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Seaman's Record
Seapal Marine Inc.
Personal Details
Surname
*
Name
*
Male *
Female
Father
*
Mother
Height
cm
Weight
Kgr
Spouse
Children
Date of birth
*
Place of birth
Additional Details
Nationality
*
Religion
Address
Phone
Mobile
Seaman’s Book
Number
Place
Issue
Expiry
Passport
Diplomas
Description
Nation
Number
Issued
Expiring
1.
2.
3.
Sea Services (last 5 years)
Vessel
Owner
Type
Dwt
Blt
Engine
Rank
Sign
Sign off
1.
2.
3.
4.
5.
Certificates
Description
Expiring
STCW-95
ADVANCED FIRE FIGHTING
PROF. IN SURV. CR. & RESCUE BOAT
MEDICAL FIRST AID
MEDICAL CARE
DANGEROUS CARGO
SHIP SAFETY OFFICER
TANKER CERT.
ARPA (RADAR PLOTTING)
RADAR OBSERVATOR
SHIP SECURITY OFFICER
RO-RO CERTIFICATE
SECURITY FAMIL. FOR RATINGS
OTHER FLAG DOCUMENTS
Languages
Language
Write
Read
Speak
1.
2.
3.
email
*
Type the result
16 + 3
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