Seafarer's Application Form

OS

Jjjjjj Ffghh
24 may 2023
Location
Sevastopol
Date of birth
**.**.****
Minimum salary
2 000 USD
Jjjjjj Ffghh
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Level of English
*****
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
CrewServices Auth
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Advertising space 1320x150 - R2
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