Propose Form – Indonesia Cruise Service

Before you Fill Up the Form and upload documents, Please provide your scan of Below documents:

Nice Photograph
Passport Page 1
Seaman Book Page 3 to 8 and 17 to 18
Basic Safety Training (Required)
Crisis and Crowd Management
Seafarers Awareness Training
Valid US C1D (if Available)
Valid Schengen Visa (if Available)
Yellow Fever (if Available)

Position

Please Explain Why Should We Hire You

Photograph Upload

Choose File

Date of Apply

I. PERSONAL INFORMATION

First Name

Last Name

NIK/ National Identification Number

Place of Birth

Date of Birth

Phone/Mobile

Email

Address

Address Line 1

City

State

Zip Code

Gender

Marital status

Height/ Weight (cm)

PARENTS INFRMATION

Family/ Relative

Father First Name

Last Name

Mother First Name

Last Name

EMERGENCY CONTACT

Full Name

Relationship

Email

Phone/Mobile

Address

Address Line 1

City

State

Zip Code

Education

1, Elementary School (SD)

Location

Start Year

Graduation Year

2. Junior High School (SMP)

Location

Start Year

Graduation Year

4. Senior High School (SMA)

Location

Start Year

Year of Graduation

4. College/University /Vocational School

Location

Start Year

Year of Graduation

Passport & Seaman Book

Passport No

Plasce of Issue

Date of Issued

Expired Date

Upload your Passport

Page 1

Seaman Book No

Upload your Seaman Book

Page 5 & 6

Plasce of Issue

Upload your Seaman Book

Page 7 & 8

Date of Issued

Upload your Seaman Book

Page 17 & 18

Expired Date

Upload your Seaman Book

Page 3 to 4

STCW Certificate

Basic Safety Training No

Place of Issued

Date of Issued

Upload BST

Choose File

Security Awareness No.

Place of Issued

Date of Issued

Upload SAT

Choose File

Crisis Management No,

Place of Issued

Date of Issued

Upload Crisis MGM

Choose File

Crowd Management No.

Place of Issued

Date of Issued

Upload Crowd MGM

Choose File

Other Certificate

C1D Visa No

Date of Issued

Date of Exipred

File Upload

C1D Visa

Schengen Visa No

Date of Issued

Date of Exipred

File Upload

Schengen Visa

Yellow Fever No

Date of Issued

Date of Exipred

File Upload

Yellow Fever

COVID 1

Choose File

COVID 2

Choose File

Ship Cook Certificate No

Date of Issued

Date of Exipred

File Upload

Ship Cook

Land Base Experiences

1. Name of Hotel

Position

Starting Date

End

2. Name of Hotel

Position

Starting Date

End

3. Name of Hotel

Position

Starting Date

End

Sea Services

1. Name of Vessel

Position

Type of Vessel

Sign on

Sign Off

2. Name of Vessel

Position

Type of Vessel

Sign on

Sign Off

3. Name of Vessel

Position

Type of Vessel

Sign on

Sign Off

4. Name of Vessel

Position

Type of Vessel

Sign on

Sign Off

5. Name of Vessel

Position

Type of Vessel

Sign on

Sign Off

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