Name in Chinese：

Date of Birth ：

Place of Birth：

Position Request ：

Name in English：

P.R.C Vdenlity Cert No.：

电话：

Married：

Blood　Type：

Height：
cm

Weight：
kg

Shoes Size：
cm

Graduate College：

Duration：

Specailty：

Address：

Post Code：

Category

No.

Date of Issue

Date of Expiry

Place of Issue

Passport

Seafarer's Passport

Certificate of Competency

GMDSS Cert.

Seaman's Recork Book

Professional Training

No.

Date of Issue

No.

Date of Issue

VI/1

II/A

VI/2

II/B

VI/3

VI/4B

VI/4

XI/2

Vessel

Rank

Sign On

Type of Vsl

GRT

FLAG

Name of Company

Sign Off

Type of V/E

BHP

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