Company Name Surname Patronymic Citizenship Rank Rank Steward Cook Wiper Motorman O/S A/B Pumpman Bosun Fitter El/Eng E/Cadet 4/Eng 3/Eng 2/Eng Ch/Eng D/Cadet J/3/Officer 2/Officer Ch/Off Master Personal information Date of birth Place of birth Sex Sex Male Female Marital Status Marital Status Married Single Divorced Widowed No of Children < 18 Phone / Mobile Address E-mail Education Education Less than high school High school diploma or equivalent Some college, no degree Associate’s degree Bachelor’s degree Master’s degree Doctoral or professional degree Hair color Eyes color Height (cm) Weight (kg) Shoes size Boiler suit size Computer user Computer user Yes No MARLINS % Expected salary ($) Next of Kin Full name Relation degree Date of birth Address Phone National passport number National passport date of Issue National passport date of expiry Seagoing Experience Vessel 1 Rank Rank Steward Cook Wiper Motorman O/S A/B Pumpman Bosun Fitter El/Eng E/Cadet 4/Eng 3/Eng 2/Eng Ch/Eng D/Cadet J/3/Officer 2/Officer Ch/Off Master Company name Vessel name Vessel type DWT Flag IMO number Main engine BHP S/On S/Off Vessel 2 Rank Rank Steward Cook Wiper Motorman O/S A/B Pumpman Bosun Fitter El/Eng E/Cadet 4/Eng 3/Eng 2/Eng Ch/Eng D/Cadet J/3/Officer 2/Officer Ch/Off Master Company name Vessel name Vessel type DWT Flag IMO number Main engine BHP S/On S/Off Vessel 3 Rank Rank Steward Cook Wiper Motorman O/S A/B Pumpman Bosun Fitter El/Eng E/Cadet 4/Eng 3/Eng 2/Eng Ch/Eng D/Cadet J/3/Officer 2/Officer Ch/Off Master Company name Vessel name Vessel type DWT Flag IMO number Main engine BHP S/On S/Off Vessel 4 Rank Rank Steward Cook Wiper Motorman O/S A/B Pumpman Bosun Fitter El/Eng E/Cadet 4/Eng 3/Eng 2/Eng Ch/Eng D/Cadet J/3/Officer 2/Officer Ch/Off Master Company name Vessel name Vessel type DWT Flag IMO number Main engine BHP S/On S/Off Vessel 5 Rank Rank Steward Cook Wiper Motorman O/S A/B Pumpman Bosun Fitter El/Eng E/Cadet 4/Eng 3/Eng 2/Eng Ch/Eng D/Cadet J/3/Officer 2/Officer Ch/Off Master Company name Vessel name Vessel type DWT Flag IMO number Main engine BHP S/On S/Off Passports / Documents Seaman's I.D. Book Country Number Date of issue Date of expiry Authority details Travel Passport Country Number Date of issue Date of expiry Authority details Other Seaman’s Books Country Number Date of issue Date of expiry Authority details Qualification Certificate Of Competency Country Number Grade Date of issue Date of expiry Authority details Watch keeping or endorsement (if applicable) Country Number Grade Date of issue Date of expiry Authority details GMDSS Operator (if applicable) Country Number Grade Date of issue Date of expiry Authority details Basic STCW Personal survival techniques A-VI / 1-1 Country Number Date of issue Date of expiry Authority details Fire prevention & Fire fighting A-VI / 1-2 Country Number Date of issue Date of expiry Authority details Elementary first aid County Number Date of issue Date of expiry Authority details Personal safety & social responsibility A-VI / 1-4 Country Number Date of issue Date of expiry Authority details Survival crafts & rescue boats A-VI / 2-1 Country Number Date of issue Date of expiry Authority details Shore-based Fire Fighting Country Number Date of issue Date of expiry Authority details Special STCW Fast rescue boats A-VI / 2-2 Country Number Date of issue Date of expiry Authority details Advanced fire fighting A-VI / 3 Country Number Date of issue Date of expiry Authority details Medical first aid A-VI / 4-1 County Number Date of issue Date of expiry Authority details Medical care A-VI / 4-2 Country Number Date of issue Date of expiry Authority details HAZMAT in bulk B-V / b Country Number Date of issue Date of expiry Authority details HAZMAT in package B-V / c County Number Date of issue Date of expiry Authority details ISM/ISPS ISM Code Country Number Date of issue Date of expiry Authority details ISPS Familiarization Country Number Date of issue Date of expiry Authority details ISPS – Ship Security Officer Country Number Date of issue Date of expiry Authority details Security Awareness Training Country Number Date of issue Date of expiry Authority details Training for Seafarers Designated Security Duties Country Number Date of issue Date of expiry Authority details Additional STCW Basic Training For Oil And Chemical Tanker Country Number Date of issue Date of expiry Authority details Advanced Training For Oil Tanker Cargo Operations Country Number Date of issue Date of expiry Authority details Advanced Training For Chemical Tanker Cargo Operations Country Number Date of issue Date of expiry Authority details Crude oil Washing Country Number Date of issue Date of expiry Authority details Inert Gas System Country Number Date of issue Date of expiry Authority details Radar/ARPA (for deck officers) Radar A-II/1 A -II/2 Country Number Date of issue Date of expiry Authority details ARPA A-II/1 A -II/2 Country Number Date of issue Date of expiry Authority details Team and Resources Management Bridge Team Management Country Number Date of issue Date of expiry Authority details Engine Team Management Country Number Date of issue Date of expiry Authority details
