Apply for Job

Part 1: Personal Information

Applicant Name

Rank Applied for

Availability

Phone Number 1

Phone Number 2

Email Address

Date of Birth

Place of Birth

Present Address

Permanent Address

Height

Weight

Marital Status

Blood Group

Boiler Suit Size

Safety Shoe Size

Eye Color

Next of Keen Name

Next of Keen Phone Number

Relation with Next of Keen

Part 2: Bank Account Details

Bank Name

Account Number

Account Holder Name

Branch

Relation with Account Holder

Account Holder Phone Number

Part 3: Educational Records

Institute Name:

Exam Title:

Board:

Group:

Duration:

Passing Year:

Passing (GPA):

Delete

Add

Part 4: Sea Service Records

Do you have previous experience?

Yes

I am a fresher

Company Name:

Ship Name:

IMO:

Rank:

Vessel Type:

GRT:

DWT:

Engine Type/ BHP:

Generator:

Served From/ Sign On:

Served Till/ Sign Off:

Duration:

Delete

Add

Part 5: Document Details

CDC Number

CDC Issue Date

CDC Expiry Date

SID Card Number

SID Issue Date

SID Expiry Date

Passport Number

Passport Issue Date

Passport Expiry Date

Certificate of Competency (COC) Number

Certificate of Competency (COC) Class

Certificate of Competency (COC) Issue Date

Certificate of Competency (COC) Expiry Date

NID Card Number

Part 6: STCW Certificates

Certificate Name

Certificate Number

Date of Issue

Date of Expiry

Place of Issue

Issuing Authority

Attach Certificate

Delete

Add

Part 7: Upload Documents

CDC

SID

Passport

COC

NID

Passport size photo

Port Health

Covid 19 Vaccine Certificate

Signature

Part 8: Acknowledgment

I hereby confirm all details given to be accurate, true & to the best of my knowledge.