Name of seafarer		Telephone number		Date of interview	
					
Rank		Vessel		Interviewed by	
					
Manning Agency		Earliest/latest joining date			

COMMENTS:
TYPE OF VESSELS (age, cargo etc): 	
	Chemical		Shuttle tanker		Reefer	
	Crude Oil 		VLCC		Container	
	Product tanker		LPG		Bulk 	
	OBO		LNG		Other: 	

TYPE OF CARGO: 	
	naphtha		Chlorine		benzene	
	petroleum (jet 1)		sulphuric and phosphoric acid		caustic soda	
	gas oil (diesel, ULSD)		styrene monomer		fenols	
	gasoline		Alcohols		metyl/ethyl chlorides	
	white petroleum products		Molasses		calcium nitrate	
	crude/black		Ammonia		tallows	
	vegetable oils		Ethylene		other heated/unheated chem..	

TRADING AREAS:	
	Baltic Sea		Mediterranean Sea		East Africa		Malaysia 		Caribbean 	
	North Sea		Black Sea		South Asia		Australia & NZ		Latin America	
	British Isles		West Africa		East Asia		Canada		South America	
	West Europe		South Africa		Indonesia		USA		Worldwide	

CREW NATIONALITY:	
	Canadian		Filipinos 		Indian		Romanian		Other:	
	Chinese 		French		Latvian		Russian	     	
	Dutch 		German		Norwegian		Ukrainian	     	
	English 		Greek		Polish		Venezuelan	     	

PREVIOUS EMPLOYMENTS (alcohol & drug policy, maintenance system):

EXPERIENCE WITH FRAMO PUMPS & OTHERS:

MAIN ENGINE experience (Engineers only):
     

VETTINGS & AUDITS (vetting/classification companies):		
	BP/Amoco		IMT/ExxonMobil		ChevronTexaco		Total/ Fina/ Elf		
	Shell		Statoil		ConocoPhilips		Cepsa / ENI / SGS		
	CDI		Repsol		Petronas		Basf		
	Preem		Petrobras		Lukoil		Others………		

EXTRA QUALIFICATIONS (eg.: additional cert., simulators etc.):

ECDIS:	 Yes	 No	

DRYDOCK:	 Yes	 No	Type of vessel: 	date: 	

NEW BUILDINGS & SHIP’S DELIVERY:	 Yes	 No	Type of vessel:      	date:      	

COMMAND OF ENGLISH:	Good	Satisfactory	Non-acceptable	
			     	

READINESS ON:		LAST SALARY: 		

SUITABLE FOR EMPLOYMENT:	 Yes	 No	

Personnel Department additional comments: