SEAFARER APPLICATION FORM

PERSONAL DETAILS

EDUCATIONAL BACKGROUND

TECHNICAL BACKGROUND

IDENTITY DOCUMENTS

FAMILY DETAILS (IF UNMARRIED KINDLY GIVE DETAILS OF FATHER / MOTHER)

CERTIFICATES (HIGHEST CERTIFICATE OF COMPETENCY HELD)

DETAILS OF COURSES & CERTIFICATES FOR OFFICERS

DETAILS OF COURSES & CERTIFICATES FOR RATINGS

FOR ENGINEERS(PLEASE PROVIDE DETAILS)

TOTAL SAILING EXPERIENCE

MEDICAL HISTORY (IF THE ANSWER IS YES TO ANY OF THE BELOW, PLEASE GIVE FULL DETAILS AND ATTACH A SEPARATE PAGE IF NECESSARY)

SEA SAILING EXPERIENCES

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DECLARATION

  I hereby affirm that all the information provided by me in this application is true and correct