登记日期：船员登记表
Name姓名Rank职务English英语
D.O.B出生日期P.O.B出生地点
ID NO.身份证号码Age年龄
Address家庭住址Tel电话
Name of Family亲属姓名Connection关系
Height身高(cm) Weight体重(kg) Blood Type血型Shoes No.鞋号Graduate /Time毕业学校/时间Education学历
CERTIFICATES TYPE
证书名称NUMBER
证书号码
DATE/OLACEOFLSSUE
签发日期、地点
EXPIRED DATE
期满日期
Passport(护照)
Seafarer’s Passpor t(海员证)
C.of.C.(适任证书)
Seaman’s Recor d Book(服务簿)
GMDSS(GMDSS证书)
PNM/LIB/GMDSS Certificate(巴/利/G证)
Others(其它证书) 保安证书
新专培（）新适任证书（）Z07/Z08(有)MLC厨师培训（）海事局健康证（有）卫检健康证（）黄皮书（）
CERTIFICATES TYPE 证书名称NUMBER/号码ISSUE DATE/签发日期Professional Training (专业培训合格证书)
Basic Safety Training (基本安全)
Proficiency in Survival Craft and Rescue Boats (救生艇、筏)
Advanced Fire-fighting Training (高级消防)
Proficiency in Medical First Aid (精通急救)
Medical Care On Board(Master & C/O only) (船上医护)
Radar Observation & Plotting & Radar simulator (雷达两证)
Certificate For Arpa Simulator (雷达标绘仪)
Special Training For Seafarers (特殊培训)
Oil Tanker Familiarization/Operations (油安/油操)
LPG Familiarization/Operations (液安/液操)
Chemical Tanker Familiarization/Operations (化安/化操)
Name of Vessel
船名Rank
职务
Date of Sign-on
上船日期
Date of Sign-off
下船日期
GT/VSL Type
总吨/船型
HP/M/E Type
功率/机型
Area
航区
Name of Company
船舶公司。