CURRICULUM VITAE / RESUME Last Name / Surname Position applied for Date of birth Date of availability Nationality Englishs

Level (basic, medium, fluent, bilingual) Complete Home address Home phone E-mail Nearest Airport from your home Mobile phone First Name Second choice Place of birth

PHOTOS

NEXT OF KIN (NOK) DETAILS PERSON CONTACTED IN CASE OF EMERGENCY Last Name Relationship (i.e. Wife, Father etc.) NOK address NOK Contact Number DOCUMENTS DETAILS Name of document National Seamans Book USA Visa Medical certificate Issued Yellow Fever Vaccination License License No. Number NA NA Grade of License Place of issue NA NA NA Place of issue Date of issue Date of expiry First Name

Date of issue

Date of expiry

Certificate of Competency

Place of issue

Date of issue

License No.

SEA SERVICE EXPERIENCES

Rank Company Name of vessel Vessels type Vessels flag GRT Engine /KW From To

Eye colour Hair colour

Shoe Size (European standard) Height (cm)

Weight (kg) Overall size (S/M/XL/XXL)