Application Form: Cscs Cruise Ships Catering and Services International N.V

(All. 6P5.01.02.02 MAN1 Application Form Rev.
0)
APPLICATION FORM
CSCS Cruise Ships Catering and Services International N.V.
POSITION APPLIED FOR: 1. PERSONAL DATA POSITION OFFERED:
(For office use only)
PICTURE
First surname .............. Second surname............................ First name ................... Second name ......................... Place of Birth ......................... Date of birth // Age ....
Day Month Year
Gender M / F
Nationality ................................................. Civil Status ...........................

(eg. Single/Married/ with Children)
Legal Address ...................... Zip Code .. Home Address .................................... Zip Code .. City/Town State Country ............. Mobile Phone E-mail ...............
(Country/City Code/Phone Number) (Country/City Code/Phone Number)
Height Weight Arrival/Departure Airport ..................

(Meters) (Kilograms)
Person to notify in Relation case of emergencies ........ to applicant ........ Phone ..

(Country/City Code/Phone Number)
Address .................... Zip Code .........

(Street/City/Country)
2.
DOCUMENTS
Passport Number ... Place of issue Issue date //..

Day Day Month Year (Only for Italian personnel) Month Year
Expiration date //. Fiscal code ..... US Visa ...................... National Seamen Book (check) Yes
(Type and Expiration date)
No
3.
LANGUAGES Basic User 1. A1-A2 Independent User 2. B1 3. B2 Proficient User 4. C1 5. C2
Italian English French German Spanish Portuguese Chinese (Mandarin) Other

5 4 3 2 1 C2 C1 B2 B1 A1-A2 Can understand with ease everything heard or read. Can express very fluently and precisely differentiating shades of meanings. Mother tongue. Can understand a wide range of demanding, longer texts and recognize implicit meaning. Can express fluently and spontaneously. Can understand the main ideas of complex text. Can interact with a degree of fluency and spontaneity with native speakers. Can understand the main points of clear standard input on familiar matters regularly encountered in work, leisure, etc. Can understand and use familiar everyday expressions and very basic phrases aimed at the satisfaction of needs of a concrete type. Can communicate in a simple and direct exchange of information.
(All. 6P5.01.02.02 MAN1 Application Form Rev.0)
4.
EDUCATION Year From Subject To Mark Years Attended
School Name and Location

High School University/College Other
5.
EMPLOYMENT EXPERIENCE/HISTORY
Please indicate main experiences that you have had, if any Shoreside/Shipboard) Company Position held Type of contract Duration of contract From To Reason for termination
6. PROFESSIONAL QUALIFICATIONS Licenses 1. 2. 3. STCW/IMO 95 Courses (e.g. Basic Safety Training) Type Date awarded Place awarded Registration date
I attest to the veracity of all facts on this application and understand that misrepresentation and/or intentional omission of same is grounds for refusal or dismissal. I authorize investigation of all statements and hereby release from liability all employers and agencies named herein for providing information about me. I understand that employment may be based upon a favorable health/medical evaluation. I agree to follow all rules and regulations of the company and accept that these may be changed without notice. Data protection law. With reference to the Italian D.Lgs. 196/2003, the Applicant is hereby notified that the Company is processing and detaining personal data to be treated electronically or manually. The personal data supplied by the Applicants will be used for the sole purposes of selection, recruitment and manning of the applicants of the Company and will be communicated to third parties only where required in connection thereof.
Date // Signature of Applicant

Day Month Year
RECRUITING AGENT (to be completed by Recruiting Agent) Agency/Agent Location Applicant informed of Company criteria and position requirements Date // Signature of Agent (Representative)
Day Month Year

Application Form: Cscs Cruise Ships Catering and Services International N.V

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(All. 6P5.01.02.02 MAN1 Application Form Rev.

Nationality ................................................. Civil Status ...........................

Height Weight Arrival/Departure Airport ..................

Person to notify in Relation case of emergencies ........ to applicant ........ Phone ..

Address .................... Zip Code .........

Passport Number ... Place of issue Issue date //..

LANGUAGES Basic User 1. A1-A2 Independent User 2. B1 3. B2 Proficient User 4. C1 5. C2

Italian English French German Spanish Portuguese Chinese (Mandarin) Other

(All. 6P5.01.02.02 MAN1 Application Form Rev.0)

EDUCATION Year From Subject To Mark Years Attended

School Name and Location

Date // Signature of Applicant

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