1. APPLICATION FOR EMPLOYMENT ON BOARD VESSELS
POSITION APPLIED: ____________________________ The Completion of this
form does not guarantee
Date of Availability: _________________________
employment
PERSONAL DATA
Names (as passport)
Last Names (as passport)
Date/Place of Birth
Home Address (Photo Here)
Phone Number
Email
Nationality
Gender
Marital Status
Height/Weight
Next of Kin
Education Background
DOCUMENTS
NUMBER DATE OF ISSUE EXPIRED DATE PLACE OF ISSUE
PASSPORT
SEAMAN BOOK
CERTIFICATES OF SEAMAN BASIC TRAININGS
NUMBER DATE OF EXPIRED PLACE OF ISSUE
ISSUE DATE
Prev.y Lucha incendios (Firefighting)
Tec. de sup. en el mar (PST)
Primeros auxilios básicos (First aid)
Seg. personal y resp. Social (PSST)
Control de Multitudes (Crowd)
Control y manejo de Crisis (Crisis)
SEA SERVICE RECORD
NAME OF TYPE OF RANK PERIOD REASON OF SIGN
VESSEL/FLAG VESSEL OFF
EXPERIENCES BY HOTEL / RESTAURANT
NAME OF HOTEL RANK PERIOD
DO YOU SPEAK? Fluent Fair
Spanish
English