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船员登记表

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SEAFARER\'S APPLICATION FORM

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1. 基本情况 PERSONAL PARTICULARS
中文名 Chinese Name		出生日期 Date of Birth		身高 Height(cm)
英文名 English Name		出生地 Place of Birth
申请职务 Position Applied		血型 Blood Type		体重 WEIGHT(kg)
身份证号码 ID Card Nr.		联系电话 Phone
家属姓名 Spouse Name		移动电话 MB NO.		鞋码 Shoes size
联系地址/邮编 Address/Post Code
2.专业教育情况 MARINE COLLEGE/SCHOOL ATTENDED
毕业学校 ') document.writeln(' Name of School	专业 Speciality	毕业时间 Year of Graduation	学历 Type of Diploma held

3.证书情况 CERTIFICATES
证书名称 ') document.writeln(' Category	等级 Capacity	号码 Number	签发日期 Date of Issue	到期日期 Date of Expiry	签发机构 Issuing Authority
适任证书 C.O.C.
GMDSS
海员证 Seafarer\'s Passport
护照 Passport
服务簿 Seaman\'s Record Book
专业培训合格证书 Professional training
熟悉和基本安全培训 Familiarization and Basic Safety Training
精通艇筏培训 Proficiency in Survival Craft and Rescue Boats
高级消防培训 ') document.writeln(' Advanced Fire-fighting Training
精通急救培训 Proficiency in Medical First Aid
船上医护培训 Medical Care On Board
雷达观测与标绘和雷达仿真器培训 Radar Observation and Plotting and radar simulator
自动雷达标绘仪培训 ARPA Simulator
保安员培训 Security Officer Training
油轮特殊培训(安全知训) Oil Tanker Familiarization
油轮特殊培训(安全操作) Advanced Training on Oil Tanker Operations
油轮特殊培训(原油洗舱) Training On Igs And Cow Of Oil Tanker
液化气特殊培训(安全知识) Liquefied Gas Tanker Familiarization
液化气特殊培训(安全操作) Liquefied Gas Tanker Special Training On Operation
化学品特殊培训(安全知识) Chemical Tanker Familiarization
化学品特殊培训(安全操作) Chemical Tanker Operation
其他证书 Other Cert.
其他证书 Other Cert.
4. 海历 SEA SERVICE
船名 Name of Vessel
职务 Rank
船型 Type of Vessel
船旗 Flag
总吨GT
马力 B.H.P.
主机型号 Type of Engine
任职时间Date of Sign-on
解职时间Date of Sign-off
航区 Trading Area
公司名称Name of Company
备注 Remarks

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