Seafarer Application Form Resume Prefill enabled

Upload Resume (Optional) & Prefill

Upload a DOCX or text-based PDF resume. We’ll extract details and prefill this form. You can review and edit before submitting.

Resume file (.docx / .pdf)

Idle

Rank Applied

Rank Applied

Personal Details

First Name

Surname

Sex

Date of Birth

Place of Birth

Marital Status

Date of Availability

Email ID

Mobile Number

Nearest Airport

Father's Name

Physical Measurements

Height (cm)	Shoe Size	Weight (kg)	Overalls Size

Address Details

Permanent Address

Present Address

Next of Kin Details

Full Name

Relationship

Address

Number of children

Mobile number

Travel Documents

Document	Document No	Issued By	Issue Date	Expiry Date	Action

Bank Account Information

Bank Name	Branch	Bank Address	Account No	Account Holder's Name	IFSC Code	SWIFT Code

Education & Training

Course	Institution	Period	Action

Courses & Certificates

Course Name	Certificate Number	Issue Date	Expiry Date	Institute	Action

Sea Service Details

Company	Vessel	Rank	Type of Vessel	GRT/DWT	Main/Aux Engine	BHP/KW	From	To	Period in Months	Action

Total Experience

	Tankers	Bulk Carrier	Passenger Vessels
No of Years

Last Company Reference

Company Name	Name of Person to Contact	Contact No	Remark (To be filled by office)

Medical History

Have you ever signed off a ship for medical reason?

Yes

Have you undergone any minor or major surgery in the past?

Yes

Do you suffer from any health or disability problem now?

Yes

General

Have you ever been subjected to a court of enquiry or involved in a maritime accident?

Yes

Have you ever had your professional license suspended or revoked?

Yes

Declaration

I hereby declare that the above particulars are true to the best of my knowledge.

Date

Seafarer's Signature

Uploads

Photo

Signature

Passport – All Pages (PDF)

Seamen Book – All Pages (PDF)