ANGLO-EASTERN GROUP
APPLICATION FOR EMPLOYMENT
Sea Based
Job Application for Chief Engineers

Position Applied for :   Referred By:
(If Applicable)

1. PERSONAL DATA
 
Family Name:   Given Names:
Chinese Name
(if applicable)
  Male Female
     
Single Married Divorced
Address:
Phone No.:
(Home) (Office) (Mobile)
Date of Birth:   Age:
Place of Birth:   Nationality:
Local ID Card #:   E-mail:

2. DATA OF FAMILY MEMBERS
Data of Spouse        
Name:   D.O.B.:
Data of Children        
1st Child     2nd Child  
Name:   Name:
D.O.B.   D.O.B.
Gender:   Gender:
3rd Child     4th Child  
Name:   Name:
D.O.B.:   D.O.B.:
Gender:   Gender:

3. EDUCATION
School
Name & Location of School/ Institution
From Date
To Date
Cert./ Diploma/ Degree Awarded
Primary School
Secondary School
University/ College/ Others

4. TRAINING
 
Qualification
Institute
Cert. #
City, Country
From Date
To Date
1
2
3
4
5
5. MEMBERSHIP OF PROFESSIONAL ORGANIZATIONS (IF ANY)
 
Organization
Description of Membership
1
2
3

6. COMPUTER SKILLS & OTHER KNOWLEDGE
 
List below other skills, special training or professional qualification you have:
1
2
3

7. LANGUAGES
 
Spoken
Written
1
2
3
4
5

8. EMPLOYMENT RECORDS (SHORE BASED)
 
 
Name of last employer:
Employer's Address:
Position:
Business Nature:
Date Started:
Date Left:
Phone No:
Job Titled:
Salary:
/month
Reason for departure:
 
 
Name of last employer:
Employer's Address:
Position:
Business Nature:
Date Started:
Date Left:
Phone No:
Job Titled:
Salary:
/month
Reason for departure:
 
 
Name of last employer:
Employer's Address:
Position:
Business Nature:
Date Started:
Date Left:
Phone No:
Job Titled:
Salary:
/month
Reason for departure:
 
 
Name of last employer:
Employer's Address:
Position:
Business Nature:
Date Started:
Date Left:
Phone No:
Job Titled:
Salary:
/month
Reason for departure:
 
9. SEA-SERVICE RECORDS
 
 
Company
Vessels's Name
Vessel Type
Engine Type
BHP
From Date
To Date
Rank
1
2
3
4
5
6
7

10. COURSES (INCLUDE PRE-SEA TRAINING)
                     
 
Course
Course ID
OnBoard
Flag
STCW
Passed On
Grade
Date of Issue
Place of Issue
Expiry Date
1
2
3
4
5
6
7
8

11. LICENSES
 
 
License
Licence #
Insititute
Cer./Flag
STCW
Passed On
Date of Issue
Place of Issue
Expiry Date
1
2
3
4
5
6
7
8

12. OTHER DOCUMENTS
 
Type of Ducments
Number
Date & Place Issued
Expiry Date
CDC (National)
Certificate of Competency
Passport #

13. PHOTO
 
Personal Photo (in JPEG Format):

14. DECLARATION
 
I, , have sailed at Sea for years/ months.
Employed in shore job since My highest rank achieved at Sea is

15. OTHER
 
Other Information