8/10/2019 F7.3 Employment Application Cruises
1/2
F7.3 Employment Application form
sea chefs River Cruises Ltd
Issue:1/ Issue date:1-11-2012/ 1/2
Interview No: Crew I.D.:
Position applied for: Department: Date:
PERSONAL
Surname: First Names:
Age Sex:
Present Address: Mobile Telephone No:
Permanent Address:Home Telephone No:
E-mail address:
Date and Place of Birth: Nationality:
Passport No: Issue date: Issue place: Expiry date:
Seamans Book No: Issue date: Issue place: Expiry date:Marital
status: Relationship:
Next of Kin: Address:
Telephone No:
Present Employment: Since when:
Ever applied to thisCompany before?
When?
Recruitment Agency: Main departureairport:
Have you ever had any difficulties with the authorities, (i.e.
Police, Customs, Immigration etc.)? If so, for what reasons?
EMPLOYMENT
HISTORY
Position: Name and Address of Employment: FromTo (Dates): Reason
for Leaving:
LANGU
AGES
Spoken Written Reading
Fair Well Excellent Fair Well Excellent Fair Well Excellent
ENGLISH
GERMAN
FRENCH
ITALIAN
SPANISH
RUSSIAN
OTHER:
EDUCATION
Education Name and Place of School Years Attended Year
Graduated
High School
College
Trade, Businessor Other School
DIPLOMAS/CE
RTIFICATES
Diploma / Certificate No. Date of Issue Expiry Date Duration
ofTraining
Basic Safety TrainingSection (A-VI/1.2)
Section A-V/2 (par. 1,2,3,4,5) (state which paragraphs)Section
A-V/3 (par. 1,2,3,4,5) (state which paragraphs)
PHOTO
https://www.seachefs.com/dynasite.cfm?dsmid=10741
8/10/2019 F7.3 Employment Application Cruises
2/2
F7.3 Employment Application form
sea chefs River Cruises Ltd
Issue:1/ Issue date:1-11-2012/ 2/2
Crowd ManagementCrisis Management
VISA
USA (C1/D1) Issue date: Issue place: Expiry date:
SCHENGEN Issue date: Issue place: Expiry date:
MEDICA
L
Are you current ly under a doctors care with medication? YES
NO
If yes please specify:
Do you have any recurr ing medical problems? YES NO
If yes please specify:
Are you on any medicat ion? YES NOIf yes please specify:
Do you have any phys ical and/or mental cond i t ion tha t wou
ld l im i t your ab il i t y to per fo rm the job you are seek
in
Height : Weight:
State if any d efect in:
Hearing:
Vision:
Speech:
I confirm that the above is to the best of my knowledge and
belief correct.I also understand that any false statement above is
reason form dismissal if engaged.
Date: Signature of applicant:
Please attach a copy of the following documents:
No Documents Expiry (Comments)
1. Passport (photo, name, expiry and visa pages)
2. Seamans Book
3. Vaccination Book
4. Qualification Certificates
5. Training Certificates
INTERNALUSEONLY
To be completed by the interviewer:
Name of interviewer: Date: Suggested
PositionsLanguages: ENG: FR GER: GR: ITA: SPN:
EvaluationCriteria: Comments:
1
Appearance: 2
Experience: 3
Knowledge: 4
Suggested Vessels
OverallEvaluation: 1 2 3 4 5 1Poor Fair Good Very Good Excellent
2Interview outcome: Passed
Contract offeredPassed
Stand by Contract offeredPassedNo offer
Failed 3
Signature of Interviewer :
https://www.seachefs.com/dynasite.cfm?dsmid=10741
