OSM Shipping Phils., Inc.

Running Seafarer Application Form

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Application Form

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Personal Information

Contact & Address

Education

Government IDs

Sizes

Availability & Experience

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

Emergency Contact

English Language - Communication

Documents and Trainings

Endorsements and Certificates

Required documents stay visible. Add optional documents from the selector, then complete Number, Date Issued, and Validity or choose No validity when a document does not expire.

Document Name *
Number
Date Issued
Validity
SEAMAN'S RECORD BOOK (SRB)
SEAFARER'S IDENTITY DOCUMENT (SID)
PASSPORT
POEA E-REGISTRATION NUMBER
CERTIFICATE OF COMPETENCY
RFPNW II/4 RFPNW III/4
AB DECK II/5 AB ENGINE III/5
ENDORSEMENT RECOGNITION
FOREIGN FLAG
GOC-GMDSS LICENSE

Trainings / Certificates

Add only the trainings or certificates that apply, then enter the issue date and validity details.

Vaccinations and Visas

Sea Service

Seagoing Experience

Vessel record, contract dates, rank, and experience totals

Service Record

Vessel particulars and onboard assignment

Experience Summary

Review & Submit

Final Application Review

Applicant profile, documents, visas, trainings, and sea service

OSM Shipping Phils., Inc.

Since 1989

Declaration Form

Review your work experience and employment details, then read and confirm the declaration before saving your application.

Working experience

Select every item that applies to your experience.

Working experienceNo experience selected
Shore Employment Details
DATE FROM / TO
Nature of Employment
Employers Name and Address
Employment 1Optional
Employment dates From To
Nature of employment
Employer name and address
Employment 2Optional
Employment dates From To
Nature of employment
Employer name and address
Working Gear Size
DECLARATION

Please read each statement before confirming and signing below.

  • 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 No Certificate of Competence or License issued to me has ever been revoked or suspended.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.
Final confirmation

Confirm and sign

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