seapal.gr

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 second number
6 + 19