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Crew Application Date: {other:date}

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Ready to Start Date: {field:ready_to_start_date_1708945353418}

Expected Salary: {field:expected_salary_1708945396078}

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Address Line 1: {field:rank_1709111389407}

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Country: {field:listcountry_1708605145893}

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Knowledge of English: {field:knowledge_of_english_1708610906025}

Crane Operating Experience: {field:crane_operating_bn_ab_os_only_1708944863132}

Additional Experience: {field:education_1709111598541}

Secondary/Tertiary Education: {field:education_1709111656581}

{field:html_1709111519026}

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{field:usa_visa_1708946777670}

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Country of Origin: {field:country_of_origin_1708946213318}

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Country of Origin: {field:country_of_origin_1709106524433}

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Expiry Date: {field:expiry_date_1709106586454}

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National Licence (COC)

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Date of Issue: {field:date_of_issue_1708693278115}

Expiry Date: {field:expiry_date_1708946927180}

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Endorsements

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Marshall islands {field:marshall_islands_1708955471344} Expiry Date: {field:expiry_date_1708955519351}

Cyprus {field:cyprus_1708955507942} Expiry Date: {field:expiry_date_1708955566612}

Liberia {field:liberia_1708955560150} Expiry Date: {field:expiry_date_1708955599746}

Panama {field:panama_1708955593956} Expiry Date: {field:expiry_date_1708964464209}

{field:certificates_and_courses_1708694730024}

{field:personal_safety_and_social_responsibility_pssr_1709109120843}

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{field:basic_fire_fighting_1708696128750}

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{field:advanced_fire_fighting_1708696445026}

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{field:elementary_first_aid_1708696504974}

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Place of Issue: {field:place_of_issue_1708696534022}

{field:medical_first_aid_1708696760794}

Number: {field:number_type_1708696792085}

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Expiry Date: {field:expiry_date_1708948366719}

Place of Issue: {field:place_of_issue_1708696877373}

{field:medical_care_1708696936769}

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Place of Issue: {field:place_of_issue_1708697948160}

{field:proficiency_in_survival_craft_rescue_boats_pscrb_1709109169890}

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{field:certificate_in_survival_craft_1708698429429}

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Expiry Date: {field:expiry_date_1708948389458}

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{field:gmdss_if_applicable_1708698602713}

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{field:arpa_if_applicable_1708698795682}

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{field:ecdis_if_applicable_1708698975976}

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Expiry Date: {field:expiry_date_1708948412811}

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Number: {field:number_type_1708699089728}

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Expiry Date: {field:expiry_date_1708948420316}

Place of Issue: {field:place_of_issue_1708699102404}

{field:ship_security_awareness_ssa_1708699273276}

Number: {field:number_type_1708699300351}

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{field:ship_security_officer_sso_1708699582847}

Number: {field:number_type_1708699639015}

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Expiry Date: {field:expiry_date_1708948442703}

Place of Issue: {field:place_of_issue_1708699607143}

{field:erm_if_applicable_1708699782345}

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Expiry Date: {field:expiry_date_1708948448713}

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{field:brm_if_applicable_1708699869653}

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Expiry Date: {field:expiry_date_1708948456285}

Place of Issue: {field:place_of_issue_1708699951937}

{field:high_voltage_1kv_certification_1708700015649}

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Expiry Date: {field:expiry_date_1708948464672}

Place of Issue: {field:place_of_issue_1708700047074}

Other Courses: {field:other_courses_1708700241543}

{field:medical_1708700376856}

Medical Certificate: {field:medical_certificate_1708948559938}

Date of Issue: {field:date_of_issue_1708700505302}

Expiry Date: {field:expiry_date_1708948577834}

Place of Issue: {field:place_of_issue_1708700471792}

{field:yellow_fever_vaccination_1708700560164}

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Date of Vaccination: {field:date_of_vaccination_1708948635342}

Expiry Date: {field:expiry_date_1708948649211}

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Expiry Date: {field:expiry_date_1709109507737}

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Date of Vaccination: {field:date_of_vaccination_1709109450646}

Expiry Date: {field:expiry_date_1709109521282}

{field:sea_service_1708700667677}

1. Vessel Name: {field:1_vessel_name_1708700925870}

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DWT/GRT: {field:dwt_grt_1708955692869}

