Application for Employment

Deck & Engine

Position applied:

1. Personal Data foto

Family Name
First Name/Middle In.
Date of Birth
Place of Birth
Nationality
Sex
Civil Status
E-Mail
Skype ID
Address
Phone Number
Height
Weight
Nearest airport

2. Highest Educational Degree with Diploma

Institute/School
Degree/Level
Period

3. Professional Experience

start with present position – if none pls explain what they do at the moment

Position on board / Period on board (from/to) / Vessel name / Type of vessel / Year of built / GT / kW / manufacturer of main engine / Trading Area / Reason for leaving / employer

4. Competencies, Certificates & Documents

4.1. Language Skills

English / Excellent / Good / Satisfactory / Basic
Speaking
Writing
German / Excellent / Good / Satisfactory / Basic
Speaking
Writing
Other: / Excellent / Good / Satisfactory / Basic
Speaking
Writing

Please attach Marlins Test result

4.2 STCW Certification

Name of Certificate / STCW reference / Date issued / Date of Expiry / Place of issuance / N° of certificate / Comments
(if necessary)
National Certificate of Competency / Proficiency / For Deck/Engine Officers and ratings forming part of an engineering/nautical watch
Flag State endorsement of national CoP/CoC / Only for certificates of competency
National General Operator Certificate (GoC) / For Deck officers only
Flag State endorsement of national GoC / For Deck officers only
National Medical Fitness Certificate (2 years) / Necessary for all crew members of Deck and Engine Dept.
Basic Safety Certificate / Necessary for all crew members of Deck and Engine Dept.
Crowd (& Crisis) Management Certificate / Depending on what is required for the position applied for
Advanced Fire Fighting Certificate / Depending if it is required for the position applied for
Survival Craft and Rescue Boat Certificate / Depending if it is required for the position applied for
Medical Care / For Deck officers only
Ship Security Officer (SSO) Certificate / For Deck officers only

Please attach scans of all certificates mentioned above

4.3 Travel Documents

Document type / № of document / Date of issue / Expiry date / Place of issue
Travel Passport
Seaman’s Book
USA C1/D visa
Schengen visa
Australian MCV visa

Please attach scans of all certificates mentioned above

5. Additional Comments and Remarks