Seafarers Application Form

Full Name*

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Date of Birth*

DagMånedÅr
Dato
Place of Birth*
As stated in passport
Nationality*

Gateadresse

Gateadresse Linje 2

ByFylke

PostnummerLand
Nearest Airport*
Travelling time to airport*
Email Address*
Phone Number*

LandcodePhone Number
Applying for position (s) (You can choose more than one)*

CaptainChief Officer2nd Officer3rd OfficerChief Engineer2nd Engineer3rd EngineerElectrician-ETRAble BodyOrdinary SeamanChief CookCatering AssistantCadetTrainee
Application text
Applying for ( You can choose both)*

Permanent PositionTemporary Position
Tick of to confirm your basic qualifications*

Valid Health CertificateValid STCW Safety Training (IMO)Security Duties
Available from*

MonthDayYear
Upload CV & Cover Letter*

Upload a File

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Upload Certificate(s) of Proficiancy

Upload a File

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Upload Certificate(s) of Competence

Upload a File

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Upload DP Certificate / Training Courses

Upload a File

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Upload Health Certificate*

Upload a File

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Upload Copy of Seamens book

Upload a File

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