Seafarer's Application Form PRIVATE INFORMATION Name and Surname E-mail Birth Place and Date Mobile No. Emergency Contact Person and Phone Spoken Foreign Languages SEAMAN BOOK & PASSPORT DETAILS Qualification / Rank Port of Registery and No Physical Examination Date Passport Expiry Date BASIC STWC CERTIFICATES Personal Survival Techniques Fire Fighting and Fire Prevention Elementary First Aid Personal Safety and Social Responsibility Proficiency in Security Awareness --- SELECT ---Certificate of CompetencyDynamic Positioning Advanced Operator Course (DPA)Dynamic Positioning Induction Operator Course (DPI)Electronic Chart Display and Information System (ECDIS)EndorsementEnergy ConservationEngine Team and Resource ManagementFamiliarization safety training for ratingsFurther Offshore Emergency Training FOET-AGlobal Maritime Distress and Safety System-Restricted Operator's Certificate GMDSS-ROCGMDSS General Operator CertificateGMDSS General Operator Certificate EndorsementHelicopter Underwater Escape Training HUET-BHygiene for Catering Personnel-TrainingInert Gas System (IGS)Maritime English -Phrase Vocabulary DeckMedical Care (VI/4.2)Medical CertificatesMedical Fitness CertificateOffshore crane operator stage1 EndorsementOffshore crane operator stage2 EndorsementPersonal safety and social responsabilities on board shipsPrevention of polution of the marine environment MARPOL 73/78Proficiency in Fast Rescue BoatsProficiency in personal survival technique –basicProficiency in Survival Craft (VI/2)Proficiency in survival craft and rescue boats other than fast rescue boats –BASICRadar Observation and Plotting Simulator (A-II)Responsabilities on Board Passanger Ships (Including Ro-Ro Passanger Ships)Ship Handling ArrangementsShip security awarenessShip Security Officer (VI/5)Ship's cook - SpecializationSpecialized training for chemical tankersSpecialized training for Liquified Gas TankersSpecialized Training for Oil TankersTanker Familiarization Course (V/1)Transport and handling of dangerous hazardous and harmful cargoesUse of self-contained compressed-air breathing apparatusWatchkeeping Duties on the bridge --- SELECT ---Certificate of CompetencyDynamic Positioning Advanced Operator Course (DPA)Dynamic Positioning Induction Operator Course (DPI)Electronic Chart Display and Information System (ECDIS)EndorsementEnergy ConservationEngine Team and Resource ManagementFamiliarization safety training for ratingsFurther Offshore Emergency Training FOET-AGlobal Maritime Distress and Safety System-Restricted Operator's Certificate GMDSS-ROCGMDSS General Operator CertificateGMDSS General Operator Certificate EndorsementHelicopter Underwater Escape Training HUET-BHygiene for Catering Personnel-TrainingInert Gas System (IGS)Maritime English -Phrase Vocabulary DeckMedical Care (VI/4.2)Medical CertificatesMedical Fitness CertificateOffshore crane operator stage1 EndorsementOffshore crane operator stage2 EndorsementPersonal safety and social responsabilities on board shipsPrevention of polution of the marine environment MARPOL 73/78Proficiency in Fast Rescue BoatsProficiency in personal survival technique –basicProficiency in Survival Craft (VI/2)Proficiency in survival craft and rescue boats other than fast rescue boats –BASICRadar Observation and Plotting Simulator (A-II)Responsabilities on Board Passanger Ships (Including Ro-Ro Passanger Ships)Ship Handling ArrangementsShip security awarenessShip Security Officer (VI/5)Ship's cook - SpecializationSpecialized training for chemical tankersSpecialized training for Liquified Gas TankersSpecialized Training for Oil TankersTanker Familiarization Course (V/1)Transport and handling of dangerous hazardous and harmful cargoesUse of self-contained compressed-air breathing apparatusWatchkeeping Duties on the bridge --- SELECT ---Certificate of CompetencyDynamic Positioning Advanced Operator Course (DPA)Dynamic Positioning Induction Operator Course (DPI)Electronic Chart Display and Information System (ECDIS)EndorsementEnergy ConservationEngine Team and Resource ManagementFamiliarization safety training for ratingsFurther Offshore Emergency Training FOET-AGlobal Maritime Distress and Safety System-Restricted Operator's Certificate GMDSS-ROCGMDSS General Operator CertificateGMDSS General Operator Certificate EndorsementHelicopter Underwater Escape Training HUET-BHygiene for Catering Personnel-TrainingInert Gas System (IGS)Maritime English -Phrase Vocabulary DeckMedical Care (VI/4.2)Medical CertificatesMedical Fitness CertificateOffshore crane operator stage1 EndorsementOffshore crane operator stage2 EndorsementPersonal safety and social responsabilities on board shipsPrevention of polution of the marine environment MARPOL 73/78Proficiency in Fast Rescue BoatsProficiency in personal survival technique –basicProficiency in Survival Craft (VI/2)Proficiency in survival craft and rescue boats other than fast rescue boats –BASICRadar Observation and Plotting Simulator (A-II)Responsabilities on Board Passanger Ships (Including Ro-Ro Passanger Ships)Ship Handling ArrangementsShip security awarenessShip Security Officer (VI/5)Ship's cook - SpecializationSpecialized training for chemical tankersSpecialized training for Liquified Gas TankersSpecialized Training for Oil TankersTanker Familiarization Course (V/1)Transport and handling of dangerous hazardous and harmful cargoesUse of self-contained compressed-air breathing apparatusWatchkeeping Duties on the bridge FLAG CERTIFICATION LAST THREE EXPERIENCE . OTHER FEATURES & REMARKS Are you a robot? SUBMIT
