Paragon Pixels » Employment Form

Thank you for your interest in a photographer position with us. Please complete and submit this application form.

In addition email us your resume with copies of all relevant documents including a recent (last 6 months) full length photograph of you.

Basic Information

Last name:
First name:
Street:
Street (continued):
City:
State:
Postcode:
Country:
Nearest International Airport:
Home phone:
Cell phone:
Email:

Personal Details

Date of Birth:
Place of Birth:
Nationality:
Marital Status:
Passport Number:
Passport Place of Issue:
Valid From:
To:

Emergency Contact (next of kin)

Name:
Street:
Street:
City:
State:
Postcode:
Country:
Home:
Cell:
Email:

Documentation

CID Visa No:
Valid To:
Seamans Book
Valid To:
Issuing Country:
STCW Safety Certificates
Expiry Date of Certificate (MM/DD/YY):
Other Visas or Certificates
Medical Form Valid From:
To:

Uniform Measurements

Height:
Weight:
Collar
Chest:
Waist:
Hip: