Application Form | Holland America Netherlands

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By using this form, it is possible to attach a letter of motivation, and mandatory to attach a separate Curriculum Vitae. Please note that the maximum size of the upload is 3 MB.

Personal Information

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Surname: *

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First Name: *

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Sex: *

M

F

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Date of Birth: *

Year

Month

Day

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Place of Birth: *

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Nationality: *

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Marital Status: *

Single

Married

Divorced

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Street: *

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NR: *

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Postal Code: *

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Country of Residence: *

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Phone Number: *

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Mobile Number: *

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Email Address: *

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Contact in Case of Emergency

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Full Name: *

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Relation: *

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Contact No.: *

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Email Add.: *

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Vacancy

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Function of Interest: *

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Fresh Graduate: *

Yes

No

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Current Employer: *

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Notice: *

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Available Per: *

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Intended Duration of Employment: *

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Education

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Vocational Training I: *

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Diploma: *

Y

N

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Year of Certification: * Type a year

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Vocational Training II:

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Diploma:

Y

N

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Year of Certification: Type a year

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Vocational Training III:

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Diploma:

Y

N

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Year of Certification: Type a year

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Language

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Language I: *

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Fluency: *

Excellent

Good

Reasonable

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Writing: *

Excellent

Good

Reasonable

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Language II:

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Fluency:

Excellent

Good

Reasonable

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Writing:

Excellent

Good

Reasonable

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Language III:

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Fluency:

Excellent

Good

Reasonable

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Writing:

Excellent

Good

Reasonable

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Working Experience (Latest First)

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Name of Employer I: *

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Address: *

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Employed From: *

Year

Month

Day

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Until: *

Year

Month

Day

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Function: *

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Reason for Termination:

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Name of Employer II:

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Address:

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Employed From:

Year

Month

Day

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Until:

Year

Month

Day

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Function:

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Reason for Termination:

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Name of Employer III:

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Address:

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Employed From:

Year

Month

Day

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Until:

Year

Month

Day

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Function:

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Reason for Termination:

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Current Employer

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Yes, I hereby give HAL - Holland America Line, permission to verify references.

No, I do not give HAL - Holland America Line, permission to verify references.

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Contact: *

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Company: *

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Phone Number: *

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Email Address: *

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Address: *

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City: *

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Previous Employer

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Contact: *

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Company: *

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Phone Number: *

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Email Address: *

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Address: *

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City: *

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General

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Passport: *

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Passport Number:

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Valid Until:

Year

Month

Day

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Visa: *

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SOLAS Certificate: *

Y

N

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Seaman's Book: *

Y

N

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USA VISA type C1D:

Y

N

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Endorsement:

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Position: *

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Valid Until:

Year

Month

Day

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Current Salary: *

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Have you ever worked for HAL before? *

Y

N

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From:

Year

Month

Day

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Until:

Year

Month

Day

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have you had a checkup with our physician before?

Y

N

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Have you, at any time, been sentenced, or have been taken into custody in the past 7 years for commiting a crime?

Y

N

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(if yes, we will ask you to provide us with a recent certificate of good conduct during the interview)

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Are you familiar with personal computers?

Y

N

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CV (750kb MAX size) *

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Picture

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Letter of application: