Seafarers can apply for a job by submitting the following form:

JOB POSITION   Position Applied For --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other Second Choice --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other     PERSONAL DETAILS   Surname First name(s) Address Address Zip Code and City Country --- Choose --- Bahamas Belarus Belgium Canada Chile Denmark Estonia Estonian / Alien Finland France Færøerne Georgia Germany Great Britain Italien Latvia Lithaunia Mexico Norway Poland Portugal Romania Russia Spain Sweden The Netherlands The Philippines Turkey Ukraine Other Nationality --- Choose --- Bahamian Belarus Belgium Canadian Chile Danish Estonian / Alien Estonian Finlander French Færeng Georgian German British Italien Latvian Lithaunia Mexico Norweign Polish portuguese Romania Russian Spanish Swedish Dutch Filipino Turkish Ukrainian Other     Phone Please include country code Mobile Phone Please include country code E-mail Date of Birth Place of Birth Nearest Airport English Proficiency --- Choose --- Very good Good Satisfactory Poor Marital Status --- Choose --- Married Single Widow / Widower Divorced     PASSPORT / DOCUMENTS     Number           Date of Issue   Date of Expiry  Issuing Authority Passport Seaman's Book National Seaman's Book Internat. VISA Health Certificate - Blue Book Tanker Certification Oil Gas Chemical General Tanker Certificate CERTIFICATE OF COMPETENCE   Certificate of Competence Issuing Authority STCW COURSES / CERTIFICATES (All documents must be STCW95 endorsed) Number                      Date of Issue   Date of Expiry -------------- Choose ------------- Advanced Fire Fighting Automatic Radar plotting Basic Safety Training Bridge Resource Management Bridge Team management Cargo/Ballast Handling Chemical Tanker Operations Chemical Tanker Safety Crew Resource Management ECDIS Fire Prevention & Fighting GMDSS ISPS - general Medical Care Medical First Aid Safety and Health (para 16) Ship Handling Simulator Ship Security Officer Survival craft & rescue boats Tanker familiarisation -------------- Choose ------------- Advanced Fire Fighting Automatic Radar plotting Basic Safety Training Bridge Resource Management Bridge Team management Cargo/Ballast Handling Chemical Tanker Operations Chemical Tanker Safety Crew Resource Management ECDIS Fire Prevention & Fighting GMDSS ISPS - general Medical Care Medical First Aid Safety and Health (para 16) Ship Handling Simulator Ship Security Officer Survival craft & rescue boats Tanker familiarisation -------------- Choose ------------- Advanced Fire Fighting Automatic Radar plotting Basic Safety Training Bridge Resource Management Bridge Team management Cargo/Ballast Handling Chemical Tanker Operations Chemical Tanker Safety Crew Resource Management ECDIS Fire Prevention & Fighting GMDSS ISPS - general Medical Care Medical First Aid Safety and Health (para 16) Ship Handling Simulator Ship Security Officer Survival craft & rescue boats Tanker familiarisation -------------- Choose ------------- Advanced Fire Fighting Automatic Radar plotting Basic Safety Training Bridge Resource Management Bridge Team management Cargo/Ballast Handling Chemical Tanker Operations Chemical Tanker Safety Crew Resource Management ECDIS Fire Prevention & Fighting GMDSS ISPS - general Medical Care Medical First Aid Safety and Health (para 16) Ship Handling Simulator Ship Security Officer Survival craft & rescue boats Tanker familiarisation -------------- Choose ------------- Advanced Fire Fighting Automatic Radar plotting Basic Safety Training Bridge Resource Management Bridge Team management Cargo/Ballast Handling Chemical Tanker Operations Chemical Tanker Safety Crew Resource Management ECDIS Fire Prevention & Fighting GMDSS ISPS - general Medical Care Medical First Aid Safety and Health (para 16) Ship Handling Simulator Ship Security Officer Survival craft & rescue boats Tanker familiarisation PREVIOUS SEA SERVICE   Start Date        End Date Vessel Name    Vessel Type               Flag           Engine             Rank                       Company ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other ---- Choose ----- Bulk Carrier Cable Ship Chemical Tanker Conbulk Carrier Container Crude Oil Tanker Dredger Dry Cargo Ethylene FPSO General Cargo Heavy Lift LNG LO-RO LPG LPG Fully Ref LPG Semi-Ref Multi Purpose Offshore Supply Other vessels Passenger Pure Car Carrier Reefer RO-RO Survey Tanker Training Vessel Tug ULCC VLCC --- Choose --- Captain Chief Officer 2. Officer 3. Officer Ch. Engineer 2. Engineer 3. Engineer 4. Engineer Electrician Pumpman Senior Bosun Bosun AB (key) AB OS Fitter Motorman Cook Messman Wiper Deck Cadet Engine Cadet Other     PERSONAL COMMENTS       Personal comments     SEND APPLICATION       Send to CLIPPER Head Office (Denmark)