(FILL OUT IN ENGLISH)
Full name:                      


Date of Birth:                  


Place of Birth:                


Full Address:                 


Telephone number:         


Fax number:                  


E-mail:                          


Citizenship:                   


Married:                          Single:                         


Passport number:            Seamans Book number: 
                                                                                                                                         (Only if You have been at sea before)


Safety certificates:        
                                                          (Only if you have been at sea before)


Next of Kin:                  


Telephone Home:                          Telephone Work: 
Professional Skills & Present occupation: 

 
Languages: 

 
Education: (No public school) 

Type of education:      

Lenght of education:   

Graduate Year:            

Type of education:       

Lenght of education:    

Graduate Year:            

Type of education:       

Lenght of education:    

Graduate Year:             
 
Earlier Employers: 
Position: Employer: Started/Ended: 
Position: Employer: Started/Ended: 
Position: Employer: Started/Ended: 
References: 
Name&Title: Company: 
Telephone Number: Name&Title: Company:
Telephone Number: 
Interests/Hobbies: 
Other general information: 
Short Narrative about Your self: 
Apply for: 
1. 2. 3. 

If we submit You for a seagoing employment we will need following from You: 
Copy's of certificates and testimonials translated to English A extract from the "Swedish Central Police Register" for internal use A short narrative about Your self in English A passport photo and a full leght photo

Thank You for Your interesst in visit SSR Homepage,
we looking forward to recive Your application form
 
 
 
 
 
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