oil gas recruitment seafarer application form

8/16/2019 Oil Gas Recruitment Seafarer Application Form

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(Passport Photo)

Can be scanned / sent

separately

43rd Primaverii street, 900635,

Constanta, Romania

Tel: +40 721 938432

+40 241 584483

We: !!!"oil#asre$r%itment"ro

Cre! &e'artment

(mail: $re!in#)oil#asre$r%itment"ro

SEAFARER'S APPLICATION FORM - Page 1 of 3 - PERSONAL DATA

PERSONAL INFORMATIONFamily Name First Name s!

"irt# Date "irt# Pla$e

Natio%ality Religio%

Marital Stat&s No of C#il(re%)eig#t $m! *eig#t +g!

Nearest Air,ort

ADDRESS i%$l&(e tele,#o%e $o&%try area $o(es. a(/ise also se$o%(ary or $o%ta$t a((resses if a%y!Street Nr Email A((ress

Lo$atio% Mo0ile P#o%e

City Resi(e%$e P#o%e

State Co&%try Fa

http://www.oilgasrecruitment.ro/index.php


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State Co&%try Fa

SEAFARER'S APPLICATION FORM - Page : of 3 - LIST OF DOC;MENTS

Family

Name

First

Names!

Ra%+

A TRA6EL DOC;MENTS AND MEDICAL CERTIFICATESDo$&me%t Name Des$i,tio%! Do$&me%t N&m0er Co&%try Iss&e Pla$e Iss&e Date E, Date

Passport

Seaman's Book (natonal)

Seaman's Book (flag state)

Seaman's Book (flag state)

!sa - "nted States (type C#/$)

!sa - %thers (&ork/esd Permts)

edcal *+amnaton eport

%ffshore edcal (",%%A *.#)

!accnaton aganst 0ello1 2ever

!accnaton aganst Cholera

" CERTIFICATES OF COMPETENC< ENDORSEMENTS. CO;RSE CERTIFICATES

- deck 3 engne certfcates 3 endor-

sements (offcers / ratngs)- electrcal 3 reefer certfcates

- cook 3 ste1ard certfcates

- rado certfcates 3 endorsements

- safety tranng (surv fremedcal)

- tanker courses (ol chem gas)

- passenger vsl roro ha4mat courses

- deck techncal 3 management

courses (radar/APA 5S arpol smulators computer 1eldng etc)

- $ynamc Postonng *+perence

Do$&me%t Name Des$i,tio%! Do$&me%t N&m0er Co&%try Iss&e Pla$e Iss&e Date E, Date

C*6525CA6* of C%P*6*.C0

*.$%S**.6

$0.A5C P%S565%.5. BAS5C

$0.A5C P%S565%.5. A$!


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OIL =AS RECR;ITMENT SEAFARER'S APPLICATION FORM - Page 3 of 3 - SEA SER6ICE LAST 1>

oil gas recruitment seafarer application form

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