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APPLIED JOB POSITION
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Position Applied For
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Second Choice
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PERSONAL DETAILS
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Surname
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Firstname(s)
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Address
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Address
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ZipCode and City
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Country
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Nationality
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Phone
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Please remember country code
+XX in front of phone no.
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Mobile
Phone
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Please remember
country code +XX in front of phone no.
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E-mail
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Date of
Birth
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English
Proficiency
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PASSPORT / DOCUMENTS
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Number
Date of Issue Date of
Expiry Issuing Authority
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Passport
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Seaman's Book National
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Seaman's Book Internat.
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US-VISA
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Tanker Certification
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Advanced Oil
Advanced Gas
Advanced Chemical
General Tanker Certificate
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CERTIFICATE OF COMPETANCE
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(All documents must be
STCW95 endorsed)
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Number
Date of Issue Date of
Expiry Issuing Authority
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PREVIOUS SEA SERVICE
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Start Date
End Date
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Vessel
Name
Vessel
Type Flag
Rank
Company
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PERSONAL COMMENTS
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Personal Comments
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SEND
APPLICATION
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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.
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Send Application To
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