Application Form

* Required Fields

Department*
Position Applied*
Application Date (mm/dd/yyyy)*
MM slash DD slash YYYY
Upload photo here*
Accepted file types: jpg, png, Max. file size: 8 MB.
Size: 1x1 and .png or .jpg only
Personal Information
Last Name*
First Name*
Middle Name*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Religion*
Height (cm/ft/in)*
Weight (lbs/kg)*
Contact No.*
Email*
Skype Name*
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Place of Birth*
Age*
Gender*
Nationality*
Civil Status*
No. of Children*
Name of Spouse
Date of Birth (mm/dd/yyyy)
MM slash DD slash YYYY
Age
Contact No.
Name of Child*
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Name of Child*
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Name of Child*
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Name of Child*
Date of Birth*
MM slash DD slash YYYY
Name of Child*
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Name of Child*
Date of Birth (mm/dd/yyyy)*
MM slash DD slash YYYY
Name of Father
Date of Birth
MM slash DD slash YYYY
Contact No.
Name of Mother
Date of Birth (mm/dd/yyyy)
MM slash DD slash YYYY
Contact No.
Emergency Contact Information
Person to be notified in case of Emergency*
Relationship*
Home Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Mailing Address
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Contact No.*
Email
Medical Background
Any Maintenance Medicine*
- Yes
- No
If Yes, Describe Briefly*
Any previous Surgery/Illness*
- Yes
- No
If Yes, Describe Briefly*
Any Medical Repatriation*
- Yes
- No
If Yes, Describe Briefly*
Allegies*
- Yes
- No
If Yes, Describe Briefly*
Pre-existing Medical Condition*
- Yes
- No
If Yes, Describe Briefly*
ENG1 (if any & validity)*
- Yes
- No
If Yes, please give the validity*
Phil Medical (validity)*
- Yes
- No
If Yes, please give the validity*
Do you have any tattoos?*
- Yes
- No
If Yes, Where? & Measurement?*
Government Agencies
SSS No.
TIN
PHIC No.
HDMF No.
Seamanship Documents/Licenses/Visas/Passports
e.g.: SIRB, S.R.C, C.O.C, Yellow Fever Vaccine, NBI, US Visa, Schengen Visa, Passport
Document Information
Document Type Number Issue Date (mm/dd/yyyy) Expiry Date (mm/dd/yyyy)

To add another row use the + sign to the right
Educational Background
High School
Name of School
Year Attended
College
Name of School
Course
Year Attended
Vocational
Name of School
Course
Year Attended
COC and Training Certificates
e.g.: BCS/PSSR/BST/BT, PSCRRB, SDSD, Engineering watch, Ship Safety Officer Course, Culinary Course/s, etc. Any certificates you hold
Qualifications
Document Type Number Issue Date (mm/dd/yyyy) Training Center

To add another row use the + sign to the right
Employment History (Past to Present)
Employment History (Past to Present)
Company Name Vessel Name Vessel Type Position From (mm/dd/yyyy) To (mm/dd/yyyy) # of Months Last Salary Cause of Discharge (if unfinished Contract, please specify?)

To add another row use the + sign to the right
Duties and Responsibilities (Past to Present)
For each vessel mentioned above, state your duties and responsibilities onboard
Duties and Responsibilities (Past to Present)
Name of Vessel Length Description of Job on Board

To add another row use the + sign to the right
Duties and Responsibilities (Past to Present)
Name of Vessel Length Engine Type/HP/Kilowatt Description of Job on Board

