OSM Shipping Phils., Inc.

Offshore Seafarer Application Form

Complete the details below. Fields marked required must be filled in.

Step 1 of 7
Missing Required: 0
Autosave ready

Application Form

2x2
Photo 2x2 Photo Preview

Personal Information

Contact & Address

Education

Government IDs

Sizes

Availability & Experience

Beneficiary (Example: Mother/Father/Spouse/Child)

Emergency Contact

English Language - Communication

Documents and Trainings (For Offshore Vessels)

TRAVEL DOCUMENTS
Regulation
Country
Certificate Number
Issue Date
Expiry Date
Remarks
Passport (at least 6 months validity and with 3 blank pages)
Discharge Book /Seaman Book (At least valid for 6 months)
SID
POEA E-REGISTRATION NUMBER
NATIONAL LICENSES
Regulation
Country
Certificate Number
Issue Date
Expiry Date
Remarks
Certificate of Competency
Certificate of Endorsement
GMDSS / GOC Endorsement
Flag Seaman Book
RFPNW II/4 / RFPEW III/4
AB DECK II/5 / AB ENGINE III/5
Certificate of Watch-keeping (For Ratings Only) (ASD / ASE)
Certification / STCW
Regulation
Course ID
Country
Certificate Number
Issue Date
Expiry Date
Basic Safety Training (COMBINED REFRESHER)
PERSONAL Survival TECHNIQUES / PST
FIRE PREVENTION AND FIRE FIGHTING
ELEMENTARY FIRST AID
PERSONAL SAFETY & SOCIAL RESPONSIBILITIES
Basic Training (BT)
Advanced Fire Fighting
Proficiency in Survival Craft and Rescue Boats (PSCRB)
Medical First Aid/MEFA
Medical Care/MECA
Fast Rescue Craft/FRC
ARPA
RADAR OBSERVER
ECDIS
HIGH VOLTAGE
Marlins Test (If Applicable)
Ship Security Training with Designated Duties
Crane Operator Certificate (For Crane Operators only)

Client's Training Requirements (For Offshore Applicants)

Certificate
Regulation
Course ID
Country
Certificate Number
Issue Date
Expiry Date
TBOSIET (Opito Approved)
H2S BASIC AWARENESS
CA-EBS
HUET
HOIT
HERTM
HERTL
DANGEROUS GOODS BY AIR AWARENESS
FAST RESCUE CRAFT
AUTHORISED GAS TESTER
WIRE SOCKETING
WORKING AT HEIGHT
SCAFOLDING CERT
WIRE ROPE INSPECTION
CA-EBS
H2S (Non Opito or Opito Approved)
Rigging & Slinging (for Deck Ratings only)
Basic Welding (for Motorman/oiler only)
Offshore Crane Operator (G5)
Stage 3 Crane Operator (Sparrow)
Stage 3 Crane Operator
Visa (if applicable)
FRC Coxswain
Dynamic Positioning Certificate
Regulation
Issued By
Country
Certificate Document Number
Issue Date
Expiry Date
DYNAMIC POSITION OPERATOR
DYNAMIC POSITION MAINTENANCE
DYNAMIC POSITION LOGBOOK

Documents and Trainings (For Catering Services Vessels)

Certificate
Regulation
Course ID
Country
Certificate Number
Issue Date
Expiry Date
COC FOR SHIP'S COOK CERTIFICATE: NC3 (for cook, chief cook and campboss only)
COC FOR Messman: NC1 (for steward and messman only)
COC FOR Baker: NC2 (for BAKER only)
Food Hygiene and Safety

Summary of Experience For Cook, Chief Cook (Indian Continental, Chinese, Basic Arabic Cuisine)

Vaccinations and Visas

Sea Service

Review & Submit

OSM Shipping Phils., Inc.

Since 1989

Declaration Form

WORKING EXPERIENCE (pls. check all applicable)
Shore Employment Details
DATE FROM / TO
Nature of Employment
Employers Name and Address
Working Gear Size
DECLARATION
  • I certify that the above information is true and accurate. No Certificate of Competence or License issued to me has ever been revoked or suspended. Any false information would lead to denial of application.
  • I agree that during this application process I will be subjected to a computer based Professional and English Language assessment test. The result of which is form part of this application.
  • I hereby confirm that I had no jail term and not admitted to a mental institution prior employment via OSM Shipping.
  • I hereby confirm that I was never repatriated on medical grounds nor ever involved in an accident on board nor ever required medical treatment following contract completion.
  • I hereby undertake to completely provide my responses as may be required by OSM Shipping Phils., Inc.'s Data Privacy Act Consent Form.
  • I hereby confirm that I had not taken any disability compensation from any employer in the past due to a condition which permanently affect my ability to work at sea.
Add your signatureDraw it or upload a clear photo in a secure signing window.