APPLICATION FORM  

Position

Position applied for ENGINE CADET

Lowest rank ENGINE CADET

acceptable
Preferred vessel type Bulk Carrier, Laker Only

Readiness date 10/Oct/2022

Personal Details
Last name De Guzman First name John Ceazar

Middle name Gender M

Date of birth 26/Nov/2001 Nationality Filipino

Place of birth Ilagan, Isabela

Country of Residence Philippines City of Residence City of Ilagan

Phone 9150414758 Mobile 9357981276

Zip code 3300 E-mail jcdeguzman112601@gmail.com

Address Cabisera 3 City of Ilagan, Isabela

Identity Documents
Seaman book
Passport number P9536920B A0131136
number
Seaman book issue
Passport issue date 07/Apr/2022 26/Jul/2022
date
Seaman book expiry
Passport expiry date 06/Apr/2032 26/Jul/2032
date
Passport issue Philippines
Seaman book issue Philippines
country country
 Education
Type Name From year To year Qualification attained

College Isabela College of Arts & Technology 2019 2022 Bachelor of Science in Marine Engineering

Certificates
Category Certificate Number Issuing Authority Issued Expiry Place of issue

STCW BASIC SAFETY TRAINING A/VI 1.2 BT-22-0200619 Philippines 07/Jul/2022 07/Jul/2027 MARINA

Licences
No record found

Visas
No record found

Vaccinations
Number Type Issued Expires Place of issue

PCA0046 COVID 19 – Booster 12/Aug/2022   Mariveles Bataan

Special Skills
No record found

Sea Services
No record found

Pre-Employment Checks
No record found
 Experience

Declaration
I hereby certify that the information given above is true and correct to the best of my knowledge and belief. That I
have not withheld any information that would affect my application unfavorably. 

Any false declaration I supplied herein may constitute ground for disqualification and nonacceptance to the
company and can be further subjected to applicable penalties in accordance to existing laws governing the
recruitment and employment of overseas seafarers.

Signature: Date:

________________________________ 07/Oct/2022
ENGINE CADET De Guzman, John Ceazar