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BMA Bark Marine Agency
 

 
 
 
 
 
 
   

Application

You can make your own personal profile in our database. Please fill in our application form online or send to us your own form (maximum accepted msg with atteched files not more then 5 Mbites) on following e-mail: info-bma@barkmarine.net.ua

SEAMAN'S APPLICATION FORM

Surname
Given Name  
Date of birth  
Nationality  
Applied rank  
Place of birth  
Second rank  
Address  
Availability  
Phone  

English:   Good Medium Poor
 

DOCUMENTATION
EDUCATION:
Grade as per cert. competency

  No. of documents ISSD Date VALID Date ISSUING PLACE
CIVIL PASSPORT No.
SEAMANíS PASSPORT No.
CERTIFICATE OF COMPETENCY
ENDORSEMENT OF CERTIFICATE
RADAR OBSERVER (DECK OFF.)
ARPA (DECK OFF.)
SHIP SECURITY
GMDSS (DECK OFF.)
ENDORSEMENT OF GMDSS
PSNL SURVIVAL, FFT, FIRST AID
ADVANCED MEDICAL CARE (CH/O)
MEDICAL FIRST AID
ADVANCED FIRE FIGHTING
PROFICIENCY IN SWL CRAFT
HAZARDOUS CARGOES
ECDIS
OIL TANKER SAFETY
CRUDE OIL WASHING
INERT GAS SYSTEM
MEDICAL FITNESS
USA VISA
YELLOW FEVER

SEA SERVICE
Rank Vessel Name Company Type DW Engine From To

 

   
 
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