ONLINE INTERVIEW FORM

Quality Management System

FOSTER GREEN SHIPPING LIMITED 04111571
Registered Office:
FGSL - CRW- 001
HANETIA WOLD ROAD BARROW ON HUMBER NORTH LINCOLNSHIRE UK DN19
7BT Company No. 04111571

Website: fostershippinguk.com

Tel/Whatsapp: +447441441247

POSITION YOU ARE APPLYING FOR DATE

PERSONAL DETAILS
First / Middle Name Last Name Country Hometown
Airport

Date of Birth Place of Birth Religion Age

Passport Size photo

Education Qualification Your Monthly Salary Marital Status Height/Weight

Expectation?

Passport Number Issuing Authority Date of Issue Date of Expiry Overall Size

Seaman’s Book Number Issuing Authority Date of Issue Date of Expiry Safety Shoe Size

Mobile Phone Number Whatsapp Number What Type of ship would you want to Email Addres
(Important) go onboard on?

Permanent Address

NEXT-OF-KIN
Name Relationship Contact Number

Address (if different from the above)

Officer Certification (STCW) Certificate Number Issuing Authority Date of Issue Date of Expiry
Certificate of Competency
General Operators’ Certificate
Flag State Licence - COC
Flag State Licence - GOC

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Rating Certification (STCW) Certificate Number Issuing Authority Date of Issue Date of Expiry
Watchkeeping
Able Seafarer (STCW 2010)

STCW CERTIFICATES Certificate Number Issuing Authority Date of Issue Date of Expiry
Basic Safety Training
Survival Craft & Rescue Boat
Advanced Fire Fighting
Medical First Aid
Ship Security Officer
ARPA
RADAR
BTM/BRM
ERM
Ship Handling
ECDIS
ISM Code
Ship’s Cook
Food Handling
Flag State Tanker Endorsement
Security Training (STCW 2010)
GMDSS

OFFSHORE CERTIFICATE Certificate Number Issuing Institute Date of Issue Date of Expiry
BOSEIT (OPITO Approved)
HUET / EBS
Rigging & Slinging
H2S Awareness
Helicopter Landing Officer (HLO)
Banksman
Crane Operator
Oxygen Resuscitator
Dynamic Positioning (Unlimited)
Dynamic Positioning (Limited)
Dynamic Positioning (Advanced)
Dynamic Positioning (Basic)
Dynamic Positioning Maintenance
High Voltage

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 Offshore Safety Passport Certificate Number Issuer Date of Issue Date of Expiry

Type of Offshore Medial Certificate Number Medical centre Date of Issue Date of Expiry

INTERVIEW QUESTIONS BELOW

 What are your maritime qualifications?



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 What is your experience working on vessels?


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 What is your experience with maritime navigation?
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 What is your experience with maritime communications?
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What is your experience with maritime safety procedures?

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 What is your experience with vessel maintenance and repair?
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
 What is your experience with cargo, Bulk or Tanker operations?
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 What is your experience with shipboard security procedures?
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 What is your experience with firefighting and fire safety procedures?


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 What is your experience with emergency response procedures?


What is your experience with weather forecasting and storm avoidance procedures?

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 What is your experience with line-handling procedures?


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 What is your experience with mooring and anchoring procedures?


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 What is your experience with shipboard housekeeping procedures?
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 

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 What is your experience with food service and preparation onboard ship?
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What is your experience with waste management and disposal procedures

 onboard ship?


What languages do you speak fluently?


 Do you have any medical conditions that could affect your ability to perform the
duties of an Ordinary Seaman?


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 Record of Sea Service
DP
FROM
VESSE CLASS / TO TOTAL ENGINE CLIENT AREA SCOPE OF COMPANY
VESSEL NAME RANK (DD/MM/Y GRT BHP
L TYPE DP (DD/MM/YY) MONTH/DAY PROPULSION (CHARTERER) OPERAITON WORK NAME
Y)
SYSTEM

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 APPLICANT’S DECLARATION

Medical History / Background Yes/No If yes, please provide details

Do you have history of illness such as tuberculosis, high blood
No
pressure, mental illness etc…?
Do you have physical disability? No
Have you ever been hospitalised, operated or currently
No
undergoing any medical treatment?
Have you had premature termination of employment
No
agreement?
Have you been dismissed or logged for misconduct? No

Have you been refused entry by any country? No

Have you ever been charged in court for any offence? No

Do you have alcohol drinking habit? No

REFERENCE

Name Name

Company Company

Position Position

Contact Contact

I declare that the information given by me in this application form is true and accurate and I have not willfully suppressed any
material fact. I also understand that any falsification or misrepresentation in my personnel records can result in my immediate
dismissal and may be subject to legal action if I am employed by the Company. I do agree to submit myself to a thorough
medical examination, which I must successfully pass as one of the conditions for being accepted for employment.

I agree that as part of the procedures for processing my application, background or reference checking may be made and may
require supporting documents, such as qualification certificates/ transcripts, evidence of current salary and other relevant
information or documents.

In completing and signing this application form, I hereby give consent to the Company and/or its appointed administrator to
collect, use and disclose my personal data for business purposes.\

Date: Applicant’s Signature:

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