Template Version :- 1.

02 Revision :- 1

APPLICATION FOR EMPLOYMENT

Note: Fields with * sign are required fields in SMMS and should not be left blank.
Gender* Male
Crew Type* On Contract Crew Status* Available Rank* 2nd Engineer
Surname Singh Date Of Birth 16/Mar/1989
First Name* Jagmeet Singh Height CM
Middle Name Weight KG
Home Address Other Address

Address Address

Phone 1 Phone 2 Phone 1 Phone 2

Place of Birth Religion Cloth Size (EU) Cloth Size (US)
Marital Status Nationality Shoe Size
Basic Education Maritime Education
Institute* From Date To Date Particulars* Institute* From Date To Date

Bank Detail
Bank Name Branch Beneficiary Name A/c Type

City Country State Zip Code Routing

Next Of Kin's Detail

Relation* Name* Date of Birth Address Relation* Name* Date of Birth

Sea Service
Note: Sequence for entering sea service records: Latest service should be entered at row no. 1 and then older services downward.
Vessel Name* From Date* Period Ship Type GRT Manager
No (Months Rank
Flag To Date ) Engine Type BHP Manning Company

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 Photo
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(US) ###

Particulars* ###

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A/c No.

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irth Address

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Sign Off Reason

ny Remarks
 DOCUMENT CHECK LIST
Guidelines for filling data
1. If any data entered against Training then that record will be saved in SMMS.
2. Country is required to save License record in SMMS.
Documents Clinic Name Issue
VACCINATION 1
VACCINATION 2
MEDICAL CHECKUP 1
MEDICAL CHECKUP 2
Documents Number* Issue
NATIONAL SEAMAN BOOK/ Seaman's Discharge Book (SDB) / Continuous Discharge Cert (CDC)
Seafarers Identification and Record Book (SIRB)
FLAG STATE SEAMAN BOOK (I.D BOOK)
PASSPORT
VISA - USA
VISA - Shengen
VISA - MCV
VISA - Other
Licenses Number Issue
Cert Of Competency - National
Cert Of Competency - Other
Cert of Endorsement - Panama
Cert of Endorsement - Singapore
GMDSS COC - National
GMDSS COC - Other
GMDSS COE - Panama
GMDSS COE - Singapore
ST

Expiry Remarks

Expiry Remarks

Expiry Remarks