Mandatory Fields Indicated with *

Photo First Name * Gender * Primary Mobile No. * INDOS Number *

Seaferer ID Middle Name Nationality * Email ID * Other Contact No.

Passport No. * Last Name * CDC No. * Country Code * Date of Birth *

Applied Rank * Avl for Joining From *
I am fresher

Additional Applied Rank Total Applied Rank Exp (in months) Vessel Type Interested *

Resume Status *

SEA SERVICE

Vessel Name *	IMO No *	Manning Company	Rank *	Vessel Type *	Flag	GRT *	Engine type	KW	Sign-On Date *	Sign-Off Date	Sign Up Vessel	Action
												Add New Delete Last Row

ADDRESS

Address 1* State* Landline No.*

Address 2* City* Nearest Airport*

Country* Pin Code*

Same As Above

City Pin Code

Address 1 Country Nearest Airport

Address 2 State

TRAVEL DOC

Document Type *	Document No *	Issued Date	Expiry Date *	Issued By(Authority)	Country of Issue *	Document Copy	Action	id
							Add New Delete Last Row	1

LICENCE DETAILS

Licence Type	Licence No	Expiry Date	Country of issue	Licence Attachment	Action	Id
					Add New Delete Last Row	1

MEDICAL DETAILS

Vaccination Name	Expiry Date	Place of issue	Attachment	Action	Id
				Add New Delete Last Row	1

COURSES

Certification	Certificate Number	Issued Date	Expiry Date	Issued At	Certificate Copy	Action	Id
						Add New Delete Last Row	1

BANK DETAILS (OPTIONAL)

Account Holder Name Bank Address Intermediary Bank Name Swift Code

Account No IFSC Code Intermediary Bank Address

Bank Name Swift Code Intermediary Bank Account No

FAMILY DETAILS

Relationship	Full Name	Date Of Birth	Is NOK?	Address	Contact No	Action	Id
						Add New Delete Last Row	1

OTHER DETAILS (OPTIONAL)

Color of Eyes Weight(KG) Shoes Size

Color of Hair Dress Size

Height(CM) Cap Size

Flag Endorsements Licence Details

Licence Name	Licence No	Issue Date	Expiry Date	Place of issue	Attachment	Action	Id
						Add New Delete Last Row	1