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SEAFARER APPLICATION FORM
Sierra Ship Management
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Name/Surname
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Afghanistan
Albania
Algeria
Andorra
Angola
Antigua and Barbuda
Argentina
Armenia
Australia
Austria
Azerbaijan
Bahamas
Bahrain
Bangladesh
Barbados
Belarus
Belgium
Belize
Benin
Bhutan
Bolivia (Plurinational State of)
Bosnia and Herzegovina
Botswana
Brazil
Brunei Darussalam
Bulgaria
Burkina Faso
Burundi
Cabo Verde
Cambodia
Cameroon
Canada
Central African Republic
Chad
Chile
China
Colombia
Comoros
Congo
Cook Islands
Costa Rica
Croatia
Cuba
Cyprus
Czechia
Côte d'Ivoire
Democratic People's Republic of Korea
Democratic Republic of the Congo
Denmark
Djibouti
Dominica
Dominican Republic
Ecuador
Egypt
El Salvador
Equatorial Guinea
Eritrea
Estonia
Eswatini
Ethiopia
Faroe Islands
Fiji
Finland
France
Gabon
Gambia
Georgia
Germany
Ghana
Greece
Grenada
Guatemala
Guinea
Guinea-Bissau
Guyana
Haiti
Honduras
Hungary
Iceland
India
Indonesia
Iran (Islamic Republic of)
Iraq
Ireland
Israel
Italy
Jamaica
Japan
Jordan
Kazakhstan
Kenya
Kiribati
Kosovo
Kuwait
Kyrgyzstan
Lao People's Democratic Republic
Latvia
Lebanon
Lesotho
Liberia
Libya
Lithuania
Luxembourg
Madagascar
Malawi
Malaysia
Maldives
Mali
Malta
Marshall Islands
Mauritania
Mauritius
Mexico
Micronesia (Federated States of)
Monaco
Mongolia
Montenegro
Morocco
Mozambique
Myanmar
Namibia
Nauru
Nepal
Netherlands
New Zealand
Nicaragua
Niger
Nigeria
Niue
North Macedonia
Norway
Oman
Pakistan
Palau
Panama
Papua New Guinea
Paraguay
Peru
Philippines
Poland
Portugal
Qatar
Republic of Korea
Republic of Moldova
Romania
Russian Federation
Rwanda
Saint Kitts and Nevis
Saint Lucia
Saint Vincent and the Grenadines
Samoa
San Marino
Sao Tome and Principe
Saudi Arabia
Senegal
Serbia
Seychelles
Sierra Leone
Singapore
Slovakia
Slovenia
Solomon Islands
Somalia
South Africa
South Sudan
Spain
Sri Lanka
Sudan
Suriname
Sweden
Switzerland
Syrian Arab Republic
Tajikistan
Thailand
Timor-Leste
Togo
Tokelau
Tonga
Trinidad and Tobago
Tunisia
Turkey
Turkmenistan
Tuvalu
Uganda
Ukraine
United Arab Emirates
United Kingdom of Great Britain and Northern Ireland
United Republic of Tanzania
United States of America
Uruguay
Uzbekistan
Vanuatu
Venezuela (Bolivarian Republic of)
Viet Nam
Yemen
Zambia
Zimbabwe
Nationality
ID No (TC Kimlik)
Date of Birth:
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Master
Chief Officer
2nd.Officer
3rd.Officer
Chief Engineer
2nd.Engineer
3rd.Engineer
4rd.Engineer
Electrician
Deck Cadet
Engine Cadet
Bosun
Able Seaman
Donkeyman
Fitter
Oiler
Cook
Steward
Rank Applied For
Master
Chief Officer
2nd.Officer
3rd.Officer
Chief Engineer
2nd.Engineer
3rd.Engineer
4rd.Engineer
Electrician
Deck Cadet
Engine Cadet
Bosun
Able Seaman
Donkeyman
Fitter
Oiler
Cook
Steward
Qualification
Chemical Tanker
Oil Tanker
Lpg/Lng Tanker
Bulk Carrier
General Cargo
Container
Other
Type of Ship Applied For
Readiness Date
Poor
Avarage
Good
English Level
Primary school
Elementary School
High School
University
Education
E Mail
Residance Address
Single
Maried
Marital Status
0
1
2
3
4
5
6
Number of Children
Height (cm)
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Weight (kg)
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Safety Shoes:
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Small
Medium
Large
X Large
Xx Large
Xxx Large
Overall Size
Small
Medium
Large
X Large
Xx Large
Xxx Large
Shirts
Trousers
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Next of Kin: Name / Surname
Next of Kin: Relationship
Next of Kin: Phone
Seamans Book
Country
No
Issue Date
Expire Date
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Passport
Country
No
Issue Date
Expire Date
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−
Medical Examination
Issue Date
Expire Date
Yellow Fever Vac
Issue Date
Expire Date
Visa
USA
Issue Date
Expire Date
SCHENGEN
Issue Date
Expire Date
VSL TYPE
Vsl Type
Vsl Type
Vsl Type
Vsl Type
Vsl Type
VSL NAME
Vsl Name
Vsl Name
Vsl Name
Vsl Name
Vsl Name
COMPANY
Company
Company
Company
Company
Company
RANK
Rank
Rank
Rank
Rank
Rank
DWT
Dwt
Dwt
Dwt
Dwt
Dwt
SIGN ON
Sign On
Sign On
Sign On
Sign On
Sign On
SIGN OFF
Sign Off
Sign Off
Sign Off
Sign Off
Sign Off
REASON
Reason
Reason
Reason
Reason
Reason
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