Seafarer's Application Form

Chief Officer / Master

Dobryashkus Sergey Viktorovich
Location
Shakhty
Date of birth
**.**.****
Minimum salary
7 800 USD
Level of English
Upper intermediate
Visa
Schengen, American
River diploma
No
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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