Start a career with us - Intermed Crew Manning

Application Form

Applicant Details

IMO Courses

Vessel Records

Final Details

Personal Data

Surname

Name

Phone number

Email address

Date of birth

Place of birth

Marital Status

Number of children

Address

Parent's name

Next of kin

Name

Phone number

Passport

Place of Issue

Date of Issue

Number

Validity

USA Visa Number

USA Visa Expiry Date

Seaman's Book

Number

Place of Issue

Date of Issue

Validity

Medical

Medical Visit Number

Medical Visit Date

Malta Medical Certificate Number

Malta Medical Certificate Expiry Date

Yellow Fever Vaccine

Yellow Fever Issue Date

Certificate of Competency

Name (Rank)

Number

Issued Date

Date of expiry

Endorsement

Endorsement Number

Date of issue

Date of expiry

Malta

Endorsement

Validity

IMO Courses

Basic Training Certificate

Certificate No.

Expiry Date

Medical Care/Medical First Aid

Certificate No.

Expiry Date

Advanced Fire Fighting

Certificate No.

Expiry Date

Maritime english

Certificate No.

Expiry Date

Proficiency in survival crafts other than fast boats

Certificate No.

Expiry Date

G.M.D.S.S.

Certificate No.

Expiry Date

GOC

Certificate No.

Expiry Date

Security Awareness Training

Certificate No.

Expiry Date

Tanker Familiarization Endorsement

Certificate No.

Endorsement No.

Expiry Date

Endorsement Expiry Date

Specialized training for oil tankers endorsement

Certificate No.

Endorsement No.

Expiry Date

Endorsement Expiry Date

Specialized training for chemical tankers endorsement

Certificate No.

Endorsement No.

Expiry Date

Endorsement Expiry Date

Ship handling and maneuvering simulation

Certificate No.

Expiry Date

B.T. and resource management, engine team management

Certificate No.

Expiry Date

Engine Room Simulator

Certificate No.

Expiry Date

HELM

Certificate No.

Expiry Date

Ship security officer endorsement

Certificate No.

Endorsement No.

Expiry Date

Endorsement Expiry Date

Ships safety officer

Certificate No.

Expiry Date

Electronic charts display and information system

Certificate No.

Expiry Date

ECDIS Type

Risk assessment

Certificate No.

Expiry Date

Ships cook specialization

Certificate No.

Expiry Date

Hygiene course for catering personnel

Certificate No.

Expiry Date

Vessel Records

#1

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#2

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#3

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#4

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#5

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#6

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#7

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#8

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#9

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

#10

Type

Rank

Engine

Name

Owner

DWT

Sign on

Sign off

Covid-19 Vaccination

Vaccine type

Number of doses

Date of the last dose

Final details

Remarks

Safety Shoes

Overall

Availability

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Application Form

Personal Data

Next of kin

Passport

Seaman's Book

Medical

Certificate of Competency

Endorsement

Malta

IMO Courses

Basic Training Certificate

Medical Care/Medical First Aid

Advanced Fire Fighting

Maritime english

Proficiency in survival crafts other than fast boats

G.M.D.S.S.

GOC

Security Awareness Training

Tanker Familiarization Endorsement

Specialized training for oil tankers endorsement

Specialized training for chemical tankers endorsement

Ship handling and maneuvering simulation

B.T. and resource management, engine team management

Engine Room Simulator

HELM

Ship security officer endorsement

Ships safety officer

Electronic charts display and information system

ECDIS Type

Risk assessment

Ships cook specialization

Hygiene course for catering personnel

Vessel Records

#1

#2

#3

#4

#5

#6

#7

#8

#9

#10

Covid-19 Vaccination

Final details

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