APPLICATION FORM
APPLICATION FORM
APPLICATION FORM
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REFERENCES ARE CHECKED BYFOR OFFICE USE ONLYNAME POSITION DATE SIGNATUREINITIAL INTERVIEWOriginal licenses sighted checkedSTCW-95 and Training Certificates sighted checkedExperience confirmed by interview yes noInterviewers assessment:RESULT OF INTERVIEWAccept Await Position Re-InterviewRejectNAME POSITION DATE SIGNATURE
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