内河船员职务适任证书申请表(示范文本)（The application of inland crew member certificate table (model version)）.docVIP

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内河船员职务适任证书申请表(示范文本)（The application of inland crew member certificate table (model version)）.doc

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内河船员职务适任证书申请表(示范文本)（The application of inland crew member certificate table (model version)）

内河船员职务适任证书申请表(示范文本)（The application of inland crew member certificate table (model version)） The application of inland crew member certificate table (model version) Full name wolf Service book number X X X X X X X X X X X Recent positive straight edge 5 cm bareheaded white color photos Photo Gender male ID card No. X X X X X X X X X X X X X X X Date of birth XX XX months Every year Degree of Education Junior College Contact number Twelve million three hundred and forty-five thousand six hundred and seventy-eight Contact address and postal code XX XX Road, XX, 210000 Professional qualifications Name: X X: X X professional graduation certificate number: X X X X X: the time of graduation Nearly 3 years of water qualifications Name of vessel post Navigation area Total tonnage of ships / main power Date of discharge (year, month, day) Cumulative time (month) Yangtze 01 Seaman Inland 198/110 2002.2-2003.1 Twelve Jiangsu 07 Drive Inland 210/210 2003.1-2004.2 Fourteen Canal 05 Drive Inland 197/110 2004.3-2005.4 Fourteen Record of recent marine traffic accidents (average or damage accidents) in the last 3 years nothing Apply for a (change / check / fill) certificate or extended route Now to certificate of competency Class / position: Four / driver certification date: 2005.1 Route (area): Jiangsu inland river Issuing authority: X X City local maritime bureau To apply for the certificate of competency Class / position three / driving Route (area), the Grande Canale River, Jiangsu River and Huangpu River in Shanghai Re effective Knowledge update training time: X, X, X, training results: qualified Submit data 1, the applicants valid identity materials; 2, within twelve months of the physical examination certificate; 3, corresponding certificate of education; 4, crew members; 5, the corresponding proof material crew training records; 6, eligibility examination results; 7, apply for promotion, promotion, crew extension routes provide crew duties certificate of competency I submitt