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Contact
SEAMAN’S APPLICATION FORM
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NAME IN FULL
APPLICATION DATE  
RANK APPLIED FOR  
DATE OF BIRTH  
PLACE OF BIRTH 
ADDRESS 
PHONE 
ENGLISH


PASSPORT  
S. BOOK 
GRADE OF  LICENSE (COC) 
ENDORSEMENT 
OTHER/ADDITIONAL DOCUMENTS
ENDORSEMENTS

SEAMAN’S BOOKS
IMO VALID CERTIFICATES 
 
YES
NO

Advanced Fire Fighting

Survival craft/Rescue Boats

Social Responsibilities

Personal Survival techniques

Medical Care

MARPOL

Dangerous Cargoes

Maritime English Course

ARPA

GMDSS operator

Radar Simulator

Ship security Officer

Yellow Fever Vaccination

Ro-Ro Passenger Course

Tanker familiarization

Chemical Tanker
Others
PREVIOUS SEA SERVICES
U.S.A.VISA

VALID TILL



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SHIPCARE SERVICES SRL.

16, DECEBAL STR.
CONSTANTA - ROMANIA

Phone:

+40-341-730-280

Fax:

+40-341-730-281

Mobile Phones:
+40-722-200497
+40-722-704493

E-mail:

office@shipcare.ro