Parsian Golden Sea Shipping

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Cooperation Forms

Step 1 of 3

Personality Information(Required)

First Name Last Name

Nationality(Required)

Date of Birtth(Required)

Email(Required)

Phone Number(Required)

Phone Number (Next of Kin)(Required)

Permanent Address(Required)

Address City State / Province / Region ZIP / Postal Code Country

Certificate of Competency No (COC)(Required)

COC Date of Issue(Required)

COC Date of Expiry(Required)

Medical Fitness Number(Required)

Medical Fitness Date of Issue(Required)

Medical Fitness Date of Expiry(Required)

Medical Fitness Remark(Required)

Medical Fitness Issuing Government(Required)

GMDSS Number

GMDSS Date of Issue

GMDSS Date of Expiry

GMDSS Remark

GMDSS Issuing Government

Documents need uploaded

Documents need uploaded(Required)

Passport – Seafarers Identity – Certificate of Competency(COC) – Medical Fitness – GMDSS – Survival at sea and rescue – First aid – Medical Care – Ship Security Officer Certificate – Advanced Fire Fighting – Basic Safety training – ISPS – Ecdis – Rank documents – Survival Craft and Rescue Boats Other Than Fast Rescue Boat – Personal safety & social responsibilities

Drop files here or

Accepted file types: zip, pdf, jpg, png, Max. file size: 16 MB, Max. files: 25.