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CURRICULUM VITAE / RESUME Last Name / Surname Position applied for Date of birth Date of availability Nationality English’s Level (basic, medium, fluent, bilingual)
First Name Second choice Place of birth
PHOTOS
Complete Home address Home phone E-mail Nearest Airport from your home
Mobile phone
NEXT OF KIN (NOK) DETAILS – PERSON CONTACTED IN CASE OF EMERGENCY Last Name Relationship (i.e. Wife, Father etc.) NOK address NOK Contact Number
First Name
DOCUMENTS’ DETAILS Name of document National Seaman’s Book USA Visa Medical certificate Issued Yellow Fever Vaccination License License No.
Number NA NA Grade of License
Certificate of Competency
Place of issue
Date of issue
Date of expiry
NA NA NA Place of issue
Date of issue
Date of expiry
Place of issue
Date of issue
License No.
SEA SERVICE EXPERIENCES Rank
Eye colour Hair colour
Company
Name of vessel
Vessel’s type
Shoe Size (European standard) Height (cm)
Vessel’s flag
GRT
Engine /KW
From
Weight (kg) Overall size (S/M/XL/XXL)
To