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APPLICATION FORM

1. Personal Details*
Rank applied for


Surname
  
First Name
Home Address
Street
  
Postal Code
Town
  
Country
Home Phone
  
Mobile Phone
E-Mail
  
Nationality
Date of Birth (dd.mm.yy)
  
Marital Status
Earliest Date of Joining (dd.mm.yy)
  
Latest Date of Joining (dd.mm.yy)


2. Sea Service*

Please fill in the details of your last 5 services starting with the last one.
Vessel Name   
Vessel Type   
Employer   
Rank   
Main Engine Type / Size   
Size in TEU or GRT   
Duration of Contract    from:    to:

Vessel Name   
Vessel Type   
Employer   
Rank   
Main Engine Type / Size   
Size in TEU or GRT   
Duration of Contract    from:    to:

Vessel Name   
Vessel Type   
Employer   
Rank   
Main Engine Type / Size   
Size in TEU or GRT   
Duration of Contract    from:    to:

Vessel Name   
Vessel Type   
Employer   
Rank   
Main Engine Type / Size   
Size in TEU or GRT   
Duration of Contract    from:    to:

Vessel Name   
Vessel Type   
Employer   
Rank   
Main Engine Type / Size   
Size in TEU or GRT   
Duration of Contract    from:    to:


3. Please explain why you are qualified for a job at Bernhard Schulte Shipmanagement (max. 250 letters)*


*Mandatory Information

This application form will be send to the crew agency of your home country. If there is no agency in your country please select the nearest Bernhard Schulte Shipmanagement Office.


I certify that the details given by me in filling up this form are true, complete and correct to best of my knowlegde and belief.