Crew Processing System

Schengen Visa Form

Position

First Name

Last Name

KTP No. / NIK

Date of Birth

Place of Birth

Gender

Email

Phone No/ WA

Address

Address Line 1

Address Line 2

City

State

Zip Code

Country

Passport No.

Passport Place of Issues

Passport Issues Date

Passport Expired Date

Seaman Book No.

Seaman Book Expired Date

Marital Status

Wife's Name

Married Date/ Year

Wife's Place/ Date of Birth

Name of Father

Father Place of Birth

Father Date of Birth

Name of Mother

Mother Place of Birth

Mother Date of Birth

Do You Have Previous Schengen Visa

Name of Schengen Country

Schengen Visa Issue Date

Schengen Visa Expired Date

Company Name

Port of Call

Name of Vessel/ Ship

Country

Join Date

Depature Date From Port of Call