Job Application

Our 1st Business Priority is the dedicated seagoing, well – trained and competent personnel!

Download it as a MS Word file and send it back with e-mail. You can download application form here as a Microsoft Word document. Save it on your computer, fill it up in peace and send it back to us as attached document in your E-mail.

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Rank

Rank: Second Rank:

Date Available:

Personal data (Fields marked with * must be completed prior to sending the application form)

Full name * Marital status:
Address * No. of children supported
Home Phone No * Spoken languages
Mobile Phone No * Education
E-mail * Height
Place of birth Weight
Date of birth Colour of Eyes
Citizenship Colour of Hair
Expected Wage Shoes
Nearest Airport Identification Mark on Body

Next of Kin

Full name Relationship:
Address Phone No:
Email Mobile No:

Passport

Country Number Place issued Date issued Expiry date

Visa

Country Number Place issued Date issued Expiry date

Certificate of Competency

Grade of License Country Number Place issued Date issued Expiry date

Seaman's Book

Country Number Place issued Date issued Expiry date

Medical

Medical Country Medical Clinic Place issued Date issued Expiry date Medical Certificate No

Drug and Alcohol

Place issued Date issued Expiry date

Yellow Fever

Place issued Date issued Expiry date

Certification and Training

Certificate Country Number Place issued Date issued Expiry date

Reference

Company name
Name
E-mail
Telephone
Reason for leaving last employer

Previous Sea Experience

Vessel Name Vessel Type Flag Eng Type DWT HP Company Rank Joined Leave
*for engineers only

Shore Based Experience

Site Type Trade Joined Leave Manning Agent

Physical Declaration

Vision (with Glasses): Vision (without Glasses):
Hearing (Left ear): Hearing (Right ear):
a. Are you involved in any marine accident/investigations? (Collision/Grounding/Fire/Pollution)
If yes please give details
b. Did you suffer any accident which rendered you temporarily and / or partially disabled?
If yes please give details
c. Are you currently under medical treatment or taking medication for existing conditions?
If yes please give details
d. Did you suffer, or do you presently suffer from any diseases likely to render you unfit for sea service or likely to endager the health or other persons onboard?
If yes please give details
e. Did you ever undergo psychiatric treatment?
If yes please give details
f. Are you addicted to alcohol or drugs of any kind?
If yes please give details

How did you come to know about us?

A. Company presentation / seminar B. Marine Club notice - board C. Marine magazine advertisement D. Newspaper advertisement
E. Told by seagoing friend(s) F. Direct mail from Company G. Other (Please Specify)

Additional Information

Cargo's carried:
Trading pattern:
Nationalities sailed with:
Cargo's gear's:
Computer skills:
Miscellaneous:

Remarks

Declaration

I certify that the details given by me in filling up this application form are true, complete, and correct to best of my knowledge and belief.

I also declare that the documents submitted are genuine and signed by the persons whose names appear on them.

Our company and our provider keep the personal data and their contents in our database.

We and the parties authorized by us never make your personal data available to third parties, unless you have consented.

By completing this form, you are giving your explicit consent to the processing of the data in it, including anything that may be considered sensitive personal data.

Personal data will be processed fairly and lawfully in adherence with the law and the universal declaration of human rights, Convention 108, Directive 95/46/EO, Directive 2002/58/EC.

I the undersigned, agree to the use of my personal data included in the present application form as acquired by the requiting process.

Reasonable and appropriate measures are taken to ensure that your personal data (including the information in your application) is protected from unauthorized access or modification, unlawful destruction and improper use.

However, keep in mind, the internet is an open system and TARSHISH SHIPPING S.A. can or do guarantee that the personal information you have submitted will not be intercepted by others.