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[]
["                                 UNISEA PHILIPPINES INC.,"]
["                               APPLICATION FORM  & PERSONNEL DATA SHEET"]
["                                                                  2nd  flr philcox Bldg. 172 Salcedo Street., Legaspi Village, Makati City",{"$nulls":7},"Photo"]
["                                                                  Telephone: (632) 894-0851-55 / Fax: (632) 893-4220 / Email: unisea@unisea.com.ph"]
[]
["            PERSONAL DATA"]
["Rank","First Name",null,"Middle Name",null,"Family Name",null,"Date of Birth (dd/mm/yr)",null,"Age"]
[]
["Nationality","Place of Birth",null,"Address 1",{"$nulls":4},"Tel. No."]
[]
["Civil Status","Height (cm)","Weight (kg)","Address 2",{"$nulls":4},"Tel. No."]
[]
["Phil-Health No.","HDMF No.","Spouse",null,null,"Date of Birth (dd/mm/yr)",null,"Tel. No.","Occupation"]
[]
["SSS No.","TIN No.","Previous Company/ Address/ Tel No.",{"$nulls":5},"Religion"]
[]
["BENEFICIARIES/RELATIVES"]
["NAME",{"$nulls":4},"DATE OF BIRTH (dd/mm/yr)",null,"RELATION"]
[]
[]
[]
[]
["EDUCATIONAL BACKGROUND"]
["INSTITUTION",{"$nulls":4},"INCLUSIVE YEAR",null,"DEGREE OBTAINED"]
[]
[]
["TRAVEL ",{"$nulls":4},"TRAINING CERTIFICATES",null,"CERTIFICATE NUMBER",null,"VALIDITY"]
["DOCUMENTS",null,"CERTIFICATE NUMBER",null,"VALIDITY","DOCUMENTS",null,"CERTIFICATE NUMBER",null,"VALIDITY"]
[{"$nulls":4},"(dd/mm/yr)",{"$nulls":4},"(dd/mm/yr)"]
["Seamanbook",{"$nulls":4},"NAC-MEFA"]
["Seafarers Reg. Certificate",{"$nulls":4},"MECA"]
["Passport",{"$nulls":4},"NAC-MECA"]
["US Visa",{"$nulls":4},"GTF"]
["Yellow Fever",{"$nulls":4},"NAC-GTF"]
["LICENSE",{"$nulls":4},"STOT"]
["DOCUMENTS",null,"CERTIFICATE NUMBER",null,"VALIDITY","NAC-STOT"]
[{"$nulls":4},"(dd/mm/yr)","STLGT"]
["Philippine License",{"$nulls":4},"NAC-STLGT"]
["PRC Certificate",{"$nulls":4},"Shore Based Firefighting"]
["PRC Endorsement",{"$nulls":4},"Engine / Deck Watchkeeping"]
["GOC",{"$nulls":4},"Bridge Resource Management"]
["Certificate of Competency",{"$nulls":4},"ECDIS"]
["FLAG ENDORSEMENT",{"$nulls":4},"Fast Rescue Boat"]
["DOCUMENTS",null,"CERTIFICATE NUMBER",null,"VALIDITY","SSBT"]
[{"$nulls":4},"(dd/mm/yr)","ARPA"]
["Liberian Endorsement",{"$nulls":4},"Cargo Handling & Care of Cargo"]
["Liberian GOC",{"$nulls":4},"Engine Resource Management"]
["Liberian SSO",{"$nulls":4},"Engine Room Simulator"]
["Liberian Seamanbook",{"$nulls":4},"Auxilary Machinery System"]
["Panama Endorsement",{"$nulls":4},"Control Engineering"]
["Panama GOC",{"$nulls":4},"MARPOL 73/78, Annex 1"]
["Panama SSO",{"$nulls":4},"MARPOL 73/78, Annex 2"]
["Panama SIRB - Endo",{"$nulls":4},"MARPOL 73/78, Annex 3 - 6"]
["Panama SIRB - GOC",{"$nulls":4},"DNV Certificate"]
["Bermuda Endorsement",{"$nulls":4},"Basic Lathe Course"]
["Bermuda SIRB",{"$nulls":4},"Upgrading Course for CCK "]
["Greek Endorsement",{"$nulls":4},"MSM Course"]
["Greek Endorsment - Oil",{"$nulls":4},"IN-HOUSE TRAINING"]
["Italian Endorsement",{"$nulls":4},"DOCUMENTS",null,"CERTIFICATE NUMBER",null,"VALIDITY"]
["Italian GOC",{"$nulls":8},"(dd/mm/yr)"]
["Italian SSO",{"$nulls":4},"Maritime English"]
["Singapore COE",{"$nulls":4},"Ship Security Awarenes/Officer"]
["Singapore GOC",{"$nulls":4},"Anti-Piracy"]
["TRAINING CERTIFICATES",null,"CERTIFICATE NUMBER",null,"VALIDITY","In-House Training"]
["DOCUMENTS",null,"CERTIFICATE NUMBER",null,"VALIDITY","CES 4.1 Maritime English"]
[{"$nulls":4},"(dd/mm/yr)","CES 4.1 Mgnt / Opertl / Support"]
["BSC W/ PSSR",{"$nulls":4},"REMARKS"]
["NAC- BSC",{"$nulls":4},"Date Proposed ",null,"Date Applied"]
["PSCRB"]
["NAC-PSCRB",{"$nulls":4},"Date Approved / Disapproved",null,"Comments"]
["AFF"]
["NAC-AFF",{"$nulls":4},"Date Available"]
["MEFA"]
["REFERENCES/GUARANTORS"]
["NAME",null,null,"COMPANY/ADDRESS",{"$nulls":3},"TELEPHONE NO."]