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FULL NAME

Address
Email
Phone No.

POSITION APPLIED

OBJECTIVE
To acquire an Ordinary Seaman position in a growing company that will allow me to use all my training, management,
and leadership skills I have acquired, along with having a good work-life balance.

PERSONAL INFORMATION
Age: Color of Hair:
Birthday: Color of Eye:
Civil Status: Foot Size:
Date of Availability: Any Time Contact of Person
Religion: Full Name:
Height: Relationship:
Weight: Contact No.:

EDUCATIONAL BACKGROUND
TYPE NAME OF SCHOOL FROM YEAR TO YEAR COURSE
College
High School
Elementary

VACCINATION
NUMBER TYPE ISSUED EXPIRES PLACE ISSUED

DOCUMENTS
DOCUMENTS NUMBER ISSUED EXPIRES PLACE ISSUED

TRAINING & CERTIFICATES


TRAINING NUMBER ISSUANCE EXPIRES PLACE OF ISSUED

SEA BASED EXPERIENCE


VESSEL TYPE RANK GRT EMBARKATIO DISEMBARKATION FLAG
N

=
CHARACTER REFERENCE
NAME POSITION COMPANY EMAIL/PHONE NO.

I hereby certify that the information given above are true and correct to the best of my knowledge
and belief that I have not withheld any information that would affect my application unfavorable.
Any false declaration I supplied herein may constitute ground for disqualification and non-acceptance
to the company and can further subjected to applicable penalties in accordance to existing law
governing the recruitment and employment of overseas seafarers.

FULL NAME
Applicant

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