Seafarer's Application Form

AB Seaman

Дерека Иван Александрович
17 november 2025
Location
Sevastopol
Date of birth
**.**.****
Minimum salary
1 700 USD
Дерека Иван Александрович
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Level of English
*****
Visa
*****
River diploma
*****

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
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