Crew Personal Data Sheet

    Rank
    Name
    Civil Status
    Age
    Date of Birth
    Place of Birth
    Landline/Mobile No.
    Last School
    Year Graduated
    Last Agency
    Your Email
    Next of Kin
    Relationship
    Next of Kin Contact No.
    Present Address
    Provincial Address
    POEA E-Registration No.
    Polio Vaccine
    Yellow Fever
    Height(cm)
    Weight(Kg)

    Crew License and STCW Training Certificate

    Philippine Passport
    Seaman's Book
    US Visa
    Schengen Visa
    Certificate of Competency (COC)

     

    Other COC *Please include II/4, II/5 , III/4, III/5, NCs, if any
    Certificate of Endorsement (COE)
    GMDSS General Operator Certificate (GOC)
    Panama Booklet
    Panama SDSD / SSO
    Panama ECDIS
    Panama GMDSS
    Other Panama Endorsements
    Liberian License/Book
    BT COP
    PSCRB COP
    AFF COP
    MEFA COP
    MECA COP
    SSO COP
    SDSD COP
    BTLGT COP
    BTOC COP
    ATLGT COP
    ATCT COP

    Training Certificates (Full Course or Refresher)

    Basic Safety Training (BT)
    Prof. In Survival Craft and Rescue Boat (PSCRB)
    Adv. Training in Firefighting (AFF)
    Medical First Aid (MEFA)
    Medical Care (MECA)
    Ship Secuirty Office (SSO)
    Seafarers With Designated Security Duties (SDSD)
    Basic Training in Liquified Gas Tanker (BTLGT)
    Basic Training in Oil and Chemical Tanker (BTOC)
    Advanced Training for Liquefied Gas Tanker Cargo Operation (ATLGT)
    Advanced Training for Chemical Tanker Cargo Operation (ATCT)
    Bridge Resource Management (BRM) / Bridge Team Management (BTM)
    Engine Resource Management (ERM)
    Ship Simulator and Bridge Teamwork 
    ECDIS Generic
    ECDIS Specific
    Shipshandling and Maneuvering
    Catering Management
    Messman/Steward Course

    SEA SERVICE RECORD (From Present to Past)

    Vessel Name
    Flag
    Agency
    Vessel Type/Cargo
    GRT
    Engine Type
    Rank
    Route
    From (day / month / year)
    Until (day / month / year)
    Causes of Disembarked
    Officers