Ashore

Ashore

We invite applications all year round. Applicants are evaluated on their professional and technical knowledge, qualifications, experience, and fit with our culture and work environment.

Start your process here.

Application Form

Rank Applied For:
Availability:

A. Personal Particulars (As In Passport)

Surname
First Name
Middle Name
Date / Place of Birth
Nationality
Permanent Address
Telephone Number
Email Address
Next of Kin
Relationship
Marital Status
Name & DOB of Children	(1) (2) (3)
Address

B. Documents Held

Documents	Number	Date / Place of Issue	Valid Till

Passport
CDC (Indian)
CDC (Others)

C. Highest Certificate Of Competency Now Held

	Issuing Authority	Grade / Certification	Date of Issue	Date of Expiry
1
2
3

D. Visas

	Issued At	Date of Issue	Valid Till
US C1/D
Others
Have you ever been rejected any visa applied for Yes No

E. Academic Qualifications

Diploma / Degree	Institution / University	Year of Passing	Class

F. Training / Apprenticeship

G. List Of S.T.C.W. / Other Courses Done

	Courses	Cert. No.	Date/Place Issued
1	Advanced Fire Fighting
2	Basic Fire Fighting
3	Proficiency in Survival Craft
4	Survival at Sea
5	First Aid at Sea
6	Ship Capt. Medical (Medicare)
7	Tanker's Safety (Chemical)
8	Tanker's Safety (Petroleum)
9	DCE Petroleum / Gas / Chemical
10	Radio Telephony
11	GMDSS
12	ARPA
13	Radar Observer
14	Radar Simulator
15	Other (Specify)

H. Sea Service: (Start from last vessel served)

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)

I do hereby declare that all information furnished above is true to best of my knowledge and belief.

Date:

Rank: