APOLLO Registration CREW

Please complete the required fields in the form and provide all relevant additional information to ensure a smooth on-signing process.

Personal Details

Surname(s) (As appears on passport): * First Name(s) (As appears on passport): * Date of Birth: * Place of Birth: * Gender: *

Male
Female

Nationality: * Passport Number: * Passport Validity: * Passport Issuing Country: * Seafarer Medical Examination Expiry Date: * Function on board: * Date of On-Signing: * First time on APOLLO: * Medical condition or prescribed medicines?: * Company (Type of contract): *
Deme Employee Number: Street + Number *: Postal Code: * City: * Country: * Phone Number: Email: *

Next of Kin

Surname: * First Name: * Relation: * Phone Number: * Mobile Phone: Street + Number: Postal Code: City: Country: * * Required fields

Certification

Do you hold a Luxembourg Seamans book?

Yes, provide expiry date No

Luxembourg Seamans Book Number: Do you hold a Certificate of Competence?

Yes, provide expiry date: No

Level of Certificate of Competence Certificate of Competency issueing Country: Certificate of Competency Number: Do you hold a Luxembourg Endorsement?

Yes, provide expiry date No

Luxembourg Endorsement Number: Do you hold a OPITO Bosiet/HUET/FUET?

Yes, provide expiry date No

Do you hold a GWO Sea Survival?

Yes, provide expiry date No

Do you hold a GWO Working at Heights?

Yes, provide expiry date No

Do you hold a STCW Proficiency in Fast Rescue Crafts?

Yes, provide expiry date No

Do you hold a Helideck Certification?

Yes, provide expiry date: No

Highest level of your Helideck Certification: Remarks:

Upon arrival at the vessel, please proceed to the bridge to receive your vessel induction and complete the necessary paperwork. The bridge team will also assign your cabin.