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| “华西远洋”船员登记表
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Name (中/英文姓名) | | Rank ( 职务 ) | | Photo
（1寸免冠彩照） | D.O.B ( 出生 日期 ) | | P.O.B( 出生地 ) | | ID No. (身份证号码) | | Phone( 电 话 ) | | Degree(学历) | | E-mail（邮箱） | | Address( 家庭地址) | | Weight体重(kg) | | 身高(cm) | | Blood type血型 | | Education(毕业学校/专业) | | Shoe Size 鞋码 | |
Certificates Type
(证书名称) | Number
(证书号码) | Valid Period
(有效期) | Place of Issue
(签发地点) | Seaman’ s Book(海员证) | | | | | Seaman’ s Record Book(服务簿) | | | | | Passport (护照) | | | | | Competency Certificate(适任证书) | | | | | GMDSS Certificate (GMDSS证书) | | | | | PNM/LIB/GMDSS Certificate(巴/利G证) | | | | | Other License/Certificate(其它证书) | | | | |
DETAILS OF COURSE / CERTIFICATES? 专业培训证
Item (项目) | Number(号码) | Issue Date (签发日期) | Certificate of professional Training(专业培训合格证书) | | | Survival Craft and Rescue Boats(救生艇、筏) | | | Advanced Fire Fighting (高级消防) | | | Medical First Aid(精通急救) | | | Radar Observer Automatic Radar Piloting(雷达两小证) | | | Ship Captain Medicare(船上医护) | | | Special Training Certificate(特殊专业培训合格证) | | | ?Ship security officer (船舶保安员) | | | | | | | | |
Previous Sea Experience (Last vessel first) 海上资历 （从最后一条船开始） Ship’s Name
船名 | Rank
职务 | Service Time
在船时间 | VSL Type/GRT
船舶类型/总吨 | M/E Type/BHP
主机型号/马力 | Areas
航区 | Ship’s Owner
公司名称 | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | | |
| | Personal Movement(动态) | | Date available（可上船时间） | |
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| | Remark | Apply for………………. only |
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竭诚欢迎海员朋友加入“华西远洋”!
电话：0512-56359836 E-mail：crew@jsssc.com 传真：0512-58381988
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