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    Aries Crewing Application Form

    Uploaded by

    charliecluster7
    This document contains an application for a photo position with ARIES CREWING S.R.L. It requests personal details such as name, address, date of birth, contact information, and next of kin. It also lists the applicant's documents including passport, medical certificates, and seafaring qualifications. The applicant's sea experience and other training certificates are described. At the bottom, the applicant declares the information is true and authorizes an investigation. They also agree to the processing and transmission of personal data.

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

    Aries Crewing Application Form

    Uploaded by

    charliecluster7
    82 views3 pages
    This document contains an application for a photo position with ARIES CREWING S.R.L. It requests personal details such as name, address, date of birth, contact information, and next of kin. It also lists the applicant's documents including passport, medical certificates, and seafaring qualifications. The applicant's sea experience and other training certificates are described. At the bottom, the applicant declares the information is true and authorizes an investigation. They also agree to the processing and transmission of personal data.

    Original Description:

    For applying to Aries

    Copyright

    © © All Rights Reserved

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    This document contains an application for a photo position with ARIES CREWING S.R.L. It requests personal details such as name, address, date of birth, contact information, and next of kin. It also lists the applicant's documents including passport, medical certificates, and seafaring qualifications. The applicant's sea experience and other training certificates are described. At the bottom, the applicant declares the information is true and authorizes an investigation. They also agree to the processing and transmission of personal data.

    Copyright:

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

    Aries Crewing Application Form

    Uploaded by

    charliecluster7
    This document contains an application for a photo position with ARIES CREWING S.R.L. It requests personal details such as name, address, date of birth, contact information, and next of kin. It also lists the applicant's documents including passport, medical certificates, and seafaring qualifications. The applicant's sea experience and other training certificates are described. At the bottom, the applicant declares the information is true and authorizes an investigation. They also agree to the processing and transmission of personal data.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
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    ARIES CREWING S.R.L.

    Position applied for:


    Photo

    Personal Data:
    Name: Surname Permanent Address: Date of Place of
    Birth: birth:

    Marital Contact Details: Next of Address: Contact:


    Status: Kin:
    Phone: Phone:
    Mobile: Mobile:
    E-mail: E-mail:

    Documents: No. Issued Place Valid until


    Passport
    National Seamans
    Book
    Liberian Seamans
    Book
    Medical Examination
    Yellow Fever
    Vaccination

    Certificates / Courses
    Issuing authority Grade Certificate Date Place Valid
    No issued Until
    National Certificate of
    Competence
    National Endorsement /
    STCW 95
    Liberian Endorsement
    GMDSS Endorsement
    SSO Endorsement

    Sea Experience
    Company Vessel Flag DWT M.E. Type Rank Service Service
    (teus) Power From Till
    Type of
    M.E.
    ARIES CREWING S.R.L.

    Other Certificates hold and courses attended


    Certificates Certificate Date Place Valid
    No issued Until
    Personal Survival Techniques
    Personal Safety and Social Responsibilities
    on board Ships
    Medical Care/ Elementary First Aid
    Advanced / Basic Fire Fighting
    Proficiency in Survival Craft and Rescue
    Boats, Other than fast Rescue Boats
    Maritime English
    GMDSS / GOC
    Security Awareness Training SSD
    Ship Security Officer
    Operational Use of Electronic Charts Display
    and Information System (ECDIS)
    Prevention of Pollution of the Marine
    Environment MARPOL 73/78
    Handling and Transport of Dangerous,
    Hazardous and Harmful Cargoes
    Human Element, Leadership and
    Management (HELM)
    Radar ARPA, Bridge Teamwork and Search
    and Rescue
    Bridge Team/ Engine Team and Rescue
    Management
    Radar Navigation, Radar Plotting and Use of
    ARPA
    Ship Handling and Maneuvering Simulation

    I hereby declare that I do not suffer from any illness or chronic or pre-existent medical condition and the information given
    are correct to the best of my knowledge.
    I also declare that I have not been convicted or refused for entry or declared undesirable by any state. I understand that
    supplying false information or
    misrepresentation or omitting any facts or information is cause for my refusal or dismissal. Further, I understand that my
    employment is conditioned upon a
    favorable health evaluation. I do hereby authorize an investigation of all statements contained in this Application.
    (Subsemnatul confirm ca nu sufar de nici o conditie medicala cronica si informatiile pe care le-am dat in acest formular sint corecte in ceea
    ce ma priveste. Declar de asemenea
    ARIES CREWING S.R.L.
    ca nu am fost niciodata condamnat si ca nu mi s-a refuzat intrarea in nici o tara pe baza cazierului sau a altor motive. Am luat la cunostinta
    faptul ca acrodarea de informatii
    false sau omiterea de informatii pot constitui cauze ale respingerii formularului. De asemenea, autorizez investigatia tuturor declaratiilor
    continute de acest application).

    ACORDUL PERSOANEI CARE SOLICITA SERVICIUL DE RECRUTARE SI PLASARE IN


    DOMENIUL NAVIGANT
    cu privire la prelucrarea si transmiterea datelor cu caracter personal

    Signature of Name and


    Date Checked by / Signature (Verificat
    Applicant surname (Nume
    (Data) de)
    (Semnatura) si prenume)

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