Seafarer Application Form - DEV MARINE AGENCIES (PVT) LTD

* - Mandatory fields.

READ INSTRUCTIONS BEFORE FILL FIELDS. Please use (dd/mm/yyyy) format for any date inputs.

Do not take too much time(over 1 hour) to complete form and we recommend you to collect your data before start filling.

Please send email to "manning2@devmarineagencies.com" for any help/inquiries regarding seafarer applications submission.

Upload your picture *
Select Image:

Min size - Width-200px, Height-200px (Passport Size) , Size should not more than 200Kb.
Supported Formats - jpeg, png, jpg, svg
Use slider controller at bottom of first box for zoom in/out the image before crop.

Personal Details
Address & Contact Details*
Family / Next of Kin Details *
Full Name (Family, Middle, Other)* NIC/PP Relationship Date of Birth Telephone/Contact No. (With Country Code)*
Address
Education / Academic Qualifications
Name of College / University attended Location From To Qualification Received
Certificate of Competency
Grade Number Date of Issue Date of Expiry Issuing Country
Flag State Licence/ Certificate of Competency/ Endorsement Details
Grade Number Date of Issue Date of Expiry Issuing country
Details of Traning / Upgrading Courses & Certificates
Course Name Cert. Number Date of Issue Date of Expiry Place of Issue
Visa Details
Type Issued Expires Place of Issue
USA Visa
Australian Maritime Crew Visa (MCV)
Date of Availability to join a Vessel *
Sea Service Record

IMPORTANT - Please state most recent sea service first.

Please be attention when fill this table and need SCROLL RIGHT FROM VERY BOTTOM SCROLL BAR due to many columns and make sure to insert correct data also recheck before submit form.

Vessel Name Flag          Owner Manager   Rank (Select one rank from DECK , ENGINE or SMALL CRAFT/COASTAL)          Type         DWT          Engine Make Engine Model BHP/KW UMS (Y/N)     Required field
From (dd/mm/yyyy)
Required field
To (dd/mm/yyyy)
Sea Time(Months) Days    Required field
Reason for Disembarkation       

Required for engine room staff only.

For the bulk carrier type, Please state , MBLK for Mini, HBLK for Handy , LOGB for long carrier, HMBC for handymax, SMBC for supermax, PBLK for panamax, KSMX for kamsamax , CBLK for capesize, VOLC for very large ore carrier & WOOD for Wood chip carrier.

For Tankers , please state , LPGP for pressurised , LPGS for semi-refrigerated, LPGR for fully-refrigerated ,LPGE for Ethylene, LPCH for LPG/Chemical, CHET for chemical, PROT for product Tanker, MRP for Medium range product, LRP for long range product , AOIL for Afraamax, SOIL for Suezmax , VLCC for very large crude carrier, & ULCC for Ultra large crude carrier.

Please make sure to recheck added data above in whole form before submit.