ANGLO-EASTERN GROUP
APPLICATION FOR EMPLOYMENT
Sea Based
Job Application for Electrical Officers
PERSONAL DATA
Position Appied for:
Electrical Officers
Nationality:
Surname:
Marital Status:
Forenames:
Single
Married
Divorced
Date & Place of Birth:
Address:
Last Salary
Availability Date:
Local Tel No.
Mobile:
Perm Tel No.
Email:
Last Employer: Name, PIC & contact no.:
Academic qualifications:
Last School / College:
Pre Sea Training:
Apprenticeship:
Document
Number
Date & Place Issued
Expiry Date
Passport
CDC (National)
U.S. Visa C1/D
National Lic. Class 1 / Class 2 / OOW*
Equivalent License:
Panama
Liberan
Singapore
Malaysia
Bahama
Bermuda
Oil Major Vetting attended:
Shell
BP
Exxon
PREVIOUS SEA EXPERIENCE (FOR LAST FIVE YEARS OR 10 SHIPS SERVED):
Vessel's Name
Desk Trade & DWT OR Eng Type & BHP
Type of Vessel
Company's Name
Rank
Period Date (From - To)
Months/Days Reason for s/off
CERTIFICATION/ENDORSEMENTS IN ADDITION TO MANDATORY STCW CERTIFICATES / EXPERIENCE:
DEC Oil
TSC/OTFC
BRM
DCE Chem
CSC/CTFC
BTM
DCE Gas
GSC/GTFC
SSO
GANTRY
FRAMO PUMP
ECDIS
CRANE/GRAB
SELF LOADER
SOC
DRY DOCK
HAZMAT
NOTE:
DETAILED BIO-DATA FORM TO BE SUBMITTED UPON CONFIRMATION OF EMPLOYMENT