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Position Applying (Position 1)*	2ND ENG   2ND OFF   3RD ENG   3RD OFF   4TH ENG   A/B   A/Cook   Able Seafarer Deck   Able Seafarer Engine   Assistant Electrician   BOSUN   Catering Boy   CH. ENG   CH. OFF   COOK   Deck Boy   Deck Clerk   Deck Rating   DECK/CADET   EL/EL   ENG/CADET   Engne Rating   FITTER   GPU-E   Manager/Owner   MASTER   MESSMAN   MMan   Mr.   Ms.   O/S   OIC-EW   OIC-NW   OILER   OILER/SK   OILER/WELDER   P/MAN   R/Gang   R/O   Superintendent   Training Master   WELDER   WIPER
Position Applying (Position 2)	2ND ENG   2ND OFF   3RD ENG   3RD OFF   4TH ENG   A/B   A/Cook   Able Seafarer Deck   Able Seafarer Engine   Assistant Electrician   BOSUN   Catering Boy   CH. ENG   CH. OFF   COOK   Deck Boy   Deck Clerk   Deck Rating   DECK/CADET   EL/EL   ENG/CADET   Engne Rating   FITTER   GPU-E   Manager/Owner   MASTER   MESSMAN   MMan   Mr.   Ms.   O/S   OIC-EW   OIC-NW   OILER   OILER/SK   OILER/WELDER   P/MAN   R/Gang   R/O   Superintendent   Training Master   WELDER   WIPER
Last Name*
First Name*
Middle Name*
Contact Address
Telephone No.
Permanent Address:
No./Bldg.
Street/Barangay
Municipality/City
Province
Zip Code
Telephone No.
Country of Domicile	Antigua and Barbuda   ANTWERPEN   Asia   Australia   Austria   Bahamas   Belgium   Belize   Bergen   Bergen   Bermuda   Bharain   Bhutan   British Virgin Island   Brunei   Canada   Cayman Islands   Chile   China   Clean Seas   Croatia   Cyprus   Denmark   Dominican   Dubai   Egypt   Finland   France   George Town   Germany   Greece   Greece   GREECE   Hawaii   Holland   Hongkong   Hungary   Iceland   India   Indonesia   Iran   Iraq   Ireland   Isle of Man   Italy   Japan   Korea   Kuwait   Leyzsavidek Islands   Liberia   LIMASSOL   Luxembourg   Madiera   Majuro   Malaysia   Maldives   Malta   Marshall Islands   Mexico   Monaco   Monroe   Monrovia   Monrovia   Monrovia   Monrovia   Netherlands   New Zealand   Nigeria   Norway   Pakistan   PALERMO   Panama   Panama   Peru   PHIL   PHIL   PHIL   PHIL   PHILIPPINES   Philippines   Poland   Port Louis   Portugal   Punta de Madeira   Rotterdam   Russia   Saudi Arabia   Scottland   Singapore   South Korea   South Tarawa   Spain   St. John's   St. Vincent & Grenadines   Sweden   Switzerland   Taiwan   Thailand   Turkey   Uberia   Ukraine   United Arab Emirates   United Arab Emirates   United Kingdom   United States of America   VALLETTA   Vanuatu   Venezuela   Vietnam   Virgin Island   Zimbabwe
Cellphone No.*
Email
Birthdate *	// (MM/DD/YYYY)
Birth Place	, Town/City Province
Height	cmft
Weight	kglbs
Civil Status	SINGLEMARRIEDWIDOWEDSEPARATED
Sex	MF
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