Main Engine Type: {field:main_engine_type_bhp_1708955682633}

Crewing Agency: {field:crewing_agency_1708955699096}

Employer Company Name: {field:employer_company_name_1708955708111}

Rank: {field:rank_1708955716276}

Start of Service: {field:start_of_service_1709128458067}

End of Service: {field:end_of_service_1708955725039}

Full Name of Reference: {field:full_name_of_reference_1708963659559}

Reference Contact Details: {field:reference_contact_details_1708955733667}

2. Vessel Name: {field:textbox_1709113636177}

Vessel Type: {field:vessel_type_1708955747737}

DWT/GRT: {field:dwt_grt_1708955766023}

Main Engine Type: {field:main_engine_type_bhp_1708955754757}

Crewing Agency: {field:crewing_agency_1708955770400}

Employer Company Name: {field:employer_company_name_1708955776611}

Rank: {field:rank_1708955786298}

Start of Service: {field:start_of_service_1708955781261}

End of Service: {field:end_of_service_1708955791216}

Full Name of Reference: {field:full_name_of_reference_1708963681954}

Reference Contact Details: {field:reference_contact_details_1708955795379}

3. Vessel Name: {field:3_vessel_name_1709113740799}

Vessel Type: {field:vessel_type_1709113708884}

DWT/GRT: {field:dwt_grt_1709114050503}

Main Engine Type: {field:main_engine_type_bhp_1709114056819}

Crewing Agency: {field:crewing_agency_1709113765330}

Employer Company Name: {field:employer_company_name_1709113793840}

Rank: {field:rank_1709113848609}

Start of Service: {field:start_of_service_1709113877993}

End of Service: {field:end_of_service_1709113884169}

Full Name of Reference: {field:full_name_of_reference_1709113917293}

Reference Contact Details: {field:reference_contact_details_1709113938780}

4. Vessel Name: {field:4_vessel_name_1709114070371}

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DWT/GRT: {field:dwt_grt_1709113717149}

Main Engine Type: {field:main_engine_type_bhp_1709113712821}

Crewing Agency: {field:crewing_agency_1709114111678}

Employer Company Name: {field:employer_company_name_1709114130670}

Rank: {field:rank_1709114149358}

Start of Service: {field:start_of_service_1709114175318}

End of Service: {field:end_of_service_1709114180076}

Full Name of Reference: {field:full_name_of_reference_1709114211434}

Reference Contact Details: {field:reference_contact_details_1709114226202}

5. Vessel Name: {field:5_vessel_name_1709123952009}

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DWT/GRT: {field:dwt_grt_1709124002141}

Main Engine Type: {field:main_engine_type_bhp_1709123996676}

Crewing Agency: {field:crewing_agency_1709124093759}

Employer Company Name: {field:employer_company_name_1709124112720}

Rank: {field:rank_1709125307897}

Start of Service: {field:start_of_service_1709124184480}

End of Service: {field:end_of_service_1709124189922}

Full Name of Reference: {field:full_name_of_reference_1709128480418}

Reference Contact Details: {field:reference_contact_details_1709128505464}

6. Vessel Name: {field:6_vessel_name_1709125354216}

Vessel Type: {field:vessel_type_1709125363037}

DWT/GRT: {field:dwt_grt_1709125374964}

Main Engine Type: {field:main_engine_type_bhp_1709125369453}

Crewing Agency: {field:crewing_agency_1709125380603}

Employer Company Name: {field:employer_company_name_1709125387232}

Rank: {field:rank_1709124141383}

Start of Service: {field:start_of_service_1709125395452}

End of Service: {field:end_of_service_1709125401001}

Full Name of Reference: {field:full_name_of_reference_1709128523615}

Reference Contact Details: {field:reference_contact_details_1709128548132}

7. Vessel Name: {field:7_vessel_name_1709125514757}

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Crewing Agency: {field:crewing_agency_1709125597288}

Employer Company Name: {field:employer_company_name_1709125624789}

Rank: {field:rank_1709125646225}

Start of Service: {field:start_of_service_1709125676976}

End of Service: {field:end_of_service_1709125682435}

Full Name of Reference: {field:full_name_of_reference_1709128577570}

Reference Contact Details: {field:reference_contact_details_1709128596124}

8. Vessel Name: {field:8_vessel_name_1709125752426}

Vessel Type: {field:vessel_type_1709125817722}

DWT/GRT: {field:dwt_grt_1709125828764}

Main Engine Type: {field:main_engine_type_bhp_1709125823314}

Crewing Agency: {field:crewing_agency_1709126089536}

Employer Company Name: {field:employer_company_name_1709126077101}

Rank: {field:rank_1709126082172}

Start of Service: {field:start_of_service_1709125956068}

End of Service: {field:end_of_service_1709125975119}

Full Name of Reference: {field:full_name_of_reference_1709128611109}

Reference Contact Details: {field:reference_contact_details_1709128626561}

Additional Experience: {field:additional_experience_1709126064100}

{field:gdpr_1708612815076}

CREW APPLICATION FORM