APPLICATION FORM
iRECRUIT NO.:
WHERE DID YOU LEARN ABOUT OUR COMPANY?
Agent / Recruiter Jobsite Walk-In
Jobfair __ SeamanJobsite Referral:
Flyer / Poster __ PinoySeaman Returning Crew
Newspaper Ads __ Jobstreet Ex-Crew circulation
Training/Review Centers __ Company Website
I. POSITIONS APPLYING FOR:
POSITION PREVIOUS SALARY AVAILABILITY
Bsn. Deckhand 2100 usd Anytime
II. PERSONAL INFORMATION:
Last Name First Name Middle Name
Santos Ronald Malabanan
Present Address (Street No., Brgy., Village) Town/City Province Landline No.
Brgy. Lamot 2 Calauan Laguna
Provincial Address (Street No., Brgy., Village) Town/City Province Landline No.
Brgy. Lamot 2 Calauan Laguna
Date of Birth (month/date/year) Place of Birth 56 yr old Gender Civil Status
December 12, 1965 Batangas
BMI 5'5 67kg A TIN : 44799872900000Religion Mobile No. Email Address/ess
Roman Catholic
SSS No.: 040******* 092******** *********@*****.***
Father's Name Mother's Maiden Name
Pedro Santos Genoveva Malabanan
Name of Spouse Address No. of Children
Rosalyn Santos Brgy. Lamot 2 Calauan, Laguna Boy 2 / Girl 1
Person to Notify in case of Emergency Relationship
Rosalyn Santos Spouse
Contact No. Address
096******** Brgy. Lamot 2 Calauan, Laguna
III. EDUCATIONAL BACKGROUND:
Highest Educational Attainment Course / Degree Year Graduated
College graduate BSMT 1986
Last School Attended
PMI colleges
IV. CERTIFICATES/LICENSES & OTHER CREDENTIALS:
Types of Certificates, Licenses, etc. Number Date Issued Expiry Date Place Issued
PASSPORT P6403459B 1-Mar-21 28-Feb-31 DFA SAN PABLO
PHILIPPINE SEAMAN'S BOOK C1198157 15-Dec-17 13-Dec-27 MANILA
OTHER SIRB ISSUED BY OTHER FLAGSTATE
U.S. VISA : None Visa Type:
SCHENGEN
OTHER VISA :
PHIL LICENSE : PRC MARINA
Bt200085122824 Jan 05.2024 Jan 05 2029 Marina. / Manila
MARINA COC
MARINA COE D. Coc 288064 Oct 11 2023 Oct 11 2028 Manila
GOC ENDORSEMENT:
II/4 III/4
RATINGS COP : II/5 III/5
No Yes
III/7 No Yes
No Yes
GALLEY NC:
SEAMAN'S REG.CERTIFICATE (SRC): 0273556-96
Bsn
V. MEDICAL BACKGROUND
Tick your answer below If yes, please describe briefly.
1. Any previous surgery?
2. Any previous illness?
3. With maintenance medicine?
VI. CHARACTER REFERENCE
Name Company Position Contact No.
Mam junna Monsoon ships Operation. Secretary 927-***-****
Ariel galapon Navis shipping comp. A/b
3)
VII. SEA EXPERIENCE (Unahing isulat ang huling naging trabaho)
NAME OF PRINCIPAL / AGENCY Period of Service
VESSEL ENGINE TYPE / BHP / No. of Months
Gross Tonage
KW
POSITION From To Service Remarks
NAME TYPE FLAG Day Month Year Day Month Year
Virtue marine Lct engracio1 Lct Manila 2334 Wei Chai /600 A/B crane optr 29 Aug 2024 ...7 Feb 2025 5 Fc
Oceanic shipping. Corp. Ocean dependable Container ship Manila 1395 MAN /BMW Bsn. Crane optr 17 Nov 2023 5 Aug 2024 9 Fc
bgp hilong/ monsoon ships Bgp.prospector seismic bahamas 10732 tn Rollsroyce/8000 Bsn crane optr Feb 2023 27 May 2023 4 Fc
Bgp hilong/ Monsoon ship Bgp Prospector Seismic bahamas .10732.. Rollsroyce/8000 BSN Crane Operator ... 1 Ap 2022 16 Dec 2022 .. 8 Fc
Bgp hilong/ Monsoon ships Bgp Prospector Seismic bahamas 10732 Rollsroyce/8000 BSN Crane Operator ..18 June 2021 28 Sept 2021 3 Fc
Bgp Hilong/Monsoon Ships Bgp prospector seismic bahamas ..10732 Rollsroyce/8000 BSN Crane Operator ..18 Sept 2019 12 April 2019 7 Fc
Bgp hilong/ Monsoon ship Bgp prospector Seismic bahamas ..10732 Rollsroyce 8000 BSN Crane Operator ..28 Sept 2018 5 Jan 2019 4 Fc
