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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