Job Application Form - Australian Offshore Company · Job Application Form 154 Connell Rd Fishermans Wharf, Geraldton, Western Australia 6530 T: +61 8 9965 9700 E: [email protected]

Job Application Form

154 Connell Rd Fishermans Wharf, Geraldton, Western Australia 6530 T: +61 8 9965 9700 E: [email protected] W: www.bhagwanmarine.com

Section 1 – Details of Applicant

Title Mr Mrs Miss Ms Full Given Name(s) Surname

Preferred Name Gender Date of Birth

Male Female

Phone Number Email Address

Residential Address City/Suburb/Town State Postcode

Country

Tick if Postal Address same as above

Postal Address City/Suburb/Town State Postcode

Country

Section 2 – Work Experience of Applicant

Are you currently authorised to work in Australia? Do you have previous marine experience?

Yes No

initiator:[email protected];wfState:distributed;wfType:email;workflowId:d1bea91b2b7a2e46a37c214004554255


Relevant Marine Experience #1

Company Name Employment Date

From To

Project Name Project Location

Oil and Gas Project? Vessel

Yes No

Main Duties and Responsibilities



From To



Yes No





From To



Yes No




From To



Yes No





From To



Yes No




From To



Yes No



Position Sought (tick what is applicable)

Master Mate/Chief Officer

Chief Engineer

First Engineer

Able Seaman/Deckhand

Chef/Cook Steward

Maritime Qualifications (tick those that are applicable)

Master Class 3 and Masters <500GT

Master Class 4 Trade

Master Class 5 Trade

Engineer Class 3 (Motor)

Marine Engine Driver Grade 1 (MED 1)

Marine Engine Driver Grade 2 (MED 2)

GMDSS AMSA Certificate of Medical Fitness

STCW95 – AMSA Certificate of Safety Training

Maritime Security Identification Card (MSIC)

Helicopter Underwater Escape Training (HUET)

Tropical Basic Offshore Safety Induction & Emergency Training (TBOSIET)

High Risk Work Licenses (tick those that are applicable)

Dogging Basic Rigging Intermediate Rigging

Advanced Rigging Vehicle LoadingCranes

Other Certificates/Qualifications (tick those that are applicable)

Cooking – Trade Certificate

OHS Construction Induction Card

Senior First Aid (HLFA301B Apply First Aid)


Reference 1

Full given name(s) Surname

Company Position

Phone number Email address

Reference 2


Company Position


Reference 3


Company Position


Instructions on sending this form

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Documents

Job Application Form - Australian Offshore Company · Job Application Form 154 Connell Rd Fishermans Wharf, Geraldton, Western Australia 6530 T: +61 8 9965 9700 E: [email protected]