Seafarer Personal Data Sheet
Personal Information
Surname
First Name
Middle Name
Date of Birth
Place of Birth
Nationality
Gender
Male
Female
Other
Civil Status
Single
Married
Widowed
Divorced
Contact No.
Address
Passport and Documentation
Passport No.
Expiry Date
Seaman’s Book No.
Seaman’s Book Expiry
Next of Kin / Emergency Contact
Full Name
Relationship
Contact No.
Address
Education
Name of School
Course / Degree
Year Graduated
Licenses & Certificates
Type of License/Certificate
Number
Expiry Date
Other Certificates
Sea Service Record
Vessel Name
Rank/Position
Period (From - To)
Company