nd choice:*

Min wage:*

Family Name*

First name*

Fathers name*

Date of Birth*

Place of Birth*

Nationality*

Home address*

Home phone nr.*

Contact/mobile phone number*

E-mail*

Seaman’s Identification Card Number*

Seaman’s Identification Card Date of Issue*

Seaman’s Identification Card Place*

Seaman’s Identification Card Valid Until*

Foreign Civil Passport Number*

Foreign Civil Passport Date of Issue*

Foreign Civil Passport Place*

Foreign Civil Passport Valid Until*

National Passport Number*

National Passport Date of Issue*

National Passport Valid Until*

Certificate of Competency (Grade)*

Certificate of Competency (Number)*

Certificate of Competency (Date of Issue)*

Certificate of Competency (Place)*

Certificate of Competency (Valid Until)*

Other Certificates*

Sec.A-VI/1 STCW-95 (Social responsibilities) NUMBER*

Sec.A-VI/1 STCW-95 (Social responsibilities) - DATE OF ISSUE*

Sec.A-VI/1 STCW-95 (Social responsibilities) - PLACE*

Sec.A-VI/1 STCW-95 (Social responsibilities) - VALID UNTIL*

Sec.A-VI/2 STCW-95 (Proficiency in survival craft) - NUMBER*

Sec.A-VI/2 STCW-95 (Proficiency in survival craft) - DATE OF ISSUE*

Sec.A-VI/2 STCW-95 (Proficiency in survival craft) - PLACE*

39.0

Sec.A-VI/2 STCW-95 (Proficiency in survival craft) - VALID UNTIL

Sec.A-VI/3 STCW-95 (Advanced fire fighting) - NUMBER*

Sec.A-VI/3 STCW-95 (Advanced fire fighting) - DATE OF ISSUE*

Sec.A-VI/3 STCW-95 (Advanced fire fighting) - PLACE*

Sec.A-VI/3 STCW-95 (Advanced fire fighting) - VALID UNTIL*

Sec.B-V/4 & B-V/5 STCW-95 (Hazardous Cargoes) - NUMBER*

Sec.B-V/4 & B-V/5 STCW-95 (Hazardous Cargoes) - PLACE*

Sec.B-V/4 & B-V/5 STCW-95 (Hazardous Cargoes) - VALID UNTILL*

Sec.A-VI/4-1 STCW95 (Medical first aid) - NUMBER*

Sec.A-VI/4-1 STCW95 (Medical first aid) - DATE OF ISSUE*

Sec.A-VI/4-1 STCW95 (Medical first aid) - PLACE*

Sec.A-VI/4-1 STCW95 (Medical first aid) - VALID UNTIL*

Sec.A-VI/4 STCW-95 (Medical Care) - NUMBER*

Sec.A-VI/4 STCW-95 (Medical Care) - DATE OF ISSUE*

Sec.A-VI/4 STCW-95 (Medical Care) - PLACE*

Sec.A-VI/4 STCW-95 (Medical Care) - VALID UNTIL*

Reg.V/1, 1.1,1.2; Sec.A-V/1, 1.7(Oil Tankers Famil.) - NUMBER*

Reg.V/1, 1.1,1.2; Sec.A-V/1, 1.7(Oil Tankers Famil.) - DATE OF ISSUE*

Reg.V/1, 1.1,1.2; Sec.A-V/1, 1.7(Oil Tankers Famil.) - PLACE*

Reg.V/1, 1.1,1.2; Sec.A-V/1, 1.7(Oil Tankers Famil.) - VALID UNTIL*

Res.10 Sec.A-V/1, 9.14 (Adv.training Oil Tankers) - NUMBER*

Res.10 Sec.A-V/1, 9.14 (Adv.training Oil Tankers) - DATE OF ISSUE*

Res.10 Sec.A-V/1, 9.14 (Adv.training Oil Tankers) - PLACE*

Res.10 Sec.A-V/1, 9.14 (Adv.training Oil Tankers) - VALID UNTIL*

Reg.V/1, 1.STCW-95 (Breathing apparatus) - NUMBER*

Reg.V/1, 1.STCW-95 (Breathing apparatus) - DATE OF ISSUE*

Reg.V/1, 1.STCW-95 (Breathing apparatus) - PLACE*

Reg.V/1, 1.STCW-95 (Breathing apparatus) - VALID UNTIL*

Res.11.12&16.34 Sec.A-V/1 (Chem Tank) - NUMBER*

