Template - LANPAN CV
Template - LANPAN CV
Template - LANPAN CV
PERSONAL DETAILS
Nationality
Surname Middle Name Last Name
Age
Date of Birth Place of Birth Religion
Passport Number Issuing Authority Date of Issue Date of Expiry Overall Size
Issuing Authority
Seaman’s Book Number Date of Issue Date of Expiry Safety Shoe Size
Mobile Phone Number House phone Number Email Address Hometown Airport
Permanent Address:
NEXT-OF-KIN
Contact Number
Name 1. Relationship
1
1.
2. 2
2.
Address (if different from the above)
Certificate Issuing
Officer Certification (STCW) Date of Issue Date of Expiry
Number Authority
Certificate of Competency
Endorsement Certification and
Watch keeping
Certificate of GMDSS Radio
Operator
GOC ORU Booklet
SEAFARER APPLICATION &
CURRICULUM VITAE (CV)
Certificate Issuing
Rating Certification (STCW) Date of Issue Date of Expiry
Number Authority
Certificate of Proficiency
Ship Cook Cert
Certificate Issuing
STCW CERTIFICATES Date of Issue Date of Expiry
Number Authority
Basic Safety Training
Proficiency Survival Craft & Rescue Boat
Advanced Fire Fighting
Medical Care On Board Ship
Medical First Aid
Ship Security Officer
RADAR
ARPA
BTM/BRM/ERM
ECDIS
Security Awareness Training
Seafarers With Designated Security Duties
IMDG CODE
Crisis Management and Human Behaviour
Crowd Management
ISM Code & Port State Control
Certificate of Region ( COR )
Seafarer Identity Document for Foreigners
Food Handling Certificate
Food Hygiene Certificate
Date of
Flag Documents Certificate Number Issuing Institute Date of Expiry
Issue
Date of
OFFSHORE CERTIFICATE Certificate Number Issuing Institute Date of Expiry
Issue
BOSEIT (OPITO Approved)
H2S
RIGGING & SLINGING
SEAFARER APPLICATION &
CURRICULUM VITAE (CV)
Certificate
Type of Offshore Medial Medical centre Date of Issue Date of Expiry
Number
Certificate
Vaccination (For Cook) Medical centre Date of Issue Date of Expiry
Number
Typhoid
Hep A
Hep B
I confirm that the information given by me herein is true and correct. I also understand that any falsification or
misrepresentation in my personnel records can result in my immediate dismissal and may be subject to legal action if
I am employed by the Company. I do agree to submit myself to a thorough medical examination, which I must
successfully pass as one of the conditions for being accepted for employment.