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Job Category
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Cargo/Tanker
Cruiser Line Ship
Platform/Shore
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Job Position
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Full Name
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Last Name
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Present Address
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Phone
Mobile
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Email
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Permanent Address
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*
Phone
PERSONAL DETAILS
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Age
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Date of Birth
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Nationality
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Place of Birth
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District/State
Marital Status
Single
Married
Divorced
Spouse Name
Have you ever worked abroad / Cruise Line (Details)
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Passport No.
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Place of Issue
*
Date of Issue
*
Date of Expiry
If you have any Valid Visa give details
Name of CDC
CDC No.
Place of Issue
Date of Issue
Date of Expiry
EDUCATIONAL DETAILS
SSC
HSC
Diploma
Degree
Post Graduation
Others
Specify if any others
95 ST CW courses
Hotel Management/Catering Diploma if any
Name of the Institute
Year of Pass
From
To
LANGUAGE PROFICIENCY
English
Speak
Read
Write
French
Speak
Read
Write
Spanish
Speak
Read
Write
HEALTH DETAILS (Please specify if you are suffering any of the following health problems)
Hernia
Heart Troubles
Defective Hearing
Venereal Diseases
Back Pain
Convulsions
Stomach Troubles
High BP
Diabetes
Defective Site
Leg Trouble
Asthama
Specify here if any health problems other than specified
WORK EXPERIENCE (Starts from last job)
Year
Employer's Name & Address with Telephone Nos.
Position
Salary
From
To
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