Deck
HOW TO FILL OUT THIS FORM.: You may leave out your name, but you have to enter either a telephone number,  Telefax number or Email address.  Your Telephone and Fax number must include your Country and City Code. When you come to Other Certificates GOC/GMDSS  simply fill in the word YES, if you are holding any of the listed Certificates.  If you are holding a License/Certificate not listed here, please include it when you give a brief description of  your practise.
This Form is to be used applying for a licensed Positions.

 

First NameLast Name

Street AddressDate Borne

Postal CodeCity Name

NationalityCountry where you live

Telephone Telefax

EmailDate awailable for Hire

Applying for Position as Secondary choice of Position

MARITIME LICENSE
Highest Class DeckDate issued

City where issued Date expire

Other Certificates GOC/GMDSS ARPA

Highest Grade TankermanLowest Grade Tankerman

Highest Grade ChemicalLowest Grade Chemical

Highest Grade GasLowest Grade Gas

Preferred type of Vessel TankshipPreferred type of Vessel Chemical

Preferred type of Vessel GasPreferred type of Vessel Dry Cargo

Preferred type of Vessel ContainerPreferred type of Vessel Bulkcarriers

Preferred type of Vessel PassengerPreferred type of Vessel Cruise

Preferred type of Vessel FishingPreferred type of Vessel Any Type

PLEASE GIVE A BRIEF DESCRIPTION OF YOUR PRACTISE