Bgp Hilong/ Monsoonship Bgp.prospector Seismic bahamas ..10732 Rollsroyce/8000 BSN Crane Operator ..29 Jan 2018 14 June 2018 5 Fc
Bgp hilong/ Monsoonships Bgp Prospector Seismic bahamas ...10732 Rollsroyce/8000 BSN Crane Operator ..27 Nov 2016 27 Jan 2017 2 Fc
Bgp hilong/Monsoonships Bgp Prospector Seismic bahamas ..10732 Rollsroyce/8000 BSN Crane Operator ..01 May 2016 15 Sept. 2016 4 Fc
Bgp hilong /Monsoonships Bgp Prospector Seismic bahamas ..10732 Rollsroyce/8000 BSN Crane Operator ..26 Aug 2015 16 Feb 2016 6 Fc
Singapore/Thome offshore 2012 21 Ap 2013 .. 8
Varada buzious AHTS Singapore . 1922 Wartzila/4000 BSN . 10 Aug Fc
Singapore/Thome offshore Sea Pollock . PSV Limassol . 2160 Bmw/3000 BSN . 19 Aug 2011 6 Mar 2012 ...7 Fc
Singapore/Thome offshore Sea. Otter AHTS Singapore . 1650 Wartzila/4000 BSN . 5 Mar 2011 19 May 2011 2 Transfer
Singapore/Thome offshore Sea marten AHTS Singapore . 1943 Wartzila/5000 BSN . 14 Aug 2010 30 Jan 2011 5 Fc
Singapore/Thome offshore Sea Halibut PSV Limassol . 2160 Bmw/. 4000 A/B . 22 Aug 2008 22 Jan 2009 5 Fc
Singapore/Thome offshore Sea. Otter AHTS Singapore . 1650 Wartzila/4000 A/B . 17 Jan 2008 4 July 2008 6 Fc
Tide water/ maritime ships Oil traveller Psv Vannuatu . 1919 Caterpillar A/B . 11 . Oct 2006 . 10 Ap 2007 . 6 Fc
2006 15 Aug 2006 6
Tide water/ maritime ships Osa Viscounts Psv Vannuatu . 1309 Caterpillar A/B .. 12 Feb Fc
Tide water/ maritime ships Falcon grande AHTS Liberia . 1909 Cumins A/B . 13 Jan 2005 28 May 2005 5 Fc
Japan/alpha ship M /v. Ikaruga Container Panama . 18619 Mitsubishi A/b . 5. Dec 1999 7 May 2000 5 Change manning
Japan/alpha ship Sumire Container Panama . 14084 Mitsubishi A/B . 10 Oct 1998 21 Aug 1998 10 Fc
Japan/alpha ship Queen stella Gen. Cargo Panama . 5580 Mitsubishi A/B . 20 Aug 1997 . 14 July 1997 11 Fc
Bocat Log bulk Phillipine . 3463 Mitsubishi A/b . 25 Ap 1995 . 17 July 1997 2 yr Fc
Page 2 of 2 FM-REC-03 / Rev. 02 / Effective Date: October 10, 2019
VESSEL GROSS TONNAGE VESSEL TYPE
BGP PROSPECTOR 10732 SEISMIC
BGP PROSPECTOR 10732 SEISMIC
BGP PROSPECTO 10732 SEISMIC
BGP PROSPECTO 10732 SEISMIC
BGP PROSPECTO 10732 SEISMIC
VARADA BUZIOS 1922 ANCHOR HANDLING TUG SUPPLY
SEA POLLOCK 2160 PLATFORM SUPPLY VESSEL
SEA OTTER 1650 ANCHOR HANDLING TUG SUPPLY
SEA MARTEN 1943 ANCHOR HANDLING TUG SUPPLY
SEA POLLOCK 2160 PLATFORM SUPPLY VESSEL
SEA BASS 2160 PLATFORM SUPPLY VESSEL
SEA BASS 2160 PLATFORM SUPPLY VESSEL
SEA WOLF 1 2579 ANCHOR HANDLING TUG SUPPLY
SEA HALIBUT 2100 PLATFORM SUPPLY VESSEL
SEA OTTER 1650 ANCHOR HANDLING TUG SUPPLY
SEA TROUT 2160 PLATFORM SUPPLY VESSEL
SEA CHEETAH 2952 ANCHOR HANDLING TUG SUPPLY
RANK ROM TO TRADING AREA
BSN CRANE OPERATOR 11.02.205 15.06.2015 W. WIDE
BSN CRANE OPERATOR 18.08.2014 24.12.2014 W. WIDE
BSN CRANE OPERATOR 09.04.2014 09.04.2014 W. WIDE
BSN CRANE OPERATOR 30.10.2013 30.10.2013 W. WIDE
BSN CRANE OPERATOR 30.10.2013 15.01.2014 W. WIDE
BSN CRANE OPERATOR 10.08.2012 21.04.2013 W. WIDE
BSN CRANE OPERATOR 19.08.2011 06.03.2012 W. WIDE
BSN CRANE OPERATOR 05.03.2011 19.05.2011 W. WIDE
BSN CRANE OPERATOR 14.08.2010 30.01.2011 W. WIDE
BSN CRANE OPERATOR 07.02.2010 10.07.2010 W. WIDE
BSN CRANE OPERATOR 15.12.2009 13.01.2010 W. WIDE
A/B CRANE 07.09.2009 13.12.2009 W. WIDE
A/B CRANE 31.03.2009 02.08.2009 W. WIDE
A/B CRANE 22.09.2008 22.01.2009 W. WIDE
A/B CRANE 17.01.2008 04.07.2008 W. WIDE
A/B CRANE 04.12.2007 14.01.2008 W. WIDE
A/B CRANE 08.06.2007 29.10.2007 W. WIDE
Oceanic