Oceanic Star Shipping

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SEAFARER APPLICATION FORM:

Application Date*

Application No. *

upload photo*

Availability Date

PERSONAL DETAILS:

full Name*

Date of Birth:

Place of Birth:

InDoS No.:

Nationality

Landline:

phone No

Email *

Present Address:

Permanent Address:

Weight

Height (Cm):

Coverall Size:

Eye Colour:

Hair Colour:

Safety Shoe Size:

Shirt Size:

BASIC QUALIFICATION (Highest Achieved):

Qualification*

School / College

Year of Passing

Percentage

PRE‐SEA TRAINING DETAILS:

Name Of Course *

Institute

From

PercentageorGrade

IDENTITY DOCUMENTS:

Document*

Country

Number

Issue Date

Expiry Date

Place Issue

COVID VACCINATION:

Name Of Vaccine *

Date Of First Dose

Date Of Second Dose

CERTIFICATES (HIGHEST CERTIFICATE OF COMPETENCY HELD):

Grade / Class of COC*

Issuing Country

Certificate No.

Issue Date

Place Issue

Expiry Date

Endorsements

Grade / Class of COC*

Issuing Country

Certificate No.

Issue Date

Place Issue

Expiry Date

Endorsements

DETAILS OF COURSES & CERTIFICATES FOR OFFICERS:

Courses*

Certificate No.

Issue By

Issue Date

Expiry Date

DETAILS OF COURSES & CERTIFICATES FOR RATINGS:

Courses*

Certificate No.

Issue By

Issue Date

Expiry Date

DETAILS OF COURSES & CERTIFICATES FOR RATINGS:

Courses*

Certificate No.

Issue By

Issue Date

Expiry Date

FOR ENGINEERS (PLEASE PROVIDE DETAILS OF LAST THREE VESSELS):

Generators

Boilers

Cranes

Framo Details

PERSONAL DECLARATION (IF THE ANSWER IS YES TO ANY OF THE BELOW, PLEASE GIVE FULL DETAILS AND ATTACH A SEPARATE PAGE, IF NECESSARY):

Have you ever signed off from a ship due to medical reasons?

Have you undergone any Surgery involving treatment of Vital Organs?

Had you ever been involved in any Marine Accident (whether or not, your fault)?

Do you have any Health Disability issues or Health Restrictions affecting NORMAL daily life?

Had you ever been deported to your home country, for any reasons?

Did you ever apply for Refugee Status or apply to Seek Asylum in any country?

Were you refused VISA / Entry to any country in the last SEVEN years?

Were you ever involved in any non‐recognised Political or Religious movement?

SEA SAILING EXPERIENCE:

Company Name

Vessel Name

Type

Rank

GRT

Engine

From

Experiance Description

upload Resume*

Career

SEAFARER APPLICATION FORM:

PERSONAL DETAILS:

BASIC QUALIFICATION (Highest Achieved):

PRE‐SEA TRAINING DETAILS:

IDENTITY DOCUMENTS:

COVID VACCINATION:

CERTIFICATES (HIGHEST CERTIFICATE OF COMPETENCY HELD):

Endorsements

Endorsements

DETAILS OF COURSES & CERTIFICATES FOR OFFICERS:

DETAILS OF COURSES & CERTIFICATES FOR RATINGS:

DETAILS OF COURSES & CERTIFICATES FOR RATINGS:

FOR ENGINEERS (PLEASE PROVIDE DETAILS OF LAST THREE VESSELS):

PERSONAL DECLARATION (IF THE ANSWER IS YES TO ANY OF THE BELOW, PLEASE GIVE FULL DETAILS AND ATTACH A SEPARATE PAGE, IF NECESSARY):

SEA SAILING EXPERIENCE: