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Application Form
Application Form for Position on Vessel
Personal Information
Date:
Vessel Type:
___________
All Types
Bulk Carrier
Tanker
Tug
Surname:
Given:
Initial:
Address:
Telephone #:
City:
Cell #:
Province:
E-Mail:
Postal Code:
Current Passport
Application for Position:
_________
Bridge Watch Rating
Chief Cook
Chief Engineer
Chief Mate
Controller
Cook/Steward
Cooking Student
Electrical Officer
Electrical Student
Engineer Cadet
First Engineer
Fourth Mate
GP ERA
GP ERA/Fitter
GP Seaperson
Junior Engineer
Leading Seaperson
Marine Diesel Student
Master
Navigation Cadet
Seaperson Trainee
Seaperson/Cook
Second Engineer
Second Mate
Ship's Clerk
Steward
Third Engineer
Third Mate
Utility Operator
Vessel Operator
Qualifications
Post Secondary/Diploma:
Marine Certificate A:
___________
Bridge Watchman
Chief Mate, Near Coastal
Engine Room Assistant
Engine Room Rating
First Class Motor
First Mate Intermediate Voyage
First Mate Local Voyage
Fourth Class Motor
Fourth Class Steam
Industrial Electrician
Master 350 Tons
Master Intermediate Voyage
Master Local Voyage
Master Mariner
OOW: Watchkeeping Mate
Restricted Watchkeeping Mate
Second Class Motor
Ship's Cook
Third Class Motor
Watchkeeping Mate
Marine Certificate B:
___________
Bridge Watchman
Chief Mate, Near Coastal
Engine Room Assistant
Engine Room Rating
First Class Motor
First Mate Intermediate Voyage
First Mate Local Voyage
Fourth Class Motor
Fourth Class Steam
Industrial Electrician
Master 350 Tons
Master Intermediate Voyage
Master Local Voyage
Master Mariner
OOW: Watchkeeping Mate
Restricted Watchkeeping Mate
Second Class Motor
Ship's Cook
Third Class Motor
Watchkeeping Mate
STCW Endorsement
Inert Gas Systems
Oil Tanker Rating
Oil Tanker Endorsement Level 1
MED
Oil Tanker Endorsement Level 2
Marine Advanced First Aid
GMDSS
Marine Basic First Aid
Record of Vaccination
Tanker Familiarization
Certificate of Conduct
Adv Petroleum Tanker Safety
Valid Seafarers Medical
Cude Oil Washing
DP Induction:
DP Simulation:
DP Certificate:
Please provide a brief overview of your qualifications in the field below
Upload Resume:
Resume should be .txt, .doc, .pdf format using Microsoft Word or Adobe
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