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Application_Form

The document is an employment application form for seafarers, collecting personal details, employment preferences, and documentation such as passports and licenses. It includes sections for qualifications, sea service history, references, and personal data. The form is intended for use by Tideforce Crew and is accessible via Telegram and VK links.

Uploaded by

Sergei Mazur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
1 views3 pages

Application_Form

The document is an employment application form for seafarers, collecting personal details, employment preferences, and documentation such as passports and licenses. It includes sections for qualifications, sea service history, references, and personal data. The form is intended for use by Tideforce Crew and is accessible via Telegram and VK links.

Uploaded by

Sergei Mazur
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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Application Form for Seafarers

@tideforcecrew (Telegram)
https://vk.com/tideforcecrew?from=groups

EMPLOYMENT APPLICATION FORM


Rank: Date Available for Joining:
Expected Salary: Vessel Type:

Personal details
Surname: First name: Photo:
Date of birth: Place of birth: Nationality:
Home address:
Phones:

Nearest airport: Nearest international airport:

Documents

Passport No. Issued on: Expiry date:


S/book No. Issued on: Expiry date:
Shengen Visa Issued on: Expiry date:
SID Issued on: Expiry date:

LICENCE PARTICULARS
Document Cert No Place of Issue Date of Issue Expiry date
National License
Endorsement

Tankers COP: Type Cert No Place of Issue Date of Issue Expiry date
Crude Oil
Liquid chemical
Liquefied gas

DP: Type Cert No Place of Issue Date of Issue Expiry date


Shuttle Tanker Log Book
DP Log Book DNV
DP Log Book NI
Shuttle Tanker Log Book

1
Application Form for Seafarers
@tideforcecrew (Telegram)
https://vk.com/tideforcecrew?from=groups

CERTIFICATES Cert No Date of Issue Expiry date


G.M.D.S.S.
G.M.D.S.S. Endorsement
Proficiency In Survival Craft
Basic Safety Training
Advanced Fire Fighting
Dangerous And Hazardous Substances
ARPA
Radar Observer Certificate
Ship Security Officer
Medical First Aid
Medical Care
DP Induction Course
DP Advanced Course
DP Unlimited Certificate
Bridge Team Management
Bridge Resourse Management
ECDIS
ECDIS Type Specific
Security-related training & instruction for all
seafarers
Designated Security Duties
Ship Security Officer
H2S
Yellow fever
Polar Code Basic
Polar Code Advenced

Pre-SEA Training / Nautical School / Maritime School Qualifications Passed:

2
SEA SERVICE
Year Type of Vessel Period of Service Type of M/E and Name of Owners
Name of Vessel Flag DWT Rank
Built From To HP

References Exp. with Multinational Crew:


Name of company: Nationalities:
( No.
Name of company: Level of English
( No. Marlins Test %

Next of kin Personal data:


Name/Relationship Weight, kg: Height, cm:
Home address: Eyes: Hair:
Phones: Overall size: Safety shoes:

About you:

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