Online form Personal data online Personal data - We do not accept applications if seamen were not in the sea for the last year. PLEASE FILL APPLICATION FORM CORRECTLY ! We do not accept applications if seamen were not in the sea for the last year. Please fill application form correctly. Family name (CAPITAL LETTERS)* First name (CAPITAL LETTERS)* Birth place * Birth date:* --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Height (cm) * Weight (kg) * Marital status * Single Married Devorced Children under 18 (or put a line " -- " ) Nationality * (citizenship) Face photo 3x4 cm (PNG, JPEG) * Nearest Airport (CAPITAL LETTERS)* Address Country * E-mail address * City * Mobile phone * Address * Home phone Skype ID Next of kin information Family name (CAPITAL LETTERS) * Country * First name (CAPITAL LETTERS) * City * Relationship * Address * Phone * Remarks Requested rank * Available date * --Selected--20242025202620272028202920302031203220332034203520362037203820392040204120422043204420452046204720482049205020512052205320542055205620572058205920602061206220632064206520662067206820692070207120722073207420752076207720782079208020812082208320842085208620872088208920902091209220932094209520962097209820992100210121022103210421052106210721082109 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Prefered vessel type * Minimum salary, EUR (Example: N,NNNN - NN,NNN) * Education English level skills: Spoken * --Selected-- Fluent Very good Good Satisfactory Poor Education * Written * --Selected-- Fluent Very good Good Satisfactory Poor Start year * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 End year * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 Passports, certificates, licences Passport number * Issue date * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Issue place * Expire date * --Selected--20242025202620272028202920302031203220332034203520362037203820392040204120422043204420452046204720482049205020512052205320542055205620572058205920602061206220632064206520662067206820692070207120722073207420752076207720782079208020812082208320842085208620872088208920902091209220932094209520962097209820992100210121022103210421052106210721082109 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Seaman's book number * Issue date * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Issue place * Expire date * --Selected--20242025202620272028202920302031203220332034203520362037203820392040204120422043204420452046204720482049205020512052205320542055205620572058205920602061206220632064206520662067206820692070207120722073207420752076207720782079208020812082208320842085208620872088208920902091209220932094209520962097209820992100210121022103210421052106210721082109 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Other documents (LICENCE / CERTIFICATE / VISAS ) Master Master > 3000 GRT Master < 3000 GRT Chief mate Ch/Off > 3000 GRT Ch/Off < 3000 GRT 2/Off 3/Off Chief Engineer Ch/Eng > 3000 kW Ch/Eng < 3000 kW 2/Eng > 3000 kW 2/Eng < 3000 kW 2/Eng 3/Eng Electrical engineer Electronic Engineer Electrician Motorman Welder Fitter AB Able Seaman OS Ordinary Seamen Cook Deck Cadet Eng Cadet Exc Driver Crane Operator CRO - Control Room Operator Roustabout Deck Officer Purser DPO - Dynamic Positioning Supervisor, SDPO - Senior Dyn Pos Superv Floorman Deck Foreman Naval Architect Document Id * Issue date * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Issue place * Expire date * --Selected--20242025202620272028202920302031203220332034203520362037203820392040204120422043204420452046204720482049205020512052205320542055205620572058205920602061206220632064206520662067206820692070207120722073207420752076207720782079208020812082208320842085208620872088208920902091209220932094209520962097209820992100210121022103210421052106210721082109 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 - Remove cell + Add more documents SEA SERVICE (LAST 10 YEARS) Vessel's name * Vessels's GRT / DWT * Engine Kw * Type * Vessels's flag * (example: LT, RU, EN) Engine type * (manufacture & model) Rank held * Sign on date * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Sign off date * --Selected--20242023202220212020201920182017201620152014201320122011201020092008200720062005200420032002200120001999199819971996199519941993199219911990198919881987198619851984198319821981198019791978197719761975197419731972197119701969196819671966196519641963196219611960195919581957195619551954195319521951195019491948194719461945194419431942194119401939193819371936193519341933193219311930192919281927192619251924192319221921192019191918191719161915191419131912191119101909190819071906190519041903190219011900 --Selected--JanuaryFebruaryMarchAprilMayJuneJulyAugustSeptemberOctoberNovemberDecember --Selected--12345678910111213141516171819202122232425262728293031 Owner * - Remove cell + Add more In accordance GDPR (Regulation (EU) 2016/679) herewith I confirm my compliance with the automatic processing of my personal data given in this application form, including transfer of my personal data and documents to the third parties, and storage of this data and documents for employment purposes. I confirm that my personal data and documents inserted into this application are considered to be public information. В соответствии с регулирующим актом Евросоюза "Общие положение по защите данных" (General Data Protection Regulation, GDPR), я подтверждаю, что согласен с автоматической обработкой моих персональных данных, указанных в данной анкете, включая передачу этих данных и копий моих документов третьим лицам, и их хранением в целях трудоустройства. Подтверждаю, что мои персональные данные и документы, указанные в анкете, являются общедоступными. Your application form has been sent successfully! Thank you for your interest in our company. Ваша анкета успешно отправлена! В ближайшее время она будет рассмотрена. Благодарим Вас за интерес, проявленный к нашей компании.