Application Form
Only for Filipino Citizens not other Nationalities
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POEA CONTRACT
EXCEL Application
1
Personal
2
Passport Information
3
Work Experiences
Details
Position
Name
Contact Number.
Upload Photo
Address
Email
Civil Status
Choose...
Single
Maried
Widowed
Age
Date of Birth
Next
Passport Details
Passport
Validity
Seaman's Book
Validity
US VISA
Validity
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Next
Seamans Service Record
Please add Atleast 5 Service Record
1.
Name of vessel
Year Built
Rank
Type of Vessel
Principal Ship Owner
GRT
KW/BHP
Local Agent
Period of Employment
From
To
Discharge Reason
Add service record
I, ALSO HEREBY GIVE CONSENT TO ADAMSON (PHIL.) INC. TO DISCLOSE TO PRINCIPALS, RELEVANT GOVERNMENT AGENCIES AND EMBASSIES THE PERSONAL DATA ON THIS APPLICATION FORM FOR THE PURPOSE OF CONSIDERATION AND APPROVAL OF MY EMPLOYMENT APPLICATION, VISA APPLICATION, ISSUANCE OF CERTIFICATE OF COMPETENCY, AND FLAG APPLICATION, AS NECESSARY.
You must agree before submitting.
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Please enter atleast 5 of your service record
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