CONFEDERATON OF EUROPEAN CONFEDERATON OF EUROPEAN
SHIPMASTERS ASSOCIATIONS
WASSENAARSEWEG 2
2596 CH
THE
TEL + FAX: +31 70 3836176 / 3835911
E-mail:
APPLICATION FOR (ASSOCIATED) CESMA MEMBERSHIP
Association full name:
..
Full address:
..
Phone/fax/E-mail:
.
Name president:
...
Name vice president:
Name secretary:
Name Treasurer:
....
Number of: seagoing masters :
shorebased masters :
.
retired masters :
THE PRESIDENT OF THE ASSOCIATION OF SHIPMASTERS, MENTIONED ABOVE, DECLARES THE PARTICULARS TO BE CORRECT TO THE BEST OF KNOWLEDGE AND HEREWITH APPLIES FOR ASSOCIATED MEMBERSHIP OF THE CONFEDERATION OF EUROPEAN SHIPMASTERS ASSOCIATIONS (CESMA) AND AGREES TO COMPLY WITH THE STATUTES AND BY-LAWS OF WHICH HE RECEIVED A COPY.
NAME AND SIGNATURE:
DATE:
CESMA E-MAIL:
Secretariat: Wassenaarseweg 2 website: http://www.cesma-eu.org
2596 CH The Hague
The
APPLICATION FOR INDIVIDUAL MEMBERSHIP
FULL NAME : .....................................................................................................................
ADDRESS :............................................................................................................................
TEL :...................................................... FAX :....................................................................
E-MAIL : ...............................................................................................................................
PRESENT OCCUPATION:................................................................................................
IF NOW SHOREBASED, PLEASE INDICATE PARTICULARS ON SEAFARING CAREER:
SIGNATURE :.................................................. DATE :.....................................................
PLEASE NOTE :
CESMA REPRESENTS SHIPMASTERS ASSOCIATIONS FROM
EUROPEAN
INDIVIDUAL MEMBERSHIP IS AVAILABLE FOR SEAGOING, SHOREBASED OR RETIRED SHIPMASTERS WHO ARE CITIZENS OF ONE OF THE EUROPEAN UNION NATIONS. PLEASE BE INFORMED THAT INDIVIDUAL MEMBERSHIP IS ONLY ALLOWED FOR SHIPMASTERS FROM THOSE EUROPEAN NATIONS WHICH ARE NOT YET REPRESENTED BY A MEMBER ASSOCIATION IN THE CONFEDERATION. (SEE LAST PAGE)
ASSOCIATED INDIVIDUAL MEMBERSHIP IS AVAILABLE FOR SEAGOING, SHOREBASED OR RETIRED SHIPMASTERS WHO ARE CITIZENS OF ONE OF THE FUTURE EUROPEAN NATIONS. (SEE ABOVE)