Application Form PROPOSED CV Photograph UploadChoose File {pdf.download_link.337}Date of ApplyPositionI. PERSONAL INFORMATIONFirst NameLast NameNIK/ National Identification NumberPlace of BirthDate of BirthPhone/MobileEmailAddressAddress Line 1CityStateZip CodeGender- Select -MaleFemaleMarital status- Select -SingleMarriedDivorceHeight/ Weight (cm)PARENTS INFRMATIONFamily/ RelativeFather First NameLast NameMother First NameLast NameEMERGENCY CONTACTFull NameRelationshipEmailPhone/MobileAddressAddress Line 1CityStateZip CodePreviousNextEducation 1. Elementary School (SD)LocationStart YearGraduation Year2. Junior High School (SMP)LocationStart YearGraduation Year4. Senior High School (SMA)LocationStart YearYear of Graduation4. College/University /Vocational SchoolLocationStart YearYear of GraduationPassport & Seaman BookPassport NoPlasce of IssueDate of IssuedExpired DateUpload your PassportPage 1 Seaman Book NoUpload your Seaman BookPage 5 & 6 Plasce of IssueUpload your Seaman BookPage 7 & 8 Date of IssuedUpload your Seaman BookPage 17 & 18 Expired DateUpload your Seaman BookPage 3 to 4 STCW CertificateBasic Safety Training NoPlace of IssuedDate of IssuedUpload BSTChoose File Security Awareness No.Place of IssuedDate of IssuedUpload SATChoose File Crisis Management No,Place of IssuedDate of IssuedUpload Crisis MGMChoose File Crowd Management No.Place of IssuedDate of IssuedUpload Crowd MGMChoose File PreviousNextOther CertificateC1D Visa NoDate of IssuedDate of ExipredFile UploadC1D Visa Schengen Visa NoDate of IssuedDate of ExipredFile UploadSchengen Visa Yellow Fever NoDate of IssuedDate of ExipredFile UploadYellow Fever COVID 1Choose File COVID 2Choose File Ship Cook Certificate NoDate of IssuedDate of ExipredFile UploadShip Cook Land Base Experiences1. Name of HotelPositionStarting DateEnd2. Name of HotelPositionStarting DateEnd3. Name of HotelPositionStarting DateEndSea Services1. Name of VesselPositionType of Vessel- Select -Cruise ShipRiver CruiseYachtConventional VesselSign onSign Off2. Name of VesselPositionType of Vessel- Select -Cruise ShipRiver CruiseYachtConventional VesselSign onSign Off3. Name of VesselPositionType of Vessel- Select -Cruise ShipRiver CruiseYachtConventional VesselSign onSign Off4. Name of VesselPositionType of Vessel- Select -Cruise ShipRiver CruiseYachtConventional VesselSign onSign Off5. Name of VesselPositionType of Vessel- Select -Cruise ShipRiver CruiseYachtConventional VesselSign onSign OffSome description about this section Previous Submit Form
