Seafarer's Application Form

4th Engineer / Motorman / Wiper

Буряк Данил Викторович
08 april 2021
Location
Sevastopol
Date of birth
**.**.****
Minimum salary
1 500 USD
Буряк Данил Викторович
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Level of English
*****
Visa
*****
River diploma
*****
About
*****

Contact information

Phone number
*****
E-mail
*****
Next of Kin's name
*****
Next of Kin's phone number
*****

General documents

Type of document Number Issued Country Issue date Expiry date

Certificates

Name of document Number of document Country Issue date Expiry date

Work experience

Position Name of vessel Type of vessel IMO Flag of vessel Type of engine Power of engine DWT GRT Company Date
CrewServices Auth
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