Application Form

SEAMAN'S APPLICATION FORM

Surname Passport No.
Name Nationality
Place of Birth Expire Date of Passport
Date of Birth Sea Experience
Educational Institution Expected Salary
Completion of Military Service The Last Wage Scale
Marital Status    
Knowledge of Foreign Language    

SEAMAN BOOK INFORMATION

Seaman Book No. Expire Date of Seaman Book
Rank Health Report No
Registry No. & Port Expire Date of Health Report

PREVIOUS EMPLOYED COMPANIES

Name of the company Name of Vessel, Tonage,
Engine, Power 		Rank Duration O/B Wages

References by name and contact details Name of the Vessel you stayed O/B at longest

HEALTH INFORMATION

Current health condition

PERSONAL INFORMATION

Home Address Home Phone Number(s)
Mobile Phone Emergency Phone
E-Mail Address

PHYSICAL INFORMATION

Shirt Size Height
Overal Size Weight
Trouser Size Blood Type
Shoe Size    

PLEASE READ BEFORE SEND:
I HEREBY CONFIRM THAT ALL ABOVE INFORMATION ARE TRUE AND IN CASE OF MY ABILITIES FOUND CONTRARY TO MY DECLEARTIONS ABOVE THEN I ACCEPTED TO BE OFFSIGNED FROM VESSEL WITHOUT RECEIVING ANY PRIOR NOTICE AND WILL BEAR ALL CONSEQUENTIAL EXPENSES ARISEN THERE FROM.

NEW YORK
LONDON
ISTANBUL
MOSCOW
TOKYO
SYDNEY
JOHANNESBURG

 
copyright © Horizon Denizcilik San. ve Tic. Ūti.
Home  |   Company  |   Group Companies   |   Fleet   |   Agency  |   Crewing  |  Contact
HorizonShips is a member of CALISKAN Trading Co. Ltd