Application Form
Application Form
Application Form
M/V DINO BULK PANAMA 21,192 C/M 20.09.20 23.02.21 05.02 W/W ASYMPTOMATIC (COVID) TDG
M/V ALONI BULK PANAMA 21,192 2/O 20.11.18 17.09.19 09.27 W/W EOC TDG
M/V GRIKO BULK PANAMA 17,944 2/O 02.06.17 29.03.18 09.27 W/W EOC TDG
M/V KAMBOS BULK PANAMA 21,192 2/O 13.02.16 25.11.16 09.08 W/W EOC TDG
M/V GOLDEN ROSE BULK MAJURO 44,485 2/O 22.07.14 23.04.15 09.01 W/W EOC TSM
M/V OSHIMA ISLAND BULK SINGAPORE 42,960 2/O 01.06.13 04.01.14 06.03 W/W CHANGE CREW DOLPHIN
M/V OCEAN
PROMISE BULK SINGAPORE 29,841 3/O 19.03.12 14.11.12 08.11 CHINA/PHIL/INDONISIA EOC DOLPHIN
M/V MANHATTAN CONTAINER LIBERIA 54,592 3/O 05.06.11 12.12.11 06.06 W/W EOC PTC
M/V MAERSK
DAMIETTA CONTAINER LIBERIA 54,675 3/O 15.08.10 20.02.11 06.05 W/W EOC PTC
M/V MANHATTAN CONTAINER LIBERIA 54,592 3/O 12.11.09 18.05.10 06.06 W/W EOC PTC
M/V ARYA PAYAM BULK CYPRUS 32,474 3/O 17.08.08 13.02.09 05.26 W/W EOC INC
M.V. APL SEATTLE CONTAINER LIBERIA 35,255 3/O 25.05.07 29.03.08 10.04 W/W EOC INC
M.V. SEA BREEZE CONTAINER MARSHALL ISL 7,701 3/O 27.01.06 01.12.06 10.04 W/W EOC INC
M.V. NORASIA
TEGESOS CONTAINER CYPRUS 31,207 J/O 30.11.04 24.09.05 09.26 W/W EOC INC
PART VIII - CONTACT DETAILS OF AT LEAST 3 FOREIGN PRINCIPALS
COMPANY NAME OFFICE ADDRESS CONTACT NUMBERS E-MAIL ADDRESSES / FAX NUMBER
I HEREBY, certify that I have not been involved, charged or convicted in any administrative civil and/or criminal or tribunal in any jurisdiction either local or international in connection with my employment as a seafarer onboard ocean going vessel.
I futher certify that I have not been involved, charged or convicted in any administrative, civil or criminal court or tribunal for cases associated with magic pipes and other similar activities in any U.S. Jurisdiction neither was I been deported or placed under blacklist
by the U.S. Coast Guard and or the U.S. Environmental Protection Agency as consequence thereof.
I HEREBY CERTIFY that the information above is true and correct. Any misrepresentation or misinformation on my part shall be grounds for the revocation of my application and if already employed, shall be ground for termination without any responsibility / liability on the part of Global Gat
Crewing Services, Inc. whatsoever.
Applicants Signature ____________________________________ Date: _____________________