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鑸鍛鐧璁琛?/div>') document.writeln('

SEAFARER\'S APPLICATION FORM

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1. 鍩烘湰鎯呭喌 PERSONAL PARTICULARS
涓枃鍚 Chinese Name		鍑虹敓鏃ユ湡 Date of Birth		韬珮 Height(cm)	銆€
鑻辨枃鍚 English Name		鍑虹敓鍦 Place of Birth
鐢宠鑱屽姟 Position Applied		琛€鍨 Blood Type		浣撻噸 WEIGHT(kg)
韬唤璇佸彿鐮 ID Card Nr.		鑱旂郴鐢佃瘽 Phone
瀹跺睘濮撳悕 Spouse Name		绉诲姩鐢佃瘽 MB NO.		闉鐮 Shoes size
鑱旂郴鍦鍧€/閭缂 Address/Post Code銆€
2.涓撲笟鏁欒偛鎯呭喌 MARINE COLLEGE/SCHOOL ATTENDED
姣涓瀛鏍狘br /> ') document.writeln(' Name of School	涓涓欬br />Speciality	姣涓鏃闂滁br />Year of Graduation	瀛鍘咟br />Type of Diploma held

3.璇佷功鎯呭喌 CERTIFICATES銆€銆€銆€銆€
璇涔鍚绉?br />') document.writeln(' Category	绛绾?br />Capacity	鍙鐮?br />Number	绛鍙鏃鏈烖br />Date of Issue	鍒鏈鏃鏈烖br />Date of Expiry	绛鍙鏈鏋凕br />Issuing Authority
閫備换璇佷功 C.O.C.
GMDSS
娴峰憳璇 Seafarer\'s Passport
鎶ょ収 Passport
鏈嶅姟绨军br />Seaman\'s Record Book
涓撲笟鍩硅鍚堟牸璇佷功 Professional training
鐔熸倝鍜屽熀鏈畨鍏ㄥ煿璁?br />Familiarization and Basic Safety Training
绮鹃€氳墖绛忓煿璁?br /> Proficiency in Survival Craft and Rescue Boats
楂樼骇娑堥槻鍩硅 ') document.writeln(' Advanced Fire-fighting Training
绮鹃€氭€ユ晳鍩硅 Proficiency in Medical First Aid
鑸逛笂鍖绘姢鍩硅 Medical Care On Board
闆疯揪瑙傛祴涓庢爣缁樺拰闆疯揪浠跨湡鍣ㄥ煿璁 Radar Observation and Plotting and radar simulator
鑷姩闆疯揪鏍囩粯浠煿璁?br />ARPA Simulator
淇濆畨鍛樺煿璁?br /> Security Officer Training
娌硅疆鐗规畩鍩硅(瀹夊叏鐭ヨ) Oil Tanker Familiarization
娌硅疆鐗规畩鍩硅(瀹夊叏鎿嶄綔) Advanced Training on Oil Tanker Operations
娌硅疆鐗规畩鍩硅(鍘熸补娲楄埍) Training On Igs And Cow Of Oil Tanker
娑插寲姘旂壒娈婂煿璁?瀹夊叏鐭ヨ瘑) Liquefied Gas Tanker Familiarization
娑插寲姘旂壒娈婂煿璁?瀹夊叏鎿嶄綔) Liquefied Gas Tanker Special Training On Operation
鍖栧鍝佺壒娈婂煿璁?瀹夊叏鐭ヨ瘑) Chemical Tanker Familiarization
鍖栧鍝佺壒娈婂煿璁?瀹夊叏鎿嶄綔) Chemical Tanker Operation
鍏朵粬璇佷功 Other Cert.
鍏朵粬璇佷功 Other Cert.
4. 娴峰巻 SEA SERVICE
鑸鍚 Name of Vessel
鑱鍔 Rank
鑸鍨 Type of Vessel
鑸鏃 Flag
鎬鍚℅T
椹鍔 B.H.P.
涓绘満鍨嬪彿 Type of Engine
浠昏亴鏃堕棿Date of Sign-on
瑙ｈ亴鏃堕棿Date of Sign-off
鑸鍖 Trading Area
鍏徃鍚嶇ОName of Company
澶娉 Remarks

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