Personal information
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
Present address
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
Background Education
    
    
    
    
    
    
    
    
    
    		
	
    
    
    
    		
	
    
    
    
    
    
    
Personal Documents
Seaman’s Identification Card
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
USA Visa
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
    
Sea-service at last 5 year
    
    
    
    
    
    
    
    
By filling out this form and submitting it in any way to the maritime agency “L-stream Ltd.”(LMS), the submitter thereby gives his consent, in accordance with the Law of Ukraine “On the Protection of Personal Data” dated 01.06.10 No. 2297-VI, to the  processing data (collection, registration, accumulation, indefinite storage, change, depersonalization, destruction, updating, adaptation, use, distribution, sale, transfer in full or in part to administrators or third parties) without additional written notification to your address, in order to provide the company with intermediary services for its employment on the ships of domestic or foreign shipowners, regardless of the country of their location.