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    Interview Form Seaman Email

    Uploaded by

    Joshua Kinney
    This document is an application form for employment at USTANICKA 1, 85340 Herceg Novi, MONTENEGRO. It collects personal information such as name, date and place of birth, nationality, height, weight, shoe size, hair and eye color, suit size, and nearest airport. It also requests employment history details including ship names, companies, flag, gross register tons, engine details, rank, and dates served. The applicant provides information on courses, medical certificates, drug and alcohol tests, skills, documents, certificates of competency, education, addresses, next of kin, previous work experience, and remarks. The applicant signs and dates the completed four page form.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    Interview Form Seaman Email

    Uploaded by

    Joshua Kinney
    46 views4 pages
    This document is an application form for employment at USTANICKA 1, 85340 Herceg Novi, MONTENEGRO. It collects personal information such as name, date and place of birth, nationality, height, weight, shoe size, hair and eye color, suit size, and nearest airport. It also requests employment history details including ship names, companies, flag, gross register tons, engine details, rank, and dates served. The applicant provides information on courses, medical certificates, drug and alcohol tests, skills, documents, certificates of competency, education, addresses, next of kin, previous work experience, and remarks. The applicant signs and dates the completed four page form.

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    This document is an application form for employment at USTANICKA 1, 85340 Herceg Novi, MONTENEGRO. It collects personal information such as name, date and place of birth, nationality, height, weight, shoe size, hair and eye color, suit size, and nearest airport. It also requests employment history details including ship names, companies, flag, gross register tons, engine details, rank, and dates served. The applicant provides information on courses, medical certificates, drug and alcohol tests, skills, documents, certificates of competency, education, addresses, next of kin, previous work experience, and remarks. The applicant signs and dates the completed four page form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    46 views4 pages

    Interview Form Seaman Email

    Uploaded by

    Joshua Kinney
    This document is an application form for employment at USTANICKA 1, 85340 Herceg Novi, MONTENEGRO. It collects personal information such as name, date and place of birth, nationality, height, weight, shoe size, hair and eye color, suit size, and nearest airport. It also requests employment history details including ship names, companies, flag, gross register tons, engine details, rank, and dates served. The applicant provides information on courses, medical certificates, drug and alcohol tests, skills, documents, certificates of competency, education, addresses, next of kin, previous work experience, and remarks. The applicant signs and dates the completed four page form.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 4

    INSERT PHOTO (image will be saved inside PDF)

    Sacuvaj Izmjene

    USTANICKA 1, 85340 Herceg Novi


    MONTENEGRO
    PHONE/FAX: +382 31 326 256, +382 31 326 254
    E-mail: simar@t-com.me

    APPLICATION FORM FOR EMPLOYMENT


    NAME AND SURNAME:

    Ime i Prezime

    Rank

    POSITION APPLIED:
    COLOR OF HAIR/EYES:

    OTHER

    SUIT SIZE:

    GREEN

    Place of birth

    DATE AND PLACE OF BIRTH:

    VELICINA

    WEIGHT:

    kg

    SHOE SIZE:
    HEIGHT:

    NATIONALITY:
    cm

    NEAREST AIRPORT:

    NATIONALITY

    NEAREST AIRPORT

    RECORDS OF PREVIOUS SERVICES


    SHIPNAME

    TYPE

    COMPANY

    FLAG

    GRT

    ENGINE

    BHP

    RANK

    SIGN ON

    SIGN OFF

    Page 1 of 4

    MONTHS

    REASON

    DETAILS OF FOLLOWING COURSES


    COURSE

    STCW

    PLACE OF ISSUE

    CERT No

    ISSUED BY

    DOI

    VALID TILL

    MEDICAL CERTIFICATES
    NAME

    DATE OF
    ISSUE

    DATE OF
    EXPIRY

    ISSUING AUTHORITY

    PLACE OF ISSUE

    REMARK

    DRUG & ALCOHOL TEST

    NAME

    DATE OF ISSUE

    AUTHORITY

    DRUG STATUS

    ALCOHOL STATUS

    SKILLS
    ENGLISH SPOKEN

    ENGLISH WRITTEN

    OTHER SPOKEN

    OTHER WRITTEN

    COMPUTER WORD

    COMPUTER EXCEL

    Page 2 of 4

    DOCUMENTS
    NAME

    DOC No

    DATE OF
    ISSUE

    DATE OF
    EXPIRY

    AUTHORITY

    PLACE

    REMARK

    CERTIFICATES OF COMPETENCY
    COUNTRY

    DATE OF
    ISSUE

    DATE OF
    EXPIRY

    NUMBER

    GRADE

    STCW

    ISSUED BY

    REMARK

    EDUCATION
    INSTITUTION

    DATE FROM

    DATE TO

    DIPLOMA

    PLACE OF ISSUE

    ADDRESSES
    PRESENT ADDRESS FOR ALL COMMUNICATIONS:

    AREA CODE & PHONE:


    FAX:
    MOBILE:
    EMAIL:

    TEMPORARY ADDRESS

    AREA CODE & PHONE:

    FAX:

    MOBILE:

    NEXT OF KIN
    NAME

    BIRTH DATE

    RELATION

    PHONE

    ADDRESS

    No of Children

    Page 3 of 4

    PREVIOUS WORK EXPERIENCE:

    REMARKS

    APPLICATION DATE

    APPLICANT CANDIDATE AUTHOR:

    -------------------

    Page 4 of 4

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