Online Application

Max Square Enterprise Co.,Ltd.
Post Applied for Readiness

PERSONAL DETAILS

Name Date of Birth
Age Place of Birth
Religion Marital Status
Height Weight
Education Mark
Father Name Mother Name
Shoe size Overall size
Next of Kin Relation
Address Phone
Email

SEAMAN’S DOCUMENTS

No Holding Certificates Number Date Of Issues Date Of Expire
01 Passport ( PP)
02 Seafarer Identification and Record Book (SIRB)
03 Certificate of Competency (COC)
04 GOC / GMDSS (SOLAS – 74 – STCW -78 )
05 G.O.C (Endorsement )(STCW-95- I/2)
06 Radar Observer (STCW-95-II/2)
07 Radar And ARPA (STCW – 95 –I/2)
08 S.S.O (ISPS-CODE-PART-A,P-12& PART B-P-13)
09 Advanced Fire Fighting (STCW-95-A-VI/3)
10 Medical First Aid (STCW-95-A.VI/4-1)
11 Medical Care (STCW-95-A-VI/4-2)
12 Tanker Familiarization (TF)
13 Advanced Oil Tanker Operation (STCW-95-A-V/I)
14 Advanced Chemical Tanker Operation (STCW-95-V/I-2)
15 Advanced Gas Tanker Operation (STCW-95-A-V/I)
16 Hazardous Cargo Training (STCW-95) (HCT)
17 Bridge Team Management (BTM)
18 Bridge or Engine Resource Management (BRM) or (ERM)
19 ECDIS
20 ESDIS (Type Specific)
21 Basic Safety Training (BST)
22 Efficient Deck Hand ( E.D.H)
23 Watch keeping (WK)
24 Engine Room Watch (ERW)
25 Survival Craft And Rescue boat (PSCRB)
26 Ship Security Awareness (SSA)
27 Designated Security Duties (DSD)
28 High Voltage Training (HVT)
29 Hazardous Cargo Training (HCT)
30 Cook Certificate
31 Other Certs ( Malaysia / Hong Kong / Liberia/ Panama )

SEA SERVICE RECORD (FROM LAST TO FIRST)

No Name of Vessel Rank Type GRT BHP Main Engine Sign On Sign Off Ship Owner
01
02
03
04
05
06
07
08


Requirements YES No IF YES, PLEASE PROVIDE DETAILS
Expected Wages
Required Ship Gross Tonnage
Requited Ship Type

Remark:
I confirm that, the information given by me herein is above mentioned data are true correct.
All documents are authentic, not fraudulence.

Name
CDC
DATE


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