Friendly Maritime, Inc.
FRIENDLY MARITIME, INC.
Dedicated to the Filipino Seafearer’s Community
Application Form
Sail with Friendly Maritime
Personal Information
Last Name:
First Name::
Middle Name:
Rank Applied for:
Date of Birth:   (MM/DD/YYYY)  
Seaman's Book
Number:
Date of Expiry:   (MM/DD/YYYY)  
Date of Issue:   (MM/DD/YYYY)  
Place of Issue:
Passport
Number:
Date of Expiry:   (MM/DD/YYYY)  
Date of Issue:   (MM/DD/YYYY)  


TRAINING CERTIFICATES
BASIC SAFETY COURSE (BSC) / PERSONAL SAFETY AND SOCIAL RESPONSIBILITY (PSSR)
PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOAT (PSCRB)
DECK WATCHKEEPING (DWK)
ENGINE WATCHKEEPING (EWK)
HAZARDOUS MATERIALS FAMILIARIZATION (HAZMAT)
MARPOL 73/78 ANNEX I
MARPOL 73/78 ANNEX II
PADAMS
MARITIME ENGLISH
MARPOL 73/78 ANNEX V
MARPOL 73/78, ANNEX VI


PREVIOUS SAILING EXPERIENCE
Company NameVessel NameVessel TypeGRTRankFrom (MM/DD/YYYY)To (MM/DD/YYYY)No of MonthsDel?
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Contact Information
Telephone Number:
Mobile Number:
Email Address:
Date of Availability:   (MM/DD/YYYY)  

“FRIENDLY PEOPLE AND SERVICES AT NO COST TO THE SEAMAN.”