Work for Socatra
Position Applied For -- Choose -- Captain Chief Officer Mate Chief Engineer Second Engineer Third Engineer ETO Motorman Fitter Wiper Bosun Able Seaman Ordinary Seaman Pumpman Cook Messman Deck Cadet Engine Cadet Cadet OTHER
Second Choice -- Choose -- Captain Chief Officer Mate Chief Engineer Second Engineer Third Engineer ETO Motorman Fitter Wiper Bosun Able Seaman Ordinary Seaman Pumpman Cook Messman Deck Cadet Engine Cadet Cadet OTHER
Position Applied For
Firstname(s)
Address
ZipCode
City
Country -- Choose -- Afghanistan Aland Islands Albania Algeria Alien Estonia Alien Latvia Alien Lithuania American Samoa American Virgin Islands Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bonaire, Saint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalem Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Cöte d'Ivoire Croatia Cuba Curacao Cyprus Czech Republic Democratic Republic of the Con Denmark Djibouti Dominica Dominican Republic East Timor East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Finland French French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea Bissau Guyana Haiti Heard Island and McDonald Isla Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Israel Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Kosovo Kuwait Kyrgyzstan Laos Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Islands Poland Portugal Puerto Rico Qatar Romania Russ. in Estonia Russ. in Latvia Russ. in Lithuania Russia Rwanda Saint Barthelemy Saint Helena Saint Kitts and Nevis Saint Lucia Saint Martin Saint Pierre and Miquelon Saint Vincent and the Grenadin Salomon Islands Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Serbia and Montenegro Seychelles Sierra Leone Singapore Sint Maarten Slovakia Slovenia Somalia South Africa South Georgia and the South Sa South Korea South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukr. in Estonia Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying I Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other
Nationality -- Choose -- Afghanistan Albania Algeria Alien Estonia Alien Latvia Alien Lithuania American Samoa American Virgin Islands Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Ascension Island Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory British Virgin Islands Brunei Darussalem Bulgaria Burkina Faso Burundi Cambodia Cameroon Canada Cape Verde Cayman Islands Central African Republic Chad Chile CHINESE Christmas Island Cocos Islands Colombia Comoros Congo Cook Islands Costa Rica Cöte d'Ivoire Croatian Cuba Cyprus Czech Republic Danish Democratic Republic of the Con Djibouti Dominica Dominican Republic East Timor Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands Faroe Islands Fiji Filipino Finnish France French Guyana French Polynesia French Southern Territories Gabon Gambia Georgia German Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guinea Guinea Bissau Guyana Haiti Heard Island and McDonald Isla Honduras Hong Kong Hungary Iceland Indian Indonesian Iran Iraq Ireland Israel Italy Jamaica Japan Jordan Kazakhstan Kenya Kiribati Kuwait Kyrgyzstan Laos Latvian Lebanon Lesotho Liberia Libya Liechtenstein Lithuanian Luxembourg Macau Macedonia Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia Moldova Monaco Mongolia Montenegrin Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands Netherlands Antilles New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island North Korea Northern Mariana Islands Norway Oman Pakistan Palau Palestine Panama Papua New Guinea Paraguay Peru Pitcairn Islands Polish Portugal Puerto Rico Qatar R�union Romania Russ. in Estonia Russ. in Latvia Russ. in Lithuania Russian Rwanda Saint Helena Saint Kitts and Nevis Saint Lucia Saint Pierre and Miquelon Saint Vincent and the Grenadin Salomon Islands Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia and Montenegro Seychelles Sierra Leone Singaporean Slovakia Slovenia Somalia South Africa South Georgia and the South Sa South Korea Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Swedish Switzerland Syria Taiwan Tajikistan Tanzania Thailand Togo Tokelau Islands Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukr. in Estonia Ukraine United Arab Emirates United Kingdom United States United States Minor Outlying I Uruguay Uzbekistan Vanuatu Vatican Venezuela Vietnam Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe Other
Phone Please remember country code in front of phone no.
Mobile phone Please remember country code in front of phone no.
E-mail
Date of Birth
Place of Birth
Nearest Airport
English Proficiency -- Choose -- Very good Good Fair Poor
Marital Status -- Choose -- Single Married Divorced Widdow
Certificate of Competance
Issuing Authority
STCW
I hereby declare that the above, including Medical History, is true. I further consent to the collection, holding and processing by you and any of your direct or indirect parent or subsidiary or associated or affiliated companies ("SOCATRA") of personal data about me (including where appropriate data concerning racial or ethnic origin, religious beliefs, membership of a trade union, physical or mental health or condition, commission or alleged commission of an offence and the proceedings and the outcome of any proceedings relating thereto) for all purposes related to my application for employment on board vessels managed by SOCATRA, owned or operated by third parties for whom SOCATRA is engaged to provide crew. I understand and agree that this data will be stored in your databases in relation to my actual or potential employment by or through SOCATRA (the "purpose"). Further, I confirm and agree that SOCATRA may transfer or disclose my personal data within SOCATRA or to third parties worldwide for the purpose. Send Application To
Socatra Bordeaux France