Res.11.12&16.34 Sec.A-V/1 (Chem Tank) - DATE OF ISSUE*

Res.11.12&16.34 Sec.A-V/1 (Chem Tank) - PLACE*

Res.11.12&16.34 Sec.A-V/1 (Chem Tank) - VALID UNTIL*

Res.11.12&16.34 Sec.A-V/1 (Liq Tank) - NUMBER*

Res.11.12&16.34 Sec.A-V/1 (Liq Tank) - DATE OF ISSUE*

Res.11.12&16.34 Sec.A-V/1 (Liq Tank) - PLACE*

Res.11.12&16.34 Sec.A-V/1 (Liq Tank) - VALID UNTIL*

Res.11.12&16.34 Sec.A-V/1 (Gas Tank) - NUMBER*

Res.11.12&16.34 Sec.A-V/1 (Gas Tank) - DATE OF ISSUE*

Res.11.12&16.34 Sec.A-V/1 (Gas Tank) - PLACE*

Res.11.12&16.34 Sec.A-V/1 (Gas Tank) - VALID UNTIL*

MARPOL 73/78 (Crude Oil Washing Certificate) - NUMBER*

MARPOL 73/78 (Crude Oil Washing Certificate) - DATE OF ISSUE*

MARPOL 73/78 (Crude Oil Washing Certificate) - PLACE*

MARPOL 73/78 (Crude Oil Washing Certificate) - VALID UNTIL*

Reg.I/11, I/14 (Safety Officer Certificate) - NUMBER*

Reg.I/11, I/14 (Safety Officer Certificate) - DATE OF ISSUE*

Reg.I/11, I/14 (Safety Officer Certificate) - PLACE*

Reg.I/11, I/14 (Safety Officer Certificate) - VALID UNTIL*

Sec.II/2 STCW-95(Cert. revalidation Course) - NUMBER*

Sec.II/2 STCW-95(Cert. revalidation Course) - DATE OF ISSUE*

Sec.II/2 STCW-95(Cert. revalidation Course) - PLACE*

Sec.II/2 STCW-95(Cert. revalidation Course) - VALID UNTIL*

Radar Observing Certificate - NUMBER*

Radar Observing Certificate - DATE OF ISSUE*

Radar Observing Certificate - PLACE*

Radar Observing Certificate - VALID UNTIL*

ARPA Certificate - NUMBER*

ARPA Certificate - DATE OF ISSUE*

ARPA Certificate - PLACE*

ARPA Certificate - VALID UNTIL*

100

Ship Security Officer Certificate - NUMBER*

101

Ship Security Officer Certificate - DATE OF ISSUE*

102

Ship Security Officer Certificate - PLACE*

103

Ship Security Officer Certificate - VALID UNTIL*

104

Other Certificates - 1*

105

Other Certificates - 1 NUMBER*

106

Other Certificates - 1 DATE OF ISSUE*

107

Other Certificates - 1 PLACE*

108

Other Certificates - 1 VALID UNTIL*

109

Other Certificates - 2 *

110

Other Certificates - 2 NUMBER*

111

Other Certificates - 2 DATE OF ISSUE*

112

Other Certificates - 2 PLACE*

113

Other Certificates - 2 VALID UNTIL*

114

115

Other Certificates - 3 NUMBER*

116

Other Certificates - 3 DATE OF ISSUE*

117

Other Certificates - 3 PLACE*

118

Other Certificates - 3 VALID UNTIL*

119

Other Certificates - 4*

120

Other Certificates - 4 NUMBER*

121

Other Certificates - 4 DATE OF ISSUE*

122

Other Certificates - 4 PLACE*

123

Other Certificates - 4 VALID UNTIL*

124

Foreign licences, seamen’s books and endorsements - 1*

125

Foreign licences, seamen’s books and endorsements - 1 NUMBER*

126

Foreign licences, seamen’s books and endorsements - 1 DATE OF ISSUE*

127

Foreign licences, seamen’s books and endorsements - 1 PLACE*

128

Foreign licences, seamen’s books and endorsements - 1 VAILD UNTIL*

129

