Job Application - Rupeksa - The most Dynamic Crewing Company

Application Form

Personal data
First name*
Last name*
Birth place*
Birth date*
Height (cm)*
Weight (kg)*
Marital status*
Number of Children under 18
Citizenship*
Personal Photo
Nearest Airport*
Address
Resident Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
E-mail address*
Phone*
Next of kin information
First Name*
Last Name*
Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Phone*
Information about recruter
Date of availability*
Date Format: DD slash MM slash YYYY
Position applied for*
Desired contract duration*
Desired salary (min)*
Preferred vessel type*
Education
English level skills:*
- Fluent
- Good
- Very good
- Satisfactory
- Poor
Education institution*
Name Country From To
Passport data
Passport Number*
Issue Date*
Place of issue (Country, City)*
Date of expiry*
Personal Number*
Seaman`s book data
Seaman`s book*
Issue Date*
Place of issue (Country, City)*
Date of expiry*
Do you have active US visa?*
- Yes
- No
Licences and Certificates
Licences and Certificates*
Document type Document Id Issue date Expire date
Sea service at least for last 5 years
List*
Vessel's Name Flag Company GRT/DWT KW/HP Engine Type Ship Type Rank held Sign on date Sign off date Owner
Privacy policy*
- GDPR note & important information. By Uploading your CV/resume to rupeksa.com database or to database – you are giving your agreement to us in order to process, store and keep all your personal data in our Database systems as it is required by The General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679)
  
  We keep your personal data in our database for five years. Please make sure that when you upload a CV and other documents your personal details will continue to remain private and secure and we will not share your personal data with any third parties without your approval. The General Data Protection Regulation (GDPR) (Regulation (EU) 2016/679) is a new regulation that replaces the Data Protection Regulation (Directive 95/46/EC). Read our Privacy Policy to know more information on the data we hold on you, what we do with that data, who we share your data with and your new rights under GDPR.

Vessel's Name	Flag	Company	GRT/DWT	KW/HP	Engine Type	Ship Type	Rank held	Sign on date	Sign off date	Owner

Name	Country	From	To

Document type	Document Id	Issue date	Expire date

Application

Application Form

Personal data

Address

Next of kin information

Information about recruter

Education

Passport data

Seaman`s book data

Licences and Certificates

Sea service at least for last 5 years

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