Career

    ДОГОВОР ЗА ПОСРЕДНИЧЕСТВО

    Съгл. Чл. 23, ал.2 от Наредба за условията и реда за извършване на посредническа дейност по наемане на работа

    Днес, в гр. Варна се сключи настоящия договор между:

    ДАННИ ЗА ФИРМАТА

    “АСТРОЛАБ МЕНИНГ” ООД, Булстат 206447273, представлявано от Стефан Стефанов Сутев - Управител, със седалище гр. Варна и адрес на управление: ул. “Възраждане “№ 12А, Ет.2, Ап.6, наричано за краткост “ПОСРЕДНИК” от една страна и от друга страна

    ДАННИ ЗА ТЪРСЕЩОТО РАБОТА ЛИЦЕ:

    ,наричан за краткост в договора “ВЪЗЛОЖИТЕЛ” се сключи настоящият договор за посредничество, при следните условия:

    Прочети Условията

    Scroll the table left or right if you dont see it.

    CREW INFORMATION SHEET
    PERSONAL DETAILS
    Position Applied for: Affix Passport Size Photo
    (from the main menu click INSERT, then PICTURES and select a
    picture from your computer)
    Surname: Personal ID No. (ЕГН)
    First Name: Date of Birth (DoB):
    Middle Name: Place of Birth (PoB):
    BMI:
    Height (cm): Weight (kg): Shoe size:
    No Result Overall built:
    Marital Status:
    Address: Mobile Phone:
    City / Country: Postal Code: Home Phone:
    E-Mail:
    Date of Availability: Skype ID:
    Next of Kin: Mobile Phone:
    Relationship Date of Birth: Home Phone:
    Address: E-Mail:
    City / Country: Postal Code:
    Dependent 1: Date of Birth:
    Dependent 2: Date of Birth:
    Dependent 3: Date of Birth:
    TRAVEL DOCUMENTS
    Passport: Issued on: Valid until:
    Seaman’s Passport: Issued on: Valid until:
    Seaman’s Discharge Book: Issued on: Valid until:
    USA Visa C1/D Issued on: Valid until:
    NATIONAL CERTIFICATE OF COMPETENCY
    Capacity: Number: Issued on: Valid until:
    STCW CERTIFICATES OF PROFICIENCY (A-VI/1&A-VI/2)
    Basic Safety Training Number: Issued on: Valid until:
    Proficiency in Survival Craft Number: Issued on: Valid until:
    Proficiency in Fast Rescue Boats Number: Issued on: Valid until:
    Advanced Fire Fighting Number: Issued on: Valid until:
    Medical First Aid Provider Number: Issued on: Valid until:
    Medical Care Number: Issued on: Valid until:
    ADDITIONAL CERTIFICATES
    Ship Security Awareness Number: Issued on: Valid until:
    Seafarers with Designated Security Duties Number: Issued on: Valid until:
    Ship Security Officer Number: Issued on: Valid until:
    Safety Officer Number: Issued on: Valid until:
    HAZMAT Number: Issued on: Valid until:
    ECDIS Generic Number: Issued on: Valid until:
    ECDIS Specific Number: Issued on: Valid until:
    Bridge Team & Resource Management Number: Issued on: Valid until:
    Marine Environmental Awareness Number: Issued on: Valid until:
    Engine Resource Management Number: Issued on: Valid until:
    Ballast Water Management Number: Issued on: Valid until:
    MOMAMACS Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    SPECIAL TRAINING CERTIFICATES for TANKER VESSELS
    Gas Tanker Familiarization Number: Issued on: Valid until:
    Oil and Chemical Tanker Familiarization Number: Issued on: Valid until:
    Advanced Oil Tanker Number: Issued on: Valid until:
    Advanced Chemical Tanker Number: Issued on: Valid until:
    Advanced Gas Tanker Number: Issued on: Valid until:
    Inert Gas System Number: Issued on: Valid until:
    Crude Oil Washing Number: Issued on: Valid until:
    MEDICAL and VACCINATIONS
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    Number: Issued on: Valid until:
    PREVIOUS SEA SERVICE (from latest to previous)
    VESSEL’S NAME RANK From Months VESSEL’S DETAILS: Employer
    Flag To Days Type GT/DWT Engine Type/KW Agent
    REFERENCES: (state last 3 ship management companies with tel no.)
    Name: Phone:
    Name: Phone:
    Name: Phone:
    Date:
    Manning Agent Signature: _____________________ (accuracy of the data entries including level of English language should be verified) Ver.1.1/22.04.21
    When you fill out the Application Form, please send it together with all scanned documents and certificates you have. You can attach them to the field down.