Анкета моряка

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Поля обязательные к заполнению ^*

^*Surname:

^*Name:

^*Rank:

^*Date of birth:	: :	^*Place of birth:
Father's name:		Mother's name:
Maritial status:	single married divorced	Number of children:	Nationality:

Height:

Weight:

Eyes:

Hair:

Overalls:

Shoes:

^*DATE OF AVAILABILITY:	: :
^*POSITION APPLIED FOR:
^*TOTAL SEA SERVICE YEARS:
^*DESIRED SALARY:

Present address
^*Country:	^*City:	ZIP:
^*Street:	^*#	Apt#:
^*Tel.1:	Tel.2:
E-mail:	Skype:

Background Education
^*Name:
Date:	: :	Qualification:
Mix Crew Number of contracts:		ISM-Code Number of contracts:
English level:

Personal Documents	Number	Date Issued	Place Issued	Exp. Date
Seaman's Identification Card
Tourist passport
Certificate of Competence
National Endorsement
USA Visa
Schengen Visa

^*Sea-service at last 5 year (from first to latest):
Vessel's Name Master's Surname	Type of Vessel	DWT	Cargo gear Load/Crane Type	Flag	Company's Name & Country	Rank	Period (From-To)

Hereby to confirm that all information mentioned in application form is true and my personal data could be used on my behalf for possible employment.
FILLING DOCUMENTS DOES NOT GUARANTEE EMPLOYMENT

Agree with terms