海员履历表格

Name姓名Rank职务English英语

D.O.B出生日期P.O.B出生地点

ID NO.身份证号码Age年龄

Address家庭住址Tel电话

Name of Family亲属姓名Connection关系

Height身高(cm) Weight体重(kg) Blood Type血型.鞋号Graduate /Time毕业学校/时间Education学历

CERTIFICATES TYPE

证书名称NUMBER

证书号码

DATE/OLACEOFLSSU

签发日期、地点

EXPIRED DATE

期满日期

Passport(护照)

Seafarer’s Passport(海员证)

C.of.C.(适任证书)

Seaman’s Record Book(服务簿)

GMDSS(GMDSS证书)

PNM/LIB/GMDSS Certificate(巴/利/G证)

Others(其它证书)

CERTIFICATES TYPE 证书名称NUMBER/号码ISSUE DATE/签发日期Professional Training (专业培训合格证书)

Basic Safety Training (基本安全)

Proficiency in Survival Craft and Rescue Boats (救生艇、筏)

Advanced Fire-fighting Training (高级消防)

Proficiency in Medical First Aid (精通急救)

Medical Care On Board(Master & C/O only) (船上医护)

Radar Observation & Plotting & Radar simulator (雷达两证)

Certificate For Arpa Simulator (雷达标绘仪)

Special Training For Seafarers (特殊培训)

Name of Vessel

船名

Ran

k

职务

Date of

Sign-on

上船日期

Date of

Sign-off

下船日期

GT/VSL

Type

总吨/船型

HP/M/E

Type

马力/机型

Flag

船旗

Area

航区

Name of

Company

船舶公司青岛启航海事服务有限公司TEL：0532-******** FAX：0532-********