Zorovic Maritime Agency

Job application

You are requested to fill out only data you have not supplied to ZOMS already such as new navigation i.e. service record, new documents, change of telephone numbers and similar. Surname and name must be written.

Download it as a MS Word file and send it back with e-mail or regular mail!

You can download application form here as a Microsoft Word document. Save it on Your computer, fill it up in peace and send it back to us as attached document in Your E-mail or simply send it with regular mail.

Rank

Personal data

Full name Marital status:
Address No. of children supported
Home Phone No Spoken languages
Mobile Phone No Education
E-mail Height
Place of birth Weight
Date of birth Colour of Eyes
Citizenship Colour of Hair

Next of Kin

Full name Relationship:
Address Phone No:

Passport

Country Number Place issued Date issued Expiry date

Visa

Country Number Place issued Date issued Expiry date

Certificate of Competency

Grade of License Country Number Place issued Date issued Expiry date

Seaman's Book

Country Number Place issued Date issued Expiry date

Medical

Medical Country Place issued Date issued Expiry date

Drug and Alcohol

Place issued Date issued Expiry date

Yellow Fever

Place issued Date issued Expiry date

Certification and Training

Certificate Country Number Place issued Date issued Expiry date

Reference

Company name
Name Telephone
E-mail
Reason for leaving last employer

Previous Sea Experience

Vessel Name Vsl Type Eng Type* DWT HP* Company Rank Joined Leave
*for engineers only

Remarks