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    F7.3 Employment Application

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    TRISNA
    This employment application is from Marli Wahyudiono, a 37-year-old Indonesian man applying for the position of cabin steward with Sea Chefs Cruises Ltd. The application provides personal details including his address, contact information, education history working as a laundry assistant and cabin steward for Sea Chefs from 2011 to 2017. Safety and medical certifications are attached along with his passport and seaman's book.

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    © All Rights Reserved
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    F7.3 Employment Application

    Uploaded by

    TRISNA
    355 views3 pages
    This employment application is from Marli Wahyudiono, a 37-year-old Indonesian man applying for the position of cabin steward with Sea Chefs Cruises Ltd. The application provides personal details including his address, contact information, education history working as a laundry assistant and cabin steward for Sea Chefs from 2011 to 2017. Safety and medical certifications are attached along with his passport and seaman's book.

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    This employment application is from Marli Wahyudiono, a 37-year-old Indonesian man applying for the position of cabin steward with Sea Chefs Cruises Ltd. The application provides personal details including his address, contact information, education history working as a laundry assistant and cabin steward for Sea Chefs from 2011 to 2017. Safety and medical certifications are attached along with his passport and seaman's book.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    355 views3 pages

    F7.3 Employment Application

    Uploaded by

    TRISNA
    This employment application is from Marli Wahyudiono, a 37-year-old Indonesian man applying for the position of cabin steward with Sea Chefs Cruises Ltd. The application provides personal details including his address, contact information, education history working as a laundry assistant and cabin steward for Sea Chefs from 2011 to 2017. Safety and medical certifications are attached along with his passport and seaman's book.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Download as doc, pdf, or txt
    of 3
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    The document contains an employment application form for Sea Chefs Cruises Ltd.

    Passport, Seaman's Book, Vaccination Book, Qualification Certificates, Training Certificates

    Laundry from 03/2011 to 01/2012, 03/2012 to 11/2012, Cabin Steward from 03/2013 to 11/2013, 03/2014 to 11/2014, 03/2017 to 11/2017

    Employment Application Form

    sea chefs Cruises Ltd


    sea chefs River Cruises Ltd
    sea chefs River Management Ltd
    PHOTO
    Interview No: Crew I.D.:

    Position applied for: Cabin Steward Department: housekeeping Date:


    PERSONAL

    Surname: Wahyudiono First Names: Marli


    Mojomulyo Rt.01 Rw.08 Age 37 Years Old
    Address
    Sex: Male
    22 B
    Name Building/Block Mobile Telephone No:
    +6285641579808
    City/Town Sragen Home Telephone No:
    Zip/Post Code 57212
    E-mail address: [email protected]
    Country Indonesia
    Date and Place of Indonesia
    Karanganyar,03-11-1981 Nationality:
    Birth:
    Issue 21-12- Expiry date: 21-12-2022
    Passport No: B8594391 Issue place:
    date: 2017
    Issue Expiry date:
    Seaman’s Book No: Issue place:
    date:
    Marital status: married Relationship: Wife
    Address: Mojomulyo Rt.01 Rw.08 Sragen
    Next of Kin: Farida Ayu Dwi Hastuti
    Telephone No: +6285725596114
    Present Employment: Sea Chefs Since when: Marc, 2011
    Ever applied to this
    When?
    Company before?
    Main departure Adi Sumarmo Solo
    Recruitment Agency: PT.Indolila Nusantara
    airport:
    Have you ever had any difficulties with the authorities, in any Jurisdiction or Country (i.e. Police, Customs,
    Immigration etc.)? And if so, for what reasons?
    HISTORYMEOYPLEM

    Position: Name and Address of Employment: From – To (Dates): Reason for Leaving:
    LAUNDRY SEA CHEFS 03/2011 01/2012 END CONTRACT
    LAUNDRY SEA CHEFS 03/2012 11/2012 END CONTRACT
    CABIN STW SEA CHEFS 03/2013 11/2013 END CONTRACT
    NT

    CABIN STW SEA CHEFS 03/2014 11/2014 END CONTRACT


    CABIN STW SEA CHEFS 03/2017 11/2017 END CONTRACT
    LANGUAGES

    Spoken Written Reading


    Fair Well Excellent Fair Well Excellent Fair Well Excellent
    ENGLISH X X X
    GERMAN
    FRENCH
    ITALIAN
    SPANISH

    F7.3 Employment Application Form Issue: 3 / Issue date: 30-08-2016 1/3


    Employment Application Form

    sea chefs Cruises Ltd


    sea chefs River Cruises Ltd
    sea chefs River Management Ltd

    RUSSIAN
    OTHER:

    Education Name and Place of School Years Attended Year Graduated


    High School TOURISM HIGH SCHOOL 1998 2001
    EDUCA

    College
    Trade, Business
    or Other School
    VISA

    SCHENGEN
    Issue date:
    MULTI / SINGLE USA
    Issue place: Expiry date:
    USA (C1/D1) Issue date: Issue place: Expiry date:
    TYPE D PERMIT Issue date: Issue place: Expiry date:
    ESCATTIFICERS / OMADIPL

    Duration of
    Certificate for Sea-Going Only No. Date of Issue Expiry Date
    Training
    Basic Safety Training
    Section (A-VI/1.2)
    Section A-V/2 (par. 1,2,3,4,5) (state which paragraphs)
    Section A-V/3 (par. 1,2,3,4,5) (state which paragraphs)
    Crowd Management
    Crisis Management
    MEDICAL

    Are you currently under a doctor’s care with medication? YES NO X


    If yes please specify:

    Do you have any recurring medical problems? YES NO X


    If yes please specify:

    Are you on any medication? YES NO X


    If yes please specify:
    Do you have any physical and/or mental condition that would limit your ability to perform the job you are
    seeking?
    Height : 162 CM Weight: 50 KG
    State if any defect in:
    Hearing:
    Vision:
    Speech:

    I confirm that the above is to the best of my knowledge and belief correct.
    I also understand that any false statement above is reason form dismissal if engaged.
    Date: 15/02/2018 Signature of applicant:

    Please attach a copy of the following documents:


    No Documents 1 Sea-Going 2 River √ Expiry (Comments)
    1. Passport (photo, name, expiry and visa pages)1, 2
    2. Seaman’s Book 1

    F7.3 Employment Application Form Issue: 3 / Issue date: 30-08-2016 2/3


    Employment Application Form

    sea chefs Cruises Ltd


    sea chefs River Cruises Ltd
    sea chefs River Management Ltd

    3. Vaccination Book 1
    4. Qualification Certificates 1, 2
    5. Training Certificates 1

    To be completed by the interviewer:


    INTERNAL USE ONLY

    Suggested
    Name of interviewer: Date:
    Positions
    Languages: ENG: GER: FR: ITA: SPN: RUS: OTH:
    Evaluation
    Criteria: Comments: 1
    Appearance: 2
    Experience: 3
    Knowledge: 4
    Suggested Vessels
    Overall 1 2 3 4 5 1
    Evaluation: Poor Fair Good Very Good Excellent 2
    Interview Passed – Passed – Passed –
    outcome: Contract offered Stand by Contract offered No offer
    Failed 3

    Signature of Interviewer :

    F7.3 Employment Application Form Issue: 3 / Issue date: 30-08-2016 3/3

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