Foreign licences, seamen’s books and endorsements - 2*

130

Foreign licences, seamen’s books and endorsements - 2 NUMBER*

131

Foreign licences, seamen’s books and endorsements - 2 DATE OF ISSUE*

132

Foreign licences, seamen’s books and endorsements - 2 PLACE*

133

Foreign licences, seamen’s books and endorsements - 2 VALID UNTIL*

134

Foreign licences, seamen’s books and endorsements - 3*

135

Foreign licences, seamen’s books and endorsements - 3 NUMBER*

136

Foreign licences, seamen’s books and endorsements - 3 DATE OF ISSUE*

137

Foreign licences, seamen’s books and endorsements - 3 PLACE*

138

Foreign licences, seamen’s books and endorsements - 3 VALID UNTIL*

139

Foreign licences, seamen’s books and endorsements - 4*

140

Foreign licences, seamen’s books and endorsements - 4 NUMBER*

141

Foreign licences, seamen’s books and endorsements - 4 DATE OF ISSUE*

142

Foreign licences, seamen’s books and endorsements - 4 PLACE*

143

Foreign licences, seamen’s books and endorsements - 4 VALID UNTIL*

144

Foreign licences, seamen’s books and endorsements - 5*

145

Foreign licences, seamen’s books and endorsements - 5 NUMBER*

146

Foreign licences, seamen’s books and endorsements - 5 DATE OF ISSUE*

147

Foreign licences, seamen’s books and endorsements - 5 PLACE*

148

Foreign licences, seamen’s books and endorsements - 5 VALID UNTIL*

149

Last Employments - 1 Vsl Name*

150

Last Employments - 1 Owner*

151

Last Employments - 1 Flag*

152

Last Employments - 1 Rank*

153

Last Employments - 1 From*

154

Last Employments - 1 To*

155

Last Employments - 1 Vsl Type*

156

Last Employments - 1 Engine*

157

Last Employments - 1 DWT/BHP*

158

Last Employments - 2 Vsl Name*

159

Last Employments - 2 Owner*

160

Last Employments - 2 Flag*

161

Last Employments - 2 Rank*

162

Last Employments - 2 From*

163

Last Employments - 2 To*

164

Last Employments - 2 Vsl Type*

165

Last Employments - 2 Engine*

166

Last Employments - 2 DWT/BHP*

167

Last Employments - 3 Vsl Name*

168

Last Employments - 3 Owner*

169

Last Employments - 3 Flag*

170

Last Employments - 3 Rank*

171

Last Employments - 3 From*

172

Last Employments - 3 To*

173

Last Employments - 3 Vsl Type*

174

Last Employments - 3 Engine*

175

Last Employments - 3 DWT/BHP*

176

Last Employers Full Style - 1 Owner / Operator*

177

Last Employers Full Style - 1 Telephone*

178

Last Employers Full Style - 1 Fax*

179

Last Employers Full Style - 1 E-mail*

180

Last Employers Full Style - 2 Owner / Operator*

181

Last Employers Full Style - 2 Telephone*

182

Last Employers Full Style - 2 Fax*

183

Last Employers Full Style - 2 E-mail*

184

Last Employers Full Style - 3 Owner / Operator*

185

Last Employers Full Style - 3 Telephone*

186

Last Employers Full Style - 3 Fax*

187

Last Employers Full Style - 3 E-mail*

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