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attached form by hand or electronically (you can type direct

作者:高考题库网
来源:https://www.bjmy2z.cn/gaokao
2021-03-04 00:14
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2021年3月4日发(作者:dajie)



Application Form and


Record of Personal Information and Past


Experience


Doc No:


Valid From:


Version:


Author:


Marine HR TKG - 51


28/06/2005


1


John Williams



Please complete the attached form by hand or electronically (you can type directly in the fields


provided). Please send the completed application to @, or fax it to


+44 (141) 243 2100.




Present rank:








Name in full (First, Middle, Last)








Date of birth








Place of birth








Permanent / Contact address








Age








Rank applied for:








Nationality








Married / Single / Divorced /


Widower








Next of kin


Name








Relationship








Address










(include international dialing code)


Telephone number









Nearest airport









If accepted, date available for service:








Medical certificate expiry date:








Yellow fever vaccination expiry date:








Professional Qualifications


Licences


National


(please state)








Bahamian








Liberian








Panamanian








Grade of


licence








Number








Date issued








Place issued


/ Revalidated








Expiry Date








U.S. Visa








Other Visa








Other Visa








Type








Type








Type








Valid until








Valid until








Valid until








Colour of hair / eyes







/








Height








Weight








Mobile number








Fax number








Email address








Date:








Photo





























































































Application Form and


Record of Personal Information and Past


Experience


Doc No:


Valid From:


Version:


Author:


Marine HR TKG - 51


28/06/2005


1


John Williams


Expiry date



Seaman’s book


number /


Nationality








Referees:


Name, company


and contact


telephone number


Place & date


issued








1)








Expiry date


Passport


nationality /


Number








Place & date


issued








2)




















Other professional qualifications / Certificates / Endorsements held


Course / Certificate

























































Signature:




Place held
























































Date held
























































Date of expiry

























































Application Form and


Record of Personal Information and Past Experience


Doc No:


Valid From:


Version:


Author:


Marine HR TKG - 51


28/06/2005


1


John Williams



Previous Sea Experience




Vessel name


Flag


Deck: Trading area /


Deadweight


Engine: Type & BHP














Type of


vessel








Company


name








Rank


Period


From



To














2


Last


rd


nd


Days / Months


Last

























/



































































/








3


Last


th





























































/








4


Last


th





























































/








5


Last


th





























































/








6


Last


th





























































/








7


Last


th





























































/








8


Last


th





























































/








9


Last





























































/







-


-


-


-


-


-


-


-



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