Euronav.com

Application for Employment

* Mandatory fields
** Automatically completed

Rank*:
Availability date for service*:	(Please use the following format for dates: dd/mm/yyyy)
Preferred Flag:
Surname*:
Given name*:
Gender:
Nationality*:
ISO code**:
Date & Place of Birth:	/
Birth country:
Marital Status:
Father name:
Mother name:
Home Address Street*:
Home Address Zip*:
Home Address City*:
Home Address Country*:
Telephone*:
Mobile:
Email:
Name of maritime academy:
Foreign Languages:	/ /
Next of Kin Name/relationship/Phone:	/ /
Nearest international airport:
Military obligations:
Hair:
Eyes:
height(in meter):
Distinguished marks

Documents	Rank/Number:	Country issued:	Date issued:	Expiry date:
National Licence*
Foreign licence if any (Flag Endorsement)
Passport
US Visa
National Seaman's Book
Other Seaman's Book
Yellow Fever
Last Medical aptitude certificate
Other visas: Other diplomas: Other qualifications: Other competence: Other endorsements:

Additional certificates & STCW95 ( tick as appropriate )
	BTRM Bridge Team and/or Resource Management ( less than 5 years)	A-II/1,2 ARPA	VI/1 Basic Safety
	ETRM Engine team and/or Resource Management (less than 5 years)	V/1-1 Tanker Familiarization	VI/2.1 Proficiency in Survival Craft & Rescue boat
	ECDIS	V/1-2 Oil tanker	Ship Security Officer
	Ship Handling Course Simul (less than 5 years) or Manned model	IV/2 GMDSS General Operator	VI/3 Advanced Fire Fighting
	Ballast Water Management	VI/4-1 Medical First Aid	V1/4-2 Medical Care
	Ship Safety Officer
Other:

Total Sea service expressed in Months

In Actual rank:
In Tanker irrespective of the rank:
In Company:
Total sea service:

Previous sea experience (Please start from last service, vessel)