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Seafarer Application Form

Star Sea Management Pvt Ltd

RPSL-MUM-330

APPLICATION FORM

Passport Size Photo

Max: 5MB

Personal Information

Next of Kin Details

Full NameAddress of KinRelationshipContact NumberEmail AddressPercentage (%)Action

Travel Document Details

Document TypeDocument NumberIssue DateExpiry DatePlace of Issue
INDoSN/A
Passport
CDC
CoC
CoE
US Visa

STCW Basic Certificates

Certificate NameCertificate NumberIssue DateExpiry Date

STCW Advanced Certificates

Certificate NameCertificate NumberIssue DateExpiry Date
Advanced Fire Fighting (AFF)
Proficiency in Survival Craft & Rescue Boats (PSCRB)
Medical First Aid (MFA)

Shore Experience

Sea Service Record

Company NameVessel NameVessel TypeRankEngine BHPSign OnSign OffSign On PortSign Off PortNo. of Days Worked
0
0
0

Resume

Click to upload or drag and drop

PDF, DOC, DOCX up to 10MB

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RPSL Seafarer Application Form

Official application form for seafarer registration

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