APOLLO Registration PROJECT WORKER

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: * Offshore Medical Examination Expiry Date: * Date of On-Signing: * First time on APOLLO: * Medical condition or prescribed medicines?: * Company: * 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 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 GWO Manual Handling?

Yes, provide expiry date No

Remarks:

I understand that the vessel will not supply any PPE, so I will either bring my own or coordinate with the project team to have them provide it.

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.