To add another row use the + sign to the right
Interior Crew Skills
I have knowledge in table setting*
- Yes
- No
I have knowledge in bed making*
- Yes
- No
I have knowledge in cabin cleaning*
- Yes
- No
I have masseuse/masseur experience*
- Yes
- No
I have laundry experience*
- Yes
- No
I have a certificate in silver service*
- Yes
- No
I have knowledge in flower arrangement*
- Yes
- No
I have galley experience*
- Yes
- No
I have culinary experience/certificates*
- Yes
- No
I get seasick*
- Yes
- No
Deck Rating and Officer Skills
I can operate a jet ski*
- Yes
- No
I can operate a tender*
- Yes
- No
I can scuba dive*
- Yes
- No
I have big game fishing experience*
- Yes
- No
I have trawling experience*
- Yes
- No
I have line fishing experience*
- Yes
- No
I have navigational knowledge*
- Yes
- No
I can operate inboard engines*
- Yes
- No
I can operate outboard engines*
- Yes
- No
I have knowledge about nautical knots*
- Yes
- No
I have painting and varnishing experience*
- Yes
- No
I get seasick*
- Yes
- No
Engine Rating and Officer Skills
I can operate a jet ski*
- Yes
- No
I can operate a tender*
- Yes
- No
I can operate a crane*
- Yes
- No
I have knowledge in refrigeration*
- Yes
- No
I have knowledge in air-conditioning*
- Yes
- No
I have gas welding knowledge*
- Yes
- No
I have mechanical knowledge*
- Yes
- No
I have knowledge in hydraulics*
- Yes
- No
I have knowledge in water maker systems*
- Yes
- No
I have knowledge in electrical systems*
- Yes
- No
I get seasick*
- Yes
- No
Hobbies and Pastime Activities
I smoke*
- Yes
- No
I drink*
- Yes
- No
I scuba dive*
- Yes
- No
Name other Hobbies
On Board References
On Board References
Name Rank/Vessel Name Email Address Contact no.

To add another row use the + sign to the right
Tell us about yourself and why you should be on a yacht?
Tell us about yourself and why you should be on a yacht?
Do you have any case that you have filed or that have been filed against you?*
- Yes
- No
If yes, please state details: (is this a criminal case, a civil case, is it with the POEA?)*
Supporting Documents
Support Documents
Drop files here or

Accepted file types: doc, docx, jpg, png, pdf, Max. file size: 8 MB.
.doc, .docx, .png, .jpg or .pdf only
Upload 4R head shot here*
Accepted file types: jpg, png, Max. file size: 8 MB.
.png or .jpg only
Upload 4R full body here*
Accepted file types: jpg, png, Max. file size: 8 MB.
.png or .jpg only
Terms and Condtions
I hereby confirm that I am submitting my application to Crew Asia and that I have not paid any monies to do so. I further confirm that I have not had contact with any 3rd party purporting to be connected to Crew Asia.

I also confirm that the above information supplies are true and correct to the best of my knowledge.

I have read and understood the unique standards implemented by Crew Asia as stated in the Applicant’s Guide.

Many misrepresentation, deliberate omission or distortion of material facts will be sufficient cause for the rejection of this application or dismissal if hire

Authorization

Crew Asia Inc is considering my application to be deployed to the Company’s client.

I hereby Agree and Authorize:
1. Any physical, hospital, or clinic, or any medically related organization or person to furnish Crew Asia Inc with any information concerning my medical history and physical condition.
2. The Company or other persons in the employ or connected with the company in any way to verify that all the information stated in my application are correct.
3. Any other information that may be necessary to support my application for employment with Crew Asia Inc.
A photocopy of this authorization with company seal shall be valid as the original. This authorization is in connection with my application for deployment only.

By Clicking the submit button you agree to the Terms & Conditions above
Captcha
To validate your Application please complete the captcha....

Document Type	Number	Issue Date (mm/dd/yyyy)	Expiry Date (mm/dd/yyyy)

Company Name	Vessel Name	Vessel Type	Position	From (mm/dd/yyyy)	To (mm/dd/yyyy)	# of Months	Last Salary	Cause of Discharge (if unfinished Contract, please specify?)

Name of Vessel	Length	Engine Type/HP/Kilowatt	Description of Job on Board

Name	Rank/Vessel Name	Email Address	Contact no.

Application Form

* Required Fields

Personal Information

Emergency Contact Information

Medical Background

Government Agencies

Seamanship Documents/Licenses/Visas/Passports

Educational Background

COC and Training Certificates

Employment History (Past to Present)

Duties and Responsibilities (Past to Present)

Interior Crew Skills

Deck Rating and Officer Skills

Engine Rating and Officer Skills

Hobbies and Pastime Activities

On Board References

Tell us about yourself and why you should be on a yacht?

Supporting Documents

Terms and Condtions

Authorization

By Clicking the submit button you agree to the Terms & Conditions above