(Passport Photo)

Marlow Navigation Co. Ltd.

Marlow Building, 13 Alexandrias Street P.O. Box 54077, CY-3720 Limassol, Cyprus

Tel: +357-25882588 (switchboard) Fax: 357-25882599 (dir.)

Web: http://www.marlow.com.cy/

Crew Department - Administration Group Tel: +357-25882230 - Email: recruitment@marlow.com.cy

SEAFARER'S APPLICATION FORM - Page 1 of 3 - PERSONAL DATAPERSONAL INFORMATIONFamily Name First Name (s)Birth Date Birth PlaceNationality ReligionMarital Status No. of ChildrenHeight (cm) Weight (kg)Nearest Airport Alternative AirportADDRESS (include telephone country & area codes, advise also secondary or contact addresses if any)Street & Nr. Email AddressLocation Mobile PhoneCity Residence PhoneState, Country FaxPostal (ZIP) Code P.O. Box (if any)NEXT OF KIN INFORMATION (person to contact in case of emergency & insurance beneficiary)Family Name First Name(s)Nationality RelationshipStreet & Nr. Email AddressLocation Mobile PhoneCity Residence PhoneState, Country Fax

Postal (ZIP) Code P.O. Box (if any)REMARKSRequested Rank Availability DatePrefer. Vessel Type Minimum SalaryEnglish Language Skills Spoken: fluent / good / average / poor - Written: fluent / good / average / poorOther Foreign LanguagesProfessional School / Academy - Name & Period (From - To)

Foreign Crew Experience(specify nationalities)Other Skills

Further Remarks

Please advise how you heard about Marlow Navigation:(underline appropriate option)

Newspaper / Advert / Google / Internet / Relative / Other Seafarer School / University / Other sources ……………………..

I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge.Date: Signature:

Note: This form can be returned per email without signature - please ensure however to send a signed printout for our records afterwards per mail (e.g. with the passport photos and photo copies required). Please sign all 3 pages of the application form separately.

Attn.: Marlow Navigation - Crew Dept. (AG) - Fax: +357-25882599 - Email: recruitment@marlow.com.cy

SEAFARER'S APPLICATION FORM - Page 2 of 3 - LIST OF DOCUMENTS

Please note that due to legal requirements employment is only possible once we are in possession of electronic copies of your documents and licenses (please refer to the Cover Letter for further instructions).

FamilyName

First Name(s)

Rank

A. TRAVEL DOCUMENTS AND MEDICAL CERTIFICATESDocument Name (Description) Document Number Country Issue Place Issue Date Exp. DatePassportSeaman's Book (national)Seaman's Book (flag state)Seaman's Book (flag state)Visa - United States (type C1/D)Visa - Others (Work/Resid. Permits)Medical Examination ReportDrug & Alcohol TestVaccination against Yellow FeverVaccination against CholeraPassport Photos please email a high quality copy of a recent passport photo.B. CERTIFICATES OF COMPETENCY & ENDORSEMENTS, COURSE CERTIFICATES- deck & engine certificates & endor- sements (officers / ratings)- electrical & reefer certificates- cook & steward certificates

- radio certificates & endorsements- safety training (surv., fire, medical)- tanker courses (oil, chem., gas)- passenger vsl, roro, hazmat courses

- nav., deck, technical & management courses (radar/ARPA, ISM, Marpol, simulators, computer, welding etc.) - any flag state certificates

Document Name (Description) Document Number Country Issue Place Issue Date Exp. Date

Date: Signature:

Attn.: Marlow Navigation - Crew Department (Administration Group) - Tel: +357-25882230 - Fax: +357-25882599 - Email: recruitment@marlow.com.cy

SEAFARER'S APPLICATION FORM - Page 3 of 3 - SEA SERVICE (LAST 10 YEARS)

Please indicate your sea service in the last 10 years as exactly as possible - required are the actual sign-on and sign-off dates according to the service certificates resp. seaman's book entries. To speed up processing kindly indicate phone and/or fax numbers of your previous employers. Ship sizes are to be indicated in gross tons, total engine output in kilo Watt (1 kW = 1.34 bhp) to go along with STCW limitations. Please attach evidence for the listed sea service (copies of seaman's book entries, service certificates etc.). The information provided may be passed on to our clients and to flag state administrations to allow for verification of rank experience. Please use the European date format (DD.MM.YY).

Family Name: First Name(s): Date of Birth:

Vessel's Name IMO No. Flag GT kW Ship Type Eng.Make Rank S/On Date S/Off Date Employer (company to contact for reference)Example Vessel 1234567 Antigua 4,600 4,500 Multi-Purp MAN B&W 2/Eng 11.08.93 17.05.94 Marlow Navigation, Cyprus (+357-25-882588)

Date: Signature:

SUBJECT: YOUR APPLICATION FOR EMPLOYMENT AS A SEAFARER

Dear Sir / Madam,We have received your application and thank you for your interest regarding employment opportunities with Marlow Navigation. In order to evaluate your suitability for open Marlow vacancies you are hereby requested to fill in and return the attached application forms considering the following guidance:

Page 1 of the Application Form - Personal Data1. Make sure to advise the telephone numbers complete with country and

area code as required to call you from abroad.

2. You need to advise us an email address or fax number to contact you - mail address and phone number are not sufficient for crew without a local agent (the transmission of the contract, travel instructions, flight details etc. would require up to two weeks by regular mail).

3. Next of kin is the person to be notified in case of an accident and to receive insurance benefits in case of death - therefore carefully consider who is entered here.

Page 2 of the Application Form - List of Documents1. Applicants without complete certification as per international STCW-

95 standards cannot be considered for employment. If you are not sure please contact your national maritime administration to check that your certification is up-to-date.

2. Enlist all required documents with utmost care for the details (see guidance on the page).

3. Attach quality scanned electronic copies of all listed documents (multiple pages if needed) showing at least

your name, document name, document number, issue date and expiry

date, issuing maritime training provider or authority and any limitation remarks (also if empty to prove there are

no limitations).

- Scanned copies should be sent in either Jpeg or PDF format. Each image should be preferably under 600kb in file size. All images should be readable (text & numbers should be clear and distinguishable).

4. Attach scanned electronic copies of all flag state seaman's books and endorsements you hold.

5. Attach a scanned electronic copy of your passport photo (4x5cm: 470x590 pixels).

Page 3 of the Application Form - Sea Service (Last 10 Years)1. Enter the ship's details to your best knowledge and in accordance

with your records - convert hp into kW (1 kW = 1.34 HP - not necessary for deck crew).

2. We require the exact period of your stay on board (without leave). For repeated contracts on the same vessel list each stay separately.

3. Attach scanned copies of any proof of sea service in your possession (copies of service certificates, seaman's book entries or similar).

4. Advise details of the company that signed the contract of employment with you ('employer'), not the charterer or operator of the ship. Advise telephone numbers of persons who can confirm your sea service at these companies. Please be informed that any information provided here will be used to obtain references from your previous employers.

Last but not least - the forms are to be filled in by computer, or in clear handwriting. We prefer to communicate via email. Our company language is English - we will ignore any written communication provided in any other languages.

We regret to advise that we will cease to pursue applications for economic reasons if above criteria are not met and trust that a fast and smooth processing is in the best mutual interest.

Yours sincerely,

Marlow Navigation Co. Ltd.Crew Department - Administration GroupTel: +357-25882230 Fax: +357-25882599 Email: recruitment@marlow.com.cy