NAESS SHIPPING PHILIPPINES, INC.
SEAFARER EMPLOYMENT APPLICATION FORM
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Do you hereby agree, consent, and authorize NAESS Shipping Philippines, Inc. to collect, use, access, share, disclose and process personal and/or sensitive information as well as the personal/or sensitive information of my next of kin/beneficiaries as defined in the Data Privacy Act of 2012. *
Required
RANK
LICENSE
NAME (LAST)
FIRST
MIDDLE
BIRTHDATE
MM
/
DD
/
YYYY
AGE
CONTACT NO.
EMAIL ADDRESS
ADDRESS
CIVIL STATUS
EDUCATIONAL ATTAINMENT
SCHOOL GRADUATED
YEAR GRADUATED (FROM - TO)
LAST VESSEL EXPERIENCE
LAST SIGN OFF
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