Prénom
Nom de famille
Courriel
Téléphone
Nationalité
Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Republic of the) Congo (Democratic Republic of the) Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (Democratic People's Republic of) Korea (Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Visa
Afghanistan Åland Islands Albania Algeria American Samoa Andorra Angola Anguilla Antarctica Antigua and Barbuda Argentina Armenia Aruba Australia Austria Azerbaijan Bahamas Bahrain Bangladesh Barbados Belarus Belgium Belize Benin Bermuda Bhutan Bolivia (Plurinational State of) Bonaire, Sint Eustatius and Saba Bosnia and Herzegovina Botswana Bouvet Island Brazil British Indian Ocean Territory Brunei Darussalam Bulgaria Burkina Faso Burundi Cabo Verde Cambodia Cameroon Canada Cayman Islands Central African Republic Chad Chile China Christmas Island Cocos (Keeling) Islands Colombia Comoros Congo (Republic of the) Congo (Democratic Republic of the) Cook Islands Costa Rica Côte d'Ivoire Croatia Cuba Curaçao Cyprus Czech Republic Denmark Djibouti Dominica Dominican Republic Ecuador Egypt El Salvador Equatorial Guinea Eritrea Estonia Ethiopia Falkland Islands (Malvinas) Faroe Islands Fiji Finland France French Guiana French Polynesia French Southern Territories Gabon Gambia Georgia Germany Ghana Gibraltar Greece Greenland Grenada Guadeloupe Guam Guatemala Guernsey Guinea Guinea-Bissau Guyana Haiti Heard Island and McDonald Islands Vatican City State Honduras Hong Kong Hungary Iceland India Indonesia Iran Iraq Ireland Isle of Man Italy Jamaica Japan Jersey Jordan Kazakhstan Kenya Kiribati Korea (Democratic People's Republic of) Korea (Republic of) Kuwait Kyrgyzstan Lao People's Democratic Republic Latvia Lebanon Lesotho Liberia Libya Liechtenstein Lithuania Luxembourg Macao Macedonia (the former Yugoslav Republic of) Madagascar Malawi Malaysia Maldives Mali Malta Marshall Islands Martinique Mauritania Mauritius Mayotte Mexico Micronesia (Federated States of) Moldova (Republic of) Monaco Mongolia Montenegro Montserrat Morocco Mozambique Myanmar Namibia Nauru Nepal Netherlands New Caledonia New Zealand Nicaragua Niger Nigeria Niue Norfolk Island Northern Mariana Islands Norway Oman Pakistan Palau Palestine, State of Panama Papua New Guinea Paraguay Peru Philippines Pitcairn Poland Portugal Puerto Rico Qatar Réunion Romania Russian Federation Rwanda Saint Barthélemy Saint Helena, Ascension and Tristan da Cunha Saint Kitts and Nevis Saint Lucia Saint Martin (French part) Saint Pierre and Miquelon Saint Vincent and the Grenadines Samoa San Marino Sao Tome and Principe Saudi Arabia Senegal Serbia Seychelles Sierra Leone Singapore Sint Maarten (Dutch part) Slovakia Slovenia Solomon Islands Somalia South Africa South Georgia and the South Sandwich Islands South Sudan Spain Sri Lanka Sudan Suriname Svalbard and Jan Mayen Swaziland Sweden Switzerland Syrian Arab Republic Taiwan, Province of China Tajikistan Tanzania, United Republic of Thailand Timor-Leste Togo Tokelau Tonga Trinidad and Tobago Tunisia Turkey Turkmenistan Turks and Caicos Islands Tuvalu Uganda Ukraine United Arab Emirates United Kingdom of Great Britain and Northern Ireland United States Minor Outlying Islands United States of America Uruguay Uzbekistan Vanuatu Venezuela (Bolivarian Republic of) Vietnam Virgin Islands (British) Virgin Islands (U.S.) Wallis and Futuna Western Sahara Yemen Zambia Zimbabwe
Rang
