1. 1 Mendis Nalan created by
crewdata.com
SEAFARER'S APPLICATION FORM http://crewdata.com
Position: OILER
or ABLE SEAMAN
Readiness: 04.05.2016
Citizenship: Sri Lanka
Last name: Mendis Marital status married
First name: Nalan Children: 1
Middle name: Lalinda Nationality: Sri Lankan
Birth date: 24.02.1991 Birth place: Sri Lanka
Home address: Colombo, Sri Lanka Phone mobile: 94(77)4483222
Phone home: 011(44)87248
Email: nalanmendis19@gmail
.com
English level: Fluently
Salary Minimum: 1000 Expected: 1200 Last: $/month
Passports, Licenses & Certificates
Title Class Number Place of issue Issued Valid
Passports & Visas
Civil passport 01 Colombo, LKA 19.04.2011 01.01.2100
Seaman's book 01 Colombo, LKA 07.07.2014 07.07.2020
Medical Certificates
Yellow Fever Vaccination Colombo, LKA 29.02.2016 27.03.2025
Medical Fitness Certificate Colombo, LKA 29.02.2016 29.02.2020
General Physical State
Height (cm) Weight (kg) Shoes Clothes Hair color Eye color
56 70 41 M black brown
Date applied: 04.05.2016 Signature:
