Offshore
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 "Basic Safety Training"   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 any Position in the Offshore industry.

 

First Name Last Name

Street Address Date Borne

City Zip/Postal Code City Name

Nationality Country where you live

Telephone Telefax

Email Date awailable for Hire

Applying for Position as Secondary choice of Position 

MARITIME LICENSE
Highest Class Deck /Engine  Date issued

City where issued Date expire

OFFSHORE LICENSE REQUIRED

Offshore License Date issued

City where issued Date expire

Basic Safety Training First Aid Training

 

PLEASE GIVE A BRIEF DESCRIPTION OF YOUR PRACTISE