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Application Form for ONMA Cadet


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Travel

Documents Number Date Issued (dd/mm/yyyy) Date Expire (dd/mm/yyyyy)

Travel Passport

Seaman's Book (Ukraine)

Seaman's Book (Panama)

Seaman's Book (Liberia)

U.S. Visa (C1/D)

Yellow Fever

Training certificates

Documents Number Date Issued (dd/mm/yyyy) Date Expire (dd/mm/yyyyy)

Basic Safety Training

Proficiency in S/C and R/B

Advance Fire Fighting

Medical First Aid

Medical Care

Rader Obs. & Plotting

ARPA

Ship Security Officer

Designated security duties

Experince of onboard practice


Documents Number Date Issued (dd/mm/yyyy) Date Expire (dd/mm/yyyyy)

Rank

Name of Vessel

Vessel Flag

Type of Vessel

Gross Tonnage

M/E BHP

Model of M/E

Model of D/G

Crewing Agency

Vessel Operator

Sign On Date (dd/mm/yyyy)

Sign Off Date (dd/mm/yyyy)

Term (mm-dd)

Total onboard Experience