Careers

Blank Form (#4)

PERSONAL DETAILS

Rigbase Onshore / Offshore Position

WCPM Position

First Name

Middle Name

Last Name

Email ID

Pan Card

Aadheer Card

Phone No.

Alternate No.

Date of Birth

Place of Birth

Age

Gender

Permanent Address

Current Address

PASSPORT DETAILS

Passport No.

Place of Issue

Issue Date

Expiry Date

ECR/ECNR

Attached Passport Document (Only jpg, jpeg, png, pdf files are allowed)

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SEAMAN BOOK DETAILS

Book No.

Place of Issue

Issue Date

Expiry Date

Attached Seaman Book Document (Only jpg, jpeg, png, pdf files are allowed)

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VISA DETAILS

Visa No.

Issue Date

Expiry Date

Issuing Authority

Type

Attached Visa Document (Only jpg, jpeg, png, pdf files are allowed)

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EDUCATION & QUALIFICATION

Attached Education Document (Only jpg, jpeg, png, pdf files are allowed)

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CERTIFICATION

Attached Certification Document (Only jpg, jpeg, png, pdf files are allowed)

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STCW / BOSIET COURSES

Attached STCW Document (Only jpg, jpeg, png, pdf files are allowed)

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WORK EXPERIENCE

Company Name

Rig / Platform / Installation Name

Type

Designation

Attached Document (Only jpg, jpeg, png, pdf files are allowed)

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Attached Photo (Only jpg, jpeg, png files are allowed)

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I HEREBY DECLARE THAT ALL INFORMATION FURNISHED ABOVE IS TRUE TO BEST OF MY KNOWLEDGE AND BELIEF. I FURTHER DECLARE THAT PRIOR TO JOINING YOUR COMPANY, I WILL STAND RELEASED FROM MY PREVIOUS EMPLOYMENT.