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PT. BINTANG MAKMUR MARITIM
Crewing Agency
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Crewing Agency
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AXXAZ Registration Form
AXXAZ REGISTRATION FORM
PERSONAL DETAIL
COMPLETE NAME
DATE OF BIRTH
SEX
MALE
FEMALE
MARITAL STATUS
SINGLE
MARRIED
DIVORCE
EMAIL
CONTACT PHONE NUMBER
ADDRESS
STREET / HOME ADDRESS
CITY
PROVINCE
ZIP CODE
COUNTRY
Select Country
Afghanistan
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Reunion
Romania
Russia
Rwanda
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Saint Helena
Saint Kitts and Nevis
Saint Lucia
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Saint Martin (French part)
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Samoa
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Somalia
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Sudan
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Sweden
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Tuvalu
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Vietnam
Wallis and Futuna
Western Sahara
Yemen
Zambia
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DOCUMENT DETAIL
PASSPORT NUMBER
SEAMAN BOOK NUMBER
Certificate of Competency (COC)
RATING FORMING PART OF A NAVIGATIONAL WATCH
RATING FORMING PART OF A ROOM ENGINE
RATING AS ABLE SEAFARER DECK
RATING AS ABLE SEAFARER ENGINE
AHLI NAUTIKA TINGKAT IV (ANT - IV)
AHLI NAUTIKA TINGKAT III (ANT-III)
AHLI NAUTIKA TINGKAT II (ANT -II)
AHLI NAUTIKA TINGKATI (ANT- I)
AHLI TEKNIKA TINGKAT IV (ATT-IV)
AHLI TEKNIKA TINGKAT III (ATT-III)
AHLI TEKNIKA TINGKAT II (ATT -II)
AHLI TEKNIKA TINGKAT I (ATT - I)
Certificate of Propficiency (COP)
BST (BASIC SAFETY TRAINING)
SCRB (SURVIVAL CRAFT AND RESCUE BOAT)
SAT (SECURITY AWARENESS TRAINING)
SDSD (SEAFARER WITH DESIGNATED SECURITY DUTIES)
AFF (ADVANVE FIRE FIGHTING)
MFA (MEDICAL FIRST AID)
MC (MEDICAL CARE)
RADAR SIMULATOR
ARPA SIMULATOR
ECDIS SIMULATOR
GMDSS (GLOBAL MARITIME DISTRESS SAFETY SYSTEM)
BRM (BRIDGE RESOURCE MANAGEMENT)
ERM (ENGINE RESOURCE MANAGEMENT)
SSO (SHIP SECURITY OFFICER)
BOCT (BASIC OIL AND GAS TANKER)
BLGT (BASIC LIQUEFIED GAS TANKER)
AOT (ADVANCE OIL TANKER)
ALGT (ADVANCE LIQUEFIED GAS TANKER)
ACT (ADVANCE CHEMICAL TANKER)
APPLYING FOR
DECK
ENGINE
HOTEL
CV
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