Career - Pathfinders International Shipping Co., Ltd

Seafarer Application Form

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Name*

D.O.B/Age*

NRC*

Tel*

Rank*

Place of Birth*

Marital Status*

Religion*

Height*

Weight*

Address*

Blood Type*

Working Experience with Multi National Crew*

Working Cloth Size*

Shoes Size*

NOK Name*

Relation*

Skype : live:.cid.*

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NOK NRC*

Education Background *

NOK Tel: No*

From*

To*

NOK’s Address*

Covid-19 Vaccinated Date

1st Time

2nd Time

Booster

1st Time

2nd Time

English Skill

Bad

Normal

Good

National Certificates

Number

Issue Date

Expiry Date

Passport

Seaman Book (CDC)

S.I.D

B.S.T (4 Tickets)

SSA/DSD

PSC & RB

Watch Keeping ( II4 / II5) ( III4 / III5 )

E.D.H

Welding Certificate

Tanker Familiarization

Liquid Gas Tanker

Ship’s Cook

C.O.C

S.S.O

Advance Fire Fighting

Medical First Aid

BRM / ERM

GMDSS (G.O.C)

Radar & ARPA Simulator Cert

ECDIS

Medical Care Cert

Ship Maneuvering & Handling Course

High Voltage

Advance Oil Tanker

Advance Chemical Tanker

FLAG Certificates

Number

Issue Date

Expiry Date

Place Of Issue

Add

EMPLOYMENT RECORD (Sea Going Experience)

EMPLOYMENT RECORD

Vessel Name

Rank

GRT/KW

Type

SIGN ON

SIGN OFF

Agency

REMARK (SEA TIME & SIGN OFF REASON)

EMPLOYMENT RECORD 1

Vessel Name

Rank

GRT/KW

Type

SIGN ON

SIGN OFF

Agency

REMARK (SEA TIME & SIGN OFF REASON)

EMPLOYMENT RECORD 2

Vessel Name

Rank

GRT/KW

Type

SIGN ON

SIGN OFF

Agency

REMARK (SEA TIME & SIGN OFF REASON)

EMPLOYMENT RECORD 3

Vessel Name

Rank

GRT/KW

Type

SIGN ON

SIGN OFF

Agency

REMARK (SEA TIME & SIGN OFF REASON)

EMPLOYMENT RECORD 4

Vessel Name

Rank

GRT/KW

Type

SIGN ON

SIGN OFF

Agency

REMARK (SEA TIME & SIGN OFF REASON)

EMPLOYMENT RECORD 5

Vessel Name

Rank

GRT/KW

Type

SIGN ON

SIGN OFF

Agency

REMARK (SEA TIME & SIGN OFF REASON)

This field should be left blank

Email Address

Phone Number

Seafarer Application Form

EMPLOYMENT RECORD

EMPLOYMENT RECORD 1

EMPLOYMENT RECORD 2

EMPLOYMENT RECORD 3

EMPLOYMENT RECORD 4

EMPLOYMENT RECORD 5

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