HUMAN RESOURCES

SHIP STAFF APPLICATION FORM
(mandatory fields (*) are requested to fill in carefully)
Position You Applied To: *
Appointed Date of Beginning of Work: * * *
Personal Information
Name & Surname : * Date of Birth& : *
Marital Status : * Mobile / Home No : *
Address : * Passport No of REPUBLIC OF TURKEY : *
Foreign Language Skills : * * *
Graduated School : * Military Service : *
Date of Deferred : * *  *
Document Information
Internatıonal Passport Number : * Date of Expired : ***
Licence of Qualification : * Date of Expire : ***
GMDSS General Wİreless Operator : *** Date of Expire : ***
Type of USA Vise : Date of Expire : ***
Health Report Date of Issue : *** Date of Expire : ***
Date of Yellow Fever / V. cholera : *** Date of Expire : ***
Certificates
*
Name of Certificate   Date of Issue     Expiration Date
Personal Survival Techniques : ***     ***
Fire Prevention and Fire Fighting : ***     ***
Basic First Aid : ***     ***
Personal Safety and Social Responsibility : ***     ***
Using Rescue Tools : ***     ***
Advanced Fire Fighting : ***     ***
Medical Certificate of Compliance : ***     ***
First Aid Training : **     ***
Radar Observation and Piloting : ***     ***
Piloting Automatic Radar Devices (ARPA) : ***     ***
Deck / Machinery Watchkeeping : ***     ***
Ship Security Officer Retention : ***     ***
Before working Workplace / Ships, if you try to Last First specify
Company Name of Ship Type of Ship DWT
* * * *
*
Position Reason for Leaving Telephone  
* * *  
 
 
References
Name and Surname Profession / Occupation Company You Worked In Telephone
* * * *
I declare that the above information is accurate.