APPLICATION FORM  

Position

Position applied for DECK CADET

Lowest rank DECK CADET

acceptable
Preferred vessel type

Readiness date 31/Aug/2022

Personal Details
Last name Gonzales First name Cleo Ven John

Middle name Gender M

Date of birth 24/Apr/1999 Nationality Filipino

Place of birth Kidapawan City

Country of Residence Philippines City of Residence North Cotabato

Phone 09606844338 Mobile 09606844338

Zip code E-mail gonzales.cvjo.bsmt@gmail.com

Address

Identity Documents
Seaman book
Passport number P7192508B A0058676
number
Seaman book issue
Passport issue date 14/Jul/2021 24/Mar/2022
date
Seaman book expiry
Passport expiry date 13/Jul/2031 24/Mar/2032
date
Passport issue Philippines
Seaman book issue Philippines
country country
 Education
Type Name From year To year Qualification attained

College DMMA COLLEGE OF SOUTHERN PHILIPPINES 2018 2022 BSMT

High school M'LANG NATIONAL HIGH SCOOL 2012 2018 WITH HONORS

Certificates
Place
Issuing
Category Certificate Number Issued Expiry of
Authority
issue
SDSD-B14- DAVAO
STCW SEAFARER WITH DESIGNATED SECURITY DUTIES VI/6-2 Philippines 15/Feb/2022  
0231-22 CITY
BT-B14-0207- DAVAO
STCW BASIC SAFETY TRAINING VI/1 + A/VI 1-2 Philippines 11/Feb/2022 11/Feb/2027
22 CITY
DWK-B19- DAVAO
STCW RATINGS DECK WATCHKEEPING Philippines 07/Jul/2022 07/Jul/2027
0260-22 CITY
PROFICIENCY IN SURVIVAL CRAFT AND RESCUE BOAT SCRB-B47- DAVAO
STCW Philippines 18/Jun/2022 18/Jun/2027
VI/2 + A-VI/2 0637-22 CITY

Licences
No record found

Visas
No record found

Vaccinations
Number Type Issued Expires Place of issue

  YELLOW FEVER 01/Apr/2022   DAVAO CITY

  POLIO 03/Mar/2022   DAVAO CITY
31060D (D)COVID 19 - Pfizer-BioNTech (1st Dose) 15/Oct/2021   NORTH COTABATO
32125BA (D)COVID 19 - Pfizer-BioNTech (2nd Dose) 15/Nov/2021   NORTH COTABATO

Special Skills
No record found
 Sea Services
No record found

Pre-Employment Checks
No record found

Experience

Declaration

Signature: Date:

________________________________ 31/Aug/2022
DECK CADET Gonzales, Cleo Ven John