Scribd Logo
Upload

Welcome to Scribd!

  • 37 views

    Personal Application Form

    Uploaded by

    Александр Пасканный
    This document contains a personal application form for a position with A.S.A.P. crewing agency in Odessa, Ukraine. The form requests information such as contact details, passport and medical documentation, certifications, training, measurements, and seagoing service history. It aims to collect all relevant details about an applicant for assessment and placement on vessels.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd

    Personal Application Form

    Uploaded by

    Александр Пасканный
    37 views3 pages
    This document contains a personal application form for a position with A.S.A.P. crewing agency in Odessa, Ukraine. The form requests information such as contact details, passport and medical documentation, certifications, training, measurements, and seagoing service history. It aims to collect all relevant details about an applicant for assessment and placement on vessels.

    Original Description:

    Original Title

    ASAP-CV-NEW

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    This document contains a personal application form for a position with A.S.A.P. crewing agency in Odessa, Ukraine. The form requests information such as contact details, passport and medical documentation, certifications, training, measurements, and seagoing service history. It aims to collect all relevant details about an applicant for assessment and placement on vessels.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    37 views3 pages

    Personal Application Form

    Uploaded by

    Александр Пасканный
    This document contains a personal application form for a position with A.S.A.P. crewing agency in Odessa, Ukraine. The form requests information such as contact details, passport and medical documentation, certifications, training, measurements, and seagoing service history. It aims to collect all relevant details about an applicant for assessment and placement on vessels.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3

    A.S.A.P.

    crewing agency
    2/1 Mechnikova, Office 10, Odessa, Ukraine
    Phone: 380487373482
    Fax: 380487373481
    Email: [email protected]

    PERSONAL APPLICATION FORM

    Position applied for:


    Personal Data
    Available from:
    Surname:
    Given Name(s):
    Nationality / Citizenship:
    Date/Place of Birth:
    Personal Id:
    Gender:
    Marital status:
    Nearest airport:
    Address:
    Phone:
    skype
    Next of kin
    Full name: Relationship:
    Address:
    Phone: E-mail:

    Travel documents (Passports, SB, Visas)


    Name Country Document No Date of Issue Issuer/Place of Issue Expires
    Passport

    Seaman's Book

    Medical documents
    Name Country Document No Date of Issue Issuer/Place of Issue Expires

    Measurements
    Eyes: Safety shoes:
    Hair:
    Height: cm Boiler suit:
    Weight: kg
    A.S.A.P. crewing agency
    2/1 Mechnikova, Office 10, Odessa, Ukraine
    Phone: 380487373482
    Fax: 380487373481
    Email: [email protected]

    Certificates of competency
    Name Country Document No Date of Issue Issuer/Place of Issue Expires

    Endorsements
    Name Country Document No Date of Issue Issuer/Place of Issue Expires

    Training documents and Tests


    Name Country Document No Date of Issue Issuer/Place of Issue Expires
    SECURITY-RELATED TRAINING AND UKR Ukraine
    INSTRUCTION FOR ALL SEAFARERS

    Training for Ro-Ro Passanger Ships Personnel UKR Ukraine

    Ship Security Officer UKR Ukraine

    Proficiency Survival Craft and Rescue Boat (other UKR Ukraine


    than Fast Rescue boats)

    Basic Safety Training (SOLAS) UKR Ukraine

    DESIGNATED SECURITY DUTIES OF SHIPBOARD UKR Ukraine


    PERSONNEL

    Medical First Aid UKR Ukraine

    HAZMAT UKR Ukraine

    Advanced Fire Fighting UKR Ukraine


    A.S.A.P. crewing agency
    2/1 Mechnikova, Office 10, Odessa, Ukraine
    Phone: 380487373482
    Fax: 380487373481
    Email: [email protected]

    Seagoing service
    Date From Date To Vessel Name Type Flag DWT Engine kW Rank Company

    You might also like