Leisure Ship Crew Application e-Reg Form

Status
Leisure Ship Crew Application e-Reg Form

Please submit your data and the Senator Crewing Manila Inc. Talent Acquisition Team will contact you.
Name of Applicant

First NameMiddle NameLast Name
Date of Birth

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEnter in your date of birth.
Gender
Age
Last Rank/Position Onboard
Select your current rank.
Other Rank
Enter in your current rank.
Number of Years on Rank
Enter in the number of years you spent in digits.
Current Monthly Salary
Enter in your previous monthly salary. (Gross in USD)
Types of Vessels
Enter your vessel type experience over the last three years. For engineers, please indicate ME type.
CONTACT INFORMATION
Email Address
example@example.com
Mobile Phone Number
Please enter a valid mobile phone number (without country code). Moreover, we encourage you to install Facebook Messenger, Viber, and WhatsApp.Format: (0000) 000-0000.
Mobile Phone Number (Alternate)
Please enter a valid mobile phone number (without country code). Moreover, we encourage you to install Facebook Messenger, Viber, and WhatsApp.Format: (0000) 000-0000.
Facebook URL
facebook.com/example
Home Address (Please note that Senator now has a Cebu Branch Office)

Street Address Line 2

CityProvince (NCR/Luzon/Visayas/Mindanao)

Postal / Zip Code
Region
DOCUMENT CHECKS
Passport

MonthDayYear
2 digit month, 2 digit day, 4 digit yearPassport Expiry Date (Required)
Seaman's Book

MonthDayYear
2 digit month, 2 digit day, 4 digit yearSeaman's Book Expiry Date (Required)
Available Visa
Upload CV or Biodata

Please include document expiration dates and/or recommendations for promotion. We are also interested to know your sea service (vessel type/size/ME type) Size limit: 5MB, 3 files max
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Document Validity
If other, then please state the reason. Your honest feedback will be very appreciated.
Reason
Enter the name of all documents which are expiring within the next 12 months.
Document Status
Select the location of your travel and STCW documents.
COVID-19 VACCINATION STATUS CHECK
Vaccination Status
Enter in your vaccination status.
Vaccine Type
Select a vaccination type.
Dose Number
Select your dose status.
Vaccination Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearEnter in the date of your most recent dose.
COVID19 Vaccination Card

Please provide a clear copy showing your full name and vaccine type including the date/s of dose/s administered. Size limit: 3MB, 1 file max
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DATA PRIVACY POLICY
Applicant's Signature

I hereby authorize Senator Crewing (Manila) Inc. to collect and process the data indicated herein for the purpose of processing my application pursuant to the Data Protection Act of 2012.
Date

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Hour Minutes
Should be Empty:

Leisure Ship Crew Application e-Reg Form

CONTACT INFORMATION

DOCUMENT CHECKS

COVID-19 VACCINATION STATUS CHECK

DATA PRIVACY POLICY