INTRODUCTION FORM
Position
Last name
First name
Date/Place of Birth
Foto:
Uniform: Shoes Shirt Height
Home address
Telefone: private
Telefone: contact
Next of kin
address
Children
Education
English Other language
National documents
Passport (tourist) # issued valid
Seaman book # issued valid
Certificate of competence/endorsement issued valid
GMDSS competence/endorsement issued valid
Radar & ARPA issued valid
Other documents
Grade # issued valid
Grade # issued valid
Grade # issued valid
Grade # issued valid
Grade # issued valid
Grade # issued valid
Grade # issued valid
Flag state documents
Flag Seaman's book issued valid
Endorsement Grade issued valid
Other certificates
Grade # issued valid
Grade # issued valid
Grade # issued valid
The latet sea service
Vessel Vessel type main engine type/BHP GRT (TEU*) Signed on Signed off Position Company
Remarks
Cargo Details
Expiriens in dry dock
Inspections passed on board
Nationality of crew
Trading area
Others
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