Onboard Vacancies Form

SEAGOING VACANCIES

If you are interested in being considered for a position with LMS, please complete an open application. We will contact you to discuss suitable vacancies with you.
Personal Information

Fill in Capital Letters only.
Rank applying for:
Name as per your passport*

PrefixFirst NameMiddle NameLast Name
Date of Birth*

DayMonthYear
Place of Birth*

City and DistrictState and Country
Nationality*
Mobile Number*
Please enter your mobile number here.
E-mail ID*
Enter your Email address here.
Permanent Address*

Street Address Line 1

Street Address Line 2

CityState

Pin CodeCountry
Educational Details

Enter your educational details here.

Qualification:*

Passport Details:*

	Issuing Country	Passport No	Date of Issue	Place of Issue	Date of Expiry
Passport

Indian CDC Details:*

	Issuing Country	Indian CDC No	Date of Issue	Place of Issue	Date of Expiry
Indian CDC

INDoS No:*

	INDoS No	Date of Issue	Place of Issue
INDoS Number

Other CDC Details:

	Issuing Country	Seaman Book No	Date of Issue	Place of Issue	Date of Expiry
Other CDC

Family Details:*

Next of Kin Details:*

Details of Certificates:

	Certificate Number	Institute Name	Date of Issue	Date of Expiry
FIRE PREVENTION & FIRE FIGHTING (FPFF)
ELEMENTARY FIRST AID (EFA)
Personal Survival Technique (PST)
Personal Survival & Social Responsibility (PSSR)
Oil Tanker Familiarization (OTFC)
DCE Oil – Support
Chemical Tanker Familiarization (CTFC)
DCE Chemical – Support
Watch Keeping Certificate Ratings (Deck/Engine)
Advanced Fire Fighting (AFF)
Medical First Aid (MFA) / Medicare
Proficiency in Survival Craft & Rescue Boat (PSCRB)
Personal Survival & Social Responsibility (PSSR)
SSO (Ship Security Officers Course)
ECDIS
BTM (Renewed every 5 years)
ARPA (Automatic Radar Plotting Aid)
GMDSS
Radar Observer / RANSCO Simulator
GMDSS Endorsement
Oil Tanker Familiarization (OTFC) / TASCO
DCE Oil – Operation / Management
Chemical Tanker Familiarization (CTFC) / CHEMCO
DCE Chemical – Operation / Management
Specialized Training Programme On Oil Tanker Operations (STPOTO)
Framo Course
Revalidation Course for Deck / Engine Officers
Refresher & Up Gradation Course for Deck / Engine Officers
ISPS Course
Pump Man Course
Cookery Course
MMD Cookery Certificate
Fitter Course / Class Cert.
Ship Safety Officers Course / Risk Assessment
Ship Maneuvring Simulator
BRM / MRM / BERM (Renewed every 5 years)
Electrical/Electronics for Marine Engineers – Basic / Advance

Details of Previous Sea Service:*

Total Sailing Experience:*

YearsMonthsDays
Medical History

Select YES or NO whichever is applicable.
Have you ever signed off a ship due to medical reasons ?*

YesNo
If YES, specify your reason here:
Have you undergone any Surgery / Accident?*

YesNo
If YES, specify your reason here:
Do you have any health disability problems now ?*

YesNo
If YES, specify your reason here:
Criminal History

Select YES or NO whichever is applicable.
Have you ever been the subject of a court of enquiry or involved in a maritime accident ?*

YesNo
If YES, specify your reason here:
Have you ever had a professional license suspended or revoked ?*

YesNo
If YES, specify your reason here:
Do you have any pending criminal inquiry?*

YesNo
If YES, specify your reason here:
Additional Details
Boiler Suit Size:*
XS, S, M, L, XL, XXL, XXXL, etc.
Safety Shoes Size:*
Only in EUROPE size such as 38, 40, 42, 44, 46, etc.
Please provide any additional information or comments
Upload your latest CV here*

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Date*
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SEAGOING VACANCIES