中文姓名
CHINESE NAME

英文姓名
ENGLISH NAME

职务
RANK

出生年月
DATE OF BIRTH

出生地点
BIRTH PLACE

婚姻状况
MARITAL STATUS

毕业院校
GRADUATE SCHOOL

专业
PROFESSIONAL

学历
EDUCATION

家庭住址
ADDRESS

血型
TYPE OF BLOOD

身高(cm)
HEIGHT(cm)

体重(Kg)
WEIGHT(Kg)

海员证号码
SEAFARER'S PASSPORT NO.

签发地点/有效期EXPIRED DATE

服务簿号码
SEAMAN'S RECORD BOOK NO.

签发日期/地点
DATE/PLACE

适任证书号码
CERTIFICATE OF COMPENTENCY NO.

签发日期/地点
DATE/PLACE

GMDSS号码
GOC NO.

有效期
EXPIRED DATE

护照号码
PASSPORT NO.

有效期
EXPIRED DATE

专业培训合格证号码
PROFESSIONAL TRAINING FOR SEAFARERS NO.

签发日期/地点
DATE/PLACE

熟悉和基本安全培训
FAMILIARIZATION&BASIC SAFETY TRAINING

签发日期/地点
DATE/PLACE

精通救生艇筏、救助艇
PROFICIENCY IN SURVIVAL CRAFT&RESCUE

签发日期/地点
DATE/PLACE

高级消防
TRAINING IN ADVANCED FIRE-FIGHTING

签发日期/地点
DATE/PLACE

精通急救
PROFICIENCY IN MEDICAL FIRST AID

签发日期/地点
DATE/PLACE

船上医护
MEDICAL CARE ON BOARD

签发日期/地点
DATE/PLACE

雷达观测和模拟器、自动雷达标绘仪
RADER OBSERVER&SIMULATOR,ARPA

签发日期/地点
DATE/PLACE

特殊培训合格证号码
SPECIAL TRAINING FOR SEAFARERS NO.

签发日期/地点
DATE/PLACE

化学品船（安全操作）合格证号码
SPECIAL TRAINING ON CHEMICAL TANKER OP.

签发日期/地点
DATE/PLACE

液化气船（安全知识）合格证号码
SPECIAL TRAINING ON LPG TANKER

签发日期/地点
DATE/PLACE