Offshore Job Application Form locked by ROAoRY4

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									                                                                                    C.S. OFFSHORE
                                                                                                JOB APPLICATION FORM

Position Applied for                           Name                                                     Surname                                   Date of Birth

Expected salary USD:                           Address                                                  Phone                                     Email
                                                                                 Next of Kin                                   Next of Kin
Readiness (Date)                               Nationality
                                                                                 Name / Relation                               Address                                                                         Photograph
Documents                   Number             Date of Issue    Date of Expiry   Place of issue         Documents              Number             Date of Issue        Date of Expiry
Passport                                                                                                Pre-joining Medicals
Seaman Book                                                                                             Yellow Fever
License                     Grade              STCW Reg         Limitation       Number                 Place of issue         Date of Issue      Date of Expiry       Safety Gear             Coverall      Safety Shoes

Certificate of Competency                                                                                                                                              Size

Certificates                Number             Date of Issue    Date of Expiry   Certificates           Number                 Date of Issue      Date of Expiry       Certificates            Number        Date of Issue   Date of Expiry
DP Advance Cert                                                                  PST                                                                                   PSSR
DP Basic Cert                                                                    Basic Fire Fighting                                                                   HUET
DP Maint Certificate                                                             Adv. Fiire Fighting                                                                   HLO
GMDSS                                                                            Elementary First Aid                                                                  Ship Security Officer
ARPA                                                                             Adv. Medical care                                                                     BTRM
Radar Observer                                                                   PSCRB                                                                                 ERM
                                                                                                        SEA SERVICE
       Vessel Name            Type of Vessel       Year Built          DWT             Engine -HP          Position Held        Vessel Location    Project of vessel          Signed On         Signed Off     Company       Salary (USD)




Remarks:




GMDSS Global Maritime Distress Signal                           ARPA Automatic radar plotting apparatus
PST Personnel Survival Techniques                               HUET Helicopter underwater escape training
PSCRB Proficiency in Survival craft and rescue boat             HLO Helicopter Landing Officer
PSSR Personnel Safety and Social Responsibility                 BTRM Bridge Team and Resource Management
ROC Radar Oberver Cource                                        ERM Engineroom Resource Management

								
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