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

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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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