BLUE ENSIGN ON-LINE APPLICATION FORM

IMPORTANT :
Please remember to attach your CV before submitting this Application form.
(Your application will NOT be processed if CV is not attached.)


Submit Application For:








PERSONAL DETAILS  
First Names
Surname
Date of Birth (dd/mm/yyyy)
Place of Birth
Nationality
Gender

Passport Nr.
Passport Expiry date (dd/mm/yyyy)
Address
Postal Code
E-mail
Home Telephone (eg. +27 21 555 5555)
Mobile Telephone (eg. +27 21 555 5555)
Work Telephone (eg. +27 21 555 5555)
Do you have any previous shipboard work
experience?


(If yes, please specify)
There are very strict rules regarding
tattoos.(Please specify any tattoos you have)

Height
Weight
Have you suffered from any of the following?




(If you have selected any of the above, please
give details.)

PREVIOUS EMPLOYMENT  
Name of Company (1)
Contact Person
Contact Telephone (eg. +27 21 555 5555)
Your position Held
Dates Employed
(from dd/mm/yyyy to dd/mm/yyyy)
Name of Company (2)
Contact Person
Contact Telephone (eg. +27 21 555 5555)
Your position Held
Dates Employed
(from dd/mm/yyyy to dd/mm/yyyy)
Name of Company (3)
Contact Person
Contact Telephone (eg. +27 21 555 5555)
Your position Held
Dates Employed
(from dd/mm/yyyy to dd/mm/yyyy)
NB. Attach your CV to this application form