Application form Edit

Choose the office, nearest to you: *

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Position applied for: *

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Available from: *

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Personal details

Surname: *

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Forenames: *

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Date of birth: *

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Place of birth:

Citizenship: *

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Address:

City: *

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Country: *

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Phone (including code):

Mobile phone: *

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E-mail: *

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Skype:

DOCUMENTS/PASSPORTS

Documents:

Type:

Number:

Date Issued:

Place Issued:

Valid Until:

National Licence —
Tankerman Endors —
Seaman's ID —
Seaman's Book National —
Tourist Passport —
US visa —
Shengen visa —

PREVIOUS SEA EXPERIENCE (FOR LAST 5 YEARS)

From

Till

Vessel's name

Flag

DWT

HP

Engine

Type of vessel

Rank

Company's name

Add vessel

Your comments (additional skills, preferable duration of contract, salary expectation, etc.)

Text:

Notes (it would be preferable if You could supply us with contact details for references)

Company's name:

Phone number:

Person in charge:

Attach your application form

Consent

I hereby declare that the above is true. I further consent to the holding and processing by you and any of your direct or indirect parent or subsidiary or associated or affiliated companies (hereafter the "Company") and your or Company's principals of personal data about me for all purposes related to my application for employment on board vessels managed by the Company or vessels owned or operated by third parties for whom the Company is engaged to provide crew. I understand that this data will be stored in your databases in relation to my actual or potential employment by or through the Company. Further, I confirm that the above may involve the transfer of my personal data within the Company or to third parties worldwide.