AB AB/Cook AB/OS Anchor Foreman Assistant cook Assistant Driller Assistant Safety Officer Backhoe Operator Barge Engineer Barge Master Barge Master Bakery BOSUN Camp Boss Camp Boss Carousel Operator Catering Manager Ch. Off DPO Chief Cook Chief Cook Chief Engineer Chief Officer Chief Officer SDPO Client Representative Commissioning Engineer Cook Crane Operator Crane Operator Stage 3 Cutter Deck Cadet Deck Engineer Deck Foreman Deck Officer Deck Supervisor Deck Supervisor Deckhand Decommissioning Assistant Decommissioning Assistant Decommissioning Supervisor Derrickman Doctor Dredge Master Driller Electrician Engin Cadet Equipment Operator ETO Fitter Forth Engineer Gangway Operator Gezel Head Steward Head Steward HSE Officer Inland Skipper Inland Skipper Laundryman Lead Steward Lifting Supervisor Maintenance Engineer Marine Pilot Marine Pilot Maritime Officer Marof Master Master SDPO Mechanic Mechanic Deck Motorman Multicat Skipper Night Cook Offshore Construction Manager Offshore Installation Manager. Offshore Medic Oiler OS Paddler Painter Paint technician Paramedic Party Chief Pipe Operator Port Captain Project Manager Pumpman QHSE SH-Q Radio Operator Rigger Rigger Foreman Roughneck Roustabout ROV Pilot ROV Supervisor ROV Technician Safety Officer Safety Technician Scaffolder Scaffolder Supervisor Second Cook Second Cook Second Electrician Second Electrician Second Engineer Second Off DPO Second Off JDPO Second Off SDPO Second Officer Senior electrical technician Senior Electrician Senior Mechanic Shift Supervisor Site Manager Steward Steward Lead Steward/ Stewardess Stewardess Store Keeper Superintendent Surveyor Technical Superintendent Tension Operator Third Electrician Third Electrician Third Engineer Third Off DPO Third Off JDPO Third Officer Tool pusher Tower Operator Trainee Student Trainer VTS Operator Watchman Welder Winch Operator Junior Electro-Technical Officer (ETO Jr) Saturation Diver Bellman Diving Supervisor Life Support Technician (LST) Dive Technician DMT (Diver Medic Technician) Rigger Wiper
License
CoC chief Engineer < 3000 KW STCW III/3 CoC Chief Engineer all ships STCW III/2 CoC chief mate < 500 GT STCW III/2 CoC Chief mate all ships STCW II/2 CoC Chief mate ships <3000 GT STCW II/2 Coc Chief mate,within 200 nautical mileSTCW III/2. CoC Master on ships < 500 GT CoC Master ships < 3000 GT STCW II/2 CoC Master unlimited STCW II/2 CoC Masters near coastal <500 GT CoC Officer in charge of navigational Watch < 500 GT Near coastal 9 STCW II/3 CoC Officer in charge of navigational Watch < 500 GT STCW II/3 CoC Officers in charge of Engineering watch STCW III/1 CoC Officers in Charge of navigational watch no limitations STCW II/I CoC second Engineer < 3000 KW STCW III/2 CoC second Engineer all ships STCW III/2 CoC Second Engineer near coastal voyages <3000 KW STCW III/3 Coc second Engineer, within 200 nautical mile STCW III/2. COC Electro technical officer STCW III/6 CoP Electro technical rating STCW III/7 CoP Rating forming part of Engineering watch STCW III/4 CoP Rating forming part of navigational watch STCW II/4 CoP Rating forming part of navigational + Engineer watch CoP Ratings as Able seafarer Deck STCW II/5 CoP Ships cook Others (specify in notes) SPECIFIC SECURITY DUTIES V1- AV1/6 SHIPBOARD Personal Specific Security Duties Ship Wilder CoP Rating able Seafrers Engine III/5
DP
DP Full DP Advance DP Basic Non DP ( Not applicable ) DPM
Navire
General cargo ships Bulk cargo ships Crude oil tankers ships Chemical tankers ships Container ships Passengers / Roro ships LNG tankers ships Feeder ships Dry bulk carriers Multi-purpose vessels Reefer ships Roll-on/roll-off vessels Gas carriers (LNG/LPG/CNG) Naval ships Cruise ships Ro-Ro ships Floating Production Storage and Offloading (FPSO) Single Point Anchor Reservoir (SPAR) platform Shuttle Tankers Tension Leg Platform (TLP) Oil exploration and drilling vessels Offshore production vessels Offshore support vessels OSV Offshore construction vessels Seismic survey ships Platform supply vessels (PSV) AHTS Anchor handling tugs ROV support vessels Dive support vessels Inspection, maintenance and repair vessels (IMR) Semi-submersible heavy transport vessels Heavy lift vessels Cable-laying vessels DSV Diving support vessels Semi-submersible oceangoing barges Floating sheerleg cranes Ocean towage tugs Tug Accommodation Barge
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