Watermen's Hall - Company of Watermen and Lightermen

This form should be completed by the individual to whom the inquiry relates, or by their employer/sponsor as appropriate. Please use continuation sheets as necessary.

DETAILS OF INDIVIDUAL TO WHOM THE INQUIRY RELATES:

Title: Title is required Forename: First name is required Last Name: Last name is required

Date of Birth: Dateofbirth is required Nationality: Nationality is required

Home Address: Address is required

Tel: Telephone is required Mobile: Mobile is required Email: Email is not validEmail is required

DETAILS OF EMPLOYER/SPONSOR (if appropriate):

Name:

Home Address:

Tel: Mobile: Email:

QUALICATION(S) OR TRAINING SOUGHT:

QUALIFICATIONS HELD:
(Please list all maritime, educational, and any other courses undertaken and qualifications attained after leaving school, including short and long courses and certificates of proficiency or competency of any description, with the dates when these were achieved, the most recent first. Potential new entrants should include school qualifications.

Qualifications are required

Please attach copies of all such certificates if available.
Choose file:

EXPERIENCE:
(Please list brief details of previous experience and employment, the most recent first. With respect to experience and employment on board vessels please include the following details if available, or a summary thereof as may be appropriate to the type of operation e.g. when a rotating work pattern between different vessels has been followed)

Name of vessels:

Type: Capacity on board:

Size (length/tonnage):

Area of operation (both inland waterways and seagoing, if any):

Power (HP/KW): Dates/periods served on board and hours/roster pattern:

One or more fields are incorrect