![]() | Application - Deck Officer |
Please send the application to: Vestland Marine Sp z o.o. Chwarznienska str 87E 81602 Gdynia, Poland Phone : +48 58 699 45 00 Fax : +48 58 699 45 01 E-mail : post@vestlandmarine.eu | |||
Print application![]() | |||||
| PERSONAL DATA | |||
| FAMILY NAME,GIVEN NAME | NATIONALITY | ||
| DATE/PLACE OF BIRTH | NEAREST AIRPORT | ||
| PERMANENT ADDRESS | TEL NO | ||
| PRESENT ADDRESS | SAME | TEL NO | SAME |
| HEIGHT | WEIGHT | ||
| MARITAL STATUS | EYES COLOR | ||
| NAME OF NEXT OF KIN | RELATIONSHIP | ||
| ADDRESS | SAME | TEL NO | SAME |
| DOCUMENT | ||||||||
| PASSPORT | TYPE | NUMBER | DATE/PLACE OF ISSUE | EXPIRY | |
| SEAMEN BOOK | TYPE | NUMBER | DATE/PLACE OF ISSUE | EXPIRY | |
| AB | |||||
| LICENSE | TYPE | NUMBER | GRADE | DATE/PLACE OF ISSUE | EXPIRY |
| DSC | DEEP SEA CAPTAIN | ||||
| DSN | DEEP SEA NAVIGATOR | ||||
| SVC | SHORT VOYAGES CAPTAIN | ||||
| SVN | SHORT VOYAGES NAVIGATOR | ||||
| ENDORS | OFFICER IN CHARGE OF A NAVIGATIONAL WATCH | ||||
| REFR-CPT | REFRESHER COURSE FOR MASTERS & CH MATES | ||||
| GMDSS | GMDSS GENERAL OPERATOR | ||||
| ENDORS | GMDSS GENERAL OPERATOR | ||||
| GMDSSRO | GMDSS RADIO OPERATOR | ||||
| FCRTO | FIRST CLASS RADIOTELEGRAPH OPERATOR | ||||
| ENDORS | CHIEF OF THE RADIOTELEGRAPH STATION | ||||
| OTHER CERTS | TYPE | NUMBER | GRADE | DATE/PLACE OF ISSUE | EXPIRY |
| BASICSAF | STCW95 BASIC SAFETY TRAINING (4 COURSES) | ||||
| STCW | SOLAS TRAINING | ||||
| ARPA | ARPA OPERATOR | ||||
| ROP | RADAR OPERATOR | ||||
| ADVFF | ADVANCED FIRE FIGHTING | ||||
| FP / FF | FIRE PREVENTION AND FIGHTING | ||||
| MEDCARE | MEDICAL CARE | ||||
| MEDAID | MEDICAL FIRST AID | ||||
| ELFAID | ELEMENTARY FIRST AID | ||||
| PS | PERSONAL SURVIVAL | ||||
| PSC | PROFICIENCY IN SURVIVAL CRAFT | ||||
| PSSR | PERSONAL SAFETY AND SOCIAL RESPONSIBILIETIES | ||||
| STCW | MARITIME SEARCH AND RESCUE CO-ORDINATOR | ||||
| HAZMAT | SHIPS CARRYING DANGEROUS AND HAZARDOUS CARGOES | ||||
| CHM /GAS TK | CHEMICAL AND LIQUEFIELD GAS TANKER | ||||
| CHM TK / S | CHEMICAL TANKERS - SPECIAL TRAINING | ||||
| CHM TK / F | CHEMICAL TANKERS - FAMILIRIZATION TRAINING | ||||
| CHM TK / A | ADVANCED TRAINING ON CHEMICAL TANKER OPERATIONS | ||||
| OIL TK | OIL TANKERS | ||||
| OIL TK / S | OIL TANKERS - SPECIAL TRAINING | ||||
| OIL TK / F | OIL TANKERS - FAMILIRIZATION TRAINING | ||||
| OIL TK / A | ADVANCED TRAINING ON OIL TANKER OPERATIONS | ||||
| TK | CARGO EQUIPMENT ON TANKERS | ||||
| COW | CRUED OIL WASHING OF OIL TANKERS CARGO HOLDS | ||||
| IGS | INERT GAS SYSTEM | ||||
| GAS TK / F | LIQ. GAS TANKER FAMILIARIZATION | ||||
| GAS TK / A | LIQ. GAS TANKER ADVANCED | ||||
| GAS TK / T | LIQ. GAS TANKER TRAINING COURSE | ||||
| RTO | RADIOTELEPH. OPERATOR | ||||
| ENDORS | RADIOTELEPH. OPERATOR | ||||
| RO-RO PASS | MASTERS AND OFFICERS ON RO-RO PASSENGER SHIPS | ||||
| RORO-OFF | RORO PASS VSL TRAIN. - OFF | ||||
| RORO-RAT | RORO PASS VSL TRAIN. - RATINGS | ||||
| PASS-OFF | PASSENGER VSL TRAIN. - OFF | ||||
| PASS -RAT | PASENGER VSL TRAIN. - RATINGS | ||||
| IBA | ISOLATING BREATHING APPRATUS | ||||
| SERVICE RECORD | ||||||||
| RANK | VESSEL | TYPE | DWT | HP | ENG-TYPE | FROM | TILL | COMPANY |
| VISAS | ||
| VISAS | DATE ISSUED | EXPIRY DATE |
| Shengen VISA | ||
| USA VISA | ||
| MEDICAL EXAMINATION | ||
| MEDICAL EXAMINATION | DATE ISSUED | EXPIRY DATE |
| YELLOW FEVER | ||
| ENGLISH TEST | ||
| REMARKS | ||
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