Employment Power - Application Form

Employment Power Ltd.
Crnomerec 16
10 000 Zagreb
Croatia

Telephone/ fax:
+385 1 3708 615
+385 1 3708 616

E-mail:
info@employment-power.com

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Application Form

*Personal information (please input requested information - all fields marked with () are mandatory**
Last Name: *
First Name: *
Gender: *
Present address: *
Phone number: *	++ Required format: country code - area code - phone number (e.g.) 385-01-3708-616
GSM number:	++ Required format: country code - gsm extension - gsm number (e.g.) 385-01-3708-616
E-mail address: *
Resident of (country): *
Date of birth: *	Required format: DD.MM.YYYY
Place of birth (city & country): *
Do you speak English fluently? *
What other language do you speak?	German French Italian Spanish - Other
Position desired: *
Date you can start: *	Required format: DD.MM.YYYY
Former employers:
Company	Position	Period FROM - TO
1.		-
2.		-
3.		-
Previous shipboard experience:	If Yes, input the name of company:
Education:
Secondary school: *
University degree: *
Additional education: *
Terms & Conditions By submitting this form (clicking the "Send Application" button), you agree to the terms of this disclaimer and give Employment Power Ltd. the permission to place the submitted information into our Human Resource database. We do not require any kind of exclusiveness for the submitted material. Employment Power Ltd. reserves the right to reject a submission if we regard it as a non suitable. We reserve the right to remove the given information at any time and for any reason.