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Sumer Shipping Job Application Form
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* Indicates required question
Name
*
Your answer
Surname
*
Your answer
Age
*
Your answer
ID NO
*
Your answer
Date of Birth
*
Your answer
Place of Birth
*
Your answer
Sex
*
Male
Female
Marital Status
*
Single
Married
Military Service
*
Completed
Not Completed
Extempt
Adress
*
Your answer
City/Town
*
Your answer
Home Phone
*
Your answer
Cell Phone
*
Your answer
Education Institution
*
Your answer
Date of Graduation
*
Your answer
Level of English Competence
*
Beginner
Intermediate
Advanced
Rank
*
Choose
Master
Chief Officer
Second Officer
Radio Officer
Chief Eng.
Second Eng.
Third Eng.
Bosun
Able Seaman
Ordinary Seaman
Oiler
Cook
Deck Cadet
Engine Cadet
Seaman's Book No.
*
Your answer
Date of Expiry
*
Your answer
Port of Registry
*
Your answer
Registry No.
*
Your answer
Certificates
*
Navigational Watchkeeping
Engine Room Watchkeeping
Survival Techniques Traning
Personal Safety and Social Responsability Traning
Proficiency in Survival Craft and Rescue Boat
Elementary First Aid Training
Fire Prevention and Fire Fighting Training
Advanced Fire Fighting Training
Medical First Aid and Training
Medical Care Training
ARPA
Radar Observation and Plotting Training
Ship Security Officer
VHF
Required
Passport No. & Expiry Date
*
Your answer
Competency for Radio (GMDSS)
*
Your answer
Date of Expiry for Competency for Radio (GMDSS)
*
Your answer
References
*
Your answer
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