Maxmarine, shipping agency, port agency, Odessa, Kerch, Theodosia, Ukraine

   If sailing is your challenge and you are ready to cooperate, then we are glad to welcome you!
   You need to fill in the application form and send it back to us.
    Please note here below instructions on how to fill in the application form.

     1. All the information provided in the application form has to be printed in English
language.
     2. Surname, name and patronymic writing has to match with it's writing in the seaman's book.
Important: In all the documents your surname writing has to be identical, letter by letter.
     3. Please indicate expected wage, it is compulsory.
     4. Children who has not reached the age of 18 ONLY are to be indicated in the application form.
     5. Please indicate your height and weight in the relevant fields.
     6. Please indicate your work wear and shoes sizing.

Thank you!

Please get acquainted with the User's agreement PRIOR to filling in the application form.

USER'S AGREEMENT

I as the user of www.maxmarin.com.ua web site understand that I voluntarily show my personal information on www.maxmarin.com.ua web site. I understand that my personal information can be subject to access for a third party, registered on www.maxmarin.com.ua web site. I understand that www.maxmarin.com.ua web site is the electronic resource used to deliver the data from the owner (registered user) to third parties with the purpose of employment. I understand that www.maxmarin.com.ua is not responsible for inactual/false information indicated in my application form. I understand the purpose of data collecting, storing and processing. By this agreement I authorise access to my personal information for third parties with purpose of providing me an employment. I also authorise www.maxmarin.com.ua web site to store, terminate and/or distribute my pesonal information in any way to third parties on purpose of my employment. I give my permission for processing my personal data without informing me of the same by third parties in accordance with clause 21 of the Law of Ukraine "About personal data protection". www.maxmarin.com.ua web site is responsible for functionality of this electronic resource only.
The terms of validity of above mentioned permission is unlimited.

Necessary documents (for officers and for crew)

"MAXMARINE", LLC - shipping agency, crewing, freigt forwarding, chartering (Odessa, Theodosia, Mariupol, , Illychevsk, Kerch, Nikolaev, Izmail, Reni, Ukraine)

APPLICATION FORM

Position applied for:

Second choice:

Date Available

Expected salary:

Surname

Name

Father`s Name

Nationality

Date of Birth

Place of Birth

Contact Phone

Mob. Phone

Address

Next of Kin Name

Addres Next of Kin

Relationship

Phone

Number of children under 18

E-mail

Education	Name of maritime college or academy	From	Till

Licenses	Number	Endor. Issue	Endor.Validity	Diploma Issue	Place of Issue

GMDSS sertificate

Passports	Number	Date of Issue	Validity	Place of Isue
Seaman`s identification card
Seaman`s book
Foreign civil passport

Certificates	Number	Date of Issue	Validity
Basic safety course (Section A-VI/1 STCW Code’95)
Advanced fire fighting (Section A-VI/3 STCW-Code’95)

Proficiency in survival craft (Section A-VI/2 STCW-Code’95)
Radar Navigation Certificate
ARPA/Radar Observing Certificate
Hazardous Cargoes (Section B-V/4&B-V/5 STCW-Code’95)
Security officer certificate (ISPC Code)
Safety officer certificate (ISM Code)
Ro-Ro certificate
Crowd management certificate



Crude Oil Washing Certificate (MARPOL 73/78)
Inert gas system certificate
Health List (Medical Certificate)
Yellow Fever Vaccination Card
USA Visa
Other certificates
Other certificates

Applicant's Weight, Height, Sizes, Special Peculiarities						Language knowledge
Weight	Height	Eyes	Hair	Shoez size	Overall size	English level	German level

Vessel	Type Dwt	Eng.Type BHP	Flag Port of Reg	Owner Crewing	Rank	From (dd/mm/yy)	Till (dd/mm/yy)

Note:	(A) Have you ever been denied a foreign visa?
Note:	(B) Have you been the subject of a court of inquiry or involved in an accident?

I hereby affirm that all the information provided by me in this FORM is TRUE and CORRECT to the best of my knowlege.

Attach file

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