Seafarer's Application Form

Chief mate on ships of 3,000 gross tonnage or more / Chief Officer

Gubanov Nikolay Vasilyevich
Location
Georgievsk
Date of birth
**.**.****
Minimum salary
11 900 USD
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
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