Seafarer's Application Form

2nd Officer / 3rd Officer

Кузьмин Роман Николаевич
Location
Novosibirsk
Date of birth
24.07.1996
Minimum salary
120 000 RUB
Level of English
Intermediate
Visa
Other
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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