Application form page

Application Form

Alpha Navigation application form must be written in English. All fields, marked by * , could not be empty.
Attentively look to the notices near the field and check data format.

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Personal Data
Contact details
Seagoing experience (last vessel in the beginning)
NN Vessel's Name Vessel's type DWT (3 to 6 digit number) Engine Type HP or KW
(3 to 7 digit number)
Position / Rank From DD/MM/YYYY Till DD/MM/YYYY Crewing Agency Ship manager / Shipowner Ship manager Country

Fill in a form, I give my consent to the processing of my personal data in accordance with the Law of Ukraine 'On Protection of Personal Data' from 01.06.2010 №2297-VI for employment on vessels of domestic and foreign shipowners.

Відповідно до Закону України "Про захист персональних даних" № 2297-IV, уповноважую Приватну Фірму "Альфа Навігейшн" обробляти та розповсюджувати власні персональні дані, з метою працевлаштування моєї кандидатури за кордон. Інформація надана мною особово та за моєї згоди.


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