Application For Employment
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2O Form No. 6.6: Application for Employment
Periodicity: For Every Greek Seafarer, Execution: Crew Dept., Forwarding: Completed from Applicant,
Filling: Crew Dept. O File 6.5, Follow Up: Crew Dept.
Rev No: 5 / Rev Date: 17 June 2014
A. Personal Information
Position Desired
Date Available
Full Name
Age
Full Permanent Address
Area
Telephone (landline)
Mobile
Email Address
Sex
Male
Female
Marital Status
Married
Single
Divorced
Spouse Name
Children (names and no)
Age of children
Father
Mother
Place of Birth
Date of birth
In case of an emergency please notify (contact person-relative, address and two telephone lines at least):
Nationality
Passport No
Valid Until
Seaman Book No
Valid Until
Rank
Sea service at the same rank (months)
Total Sea Service (months)
English Knowledge
Oral, Excellent
Good
Fair
Written, Excellent
Good
Fair
Other Languages
B. CERTIFICATES
Greek License No. & Grade
Other Licenses (country, number and grade)
Certificate
Serial Number
Issued At
Expiry Date
Basic Safety
STCW Certificate
SSO
SSO endorsement
Medical Certificate
Medical Care
Medical First Aid
Advanced Fire Fighting
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Parent category: Business