E.R. Schiffahrt

Online application

Application Form for Seafarers
Rank*
Surname*
1st Name(s)*
Date of Birth
Place of Birth
Nationality
Religion
No. of Children
Marital Status
Full Address*
Phone
Mobile Phone
Fax
Email
Nearest Airport
Availability Date
Identity- /
Travel Documents
Nationality
Type
Number
Place of Issue
Issue
dd.mm.yy
Expiry
dd.mm.yy
Passport
 
US-Visa
Other Visa
Seaman Book
 
More Seaman Books
Medical
Certificates
Nationality
Type
Number
Place of Issue
Issue
dd.mm.yy
Expiry
dd.mm.yy
Certificate of Medical Fitness
Yellow Fever Vaccination
 
Certificates -
Courses
Nationality
for position of
Number
Place of Issue
Issue
dd.mm.yy
Expiry
dd.mm.yy
Certificate of Competence
more Certificate of Competence
General Operator Cert. (GMDSS)
more General Operator Cert. (GMDSS)
Basic Safety Training
Proficiency Survival Craft
Proficiency Fast Rescue Boats
Advanced Fire Fighting
Medical First Aid
Medical Care
HAZMAT (US-Trading)
ARPA
ECDIS
Shiphandling
Bridge Resource Management
Engine Resource Management
Experience-
Knowledge
Subject or Hard- / Software
Self Evaluation (please choose)
Language Knowledge
English
Good
Satisfactory
Nil / Poor
Language Knowledge
Good
Satisfactory
Nil / Poor
Electr. Chart Display System
Good
Satisfactory
Nil / Poor
Computer Experience
Microsoft Windows
Good
Satisfactory
Nil / Poor
Computer Experience
Microsoft Office (Word, Excel)
Good
Satisfactory
Nil / Poor
Stability / Cargo
Planning System
Seacos
Good
Satisfactory
Nil / Poor
Other Stability / Cargo Planning System
Good
Satisfactory
Nil / Poor
Planned Maintenance System
Danaos
Good
Satisfactory
Nil / Poor
Other Planned Maintenance System
Good
Satisfactory
Nil / Poor
Working Experience
Monitor / Maintain Reefer Containers
Good
Satisfactory
Nil / Poor
Working Experience
Operate / Maintain Ships Cranes
Good
Satisfactory
Nil / Poor
Working Experience
Automation Systems
Good
Satisfactory
Nil / Poor
Working Experience
Electronics
Good
Satisfactory
Nil / Poor
Working Experience
ISM- Systems /- Audits
Good
Satisfactory
Nil / Poor
Please state Nationalities of Seafarers you sailed with:
Senior Officers
Junior Officers
Ratings
Sea-Service (most recent vessel first)
Rank
Vessel
From
   To   
Employer
Type
Main Engine
Make -Type
GRT
DWT
TEU
Power (kW)
Vessels Flag
Charterer
Trading Area
more Sea-Services