Application Form

Email Address *

Phone *

Required certificate

The agreed examination date is by phone or email

Date of birth

The first and second name in English as it appears on the passport *

Last name in English as it appears on the passport *

Current employer name

Current job Title *

Whether (if not obvious from the title) the job involves: Food, Crane, ERT, NUIs

Date and name provider of the most recent previous OEUK medical certificate

Date and name provider of the most recent prior ‘fit to train assessment’

Date of last FOET/BOSIET

Date of next FOET/BOSIET

Occupation before working offshore

Number of years in the offshore industry

Duration in employment with current employer

Duration in current job, whether "core crew" or "ad-hoc"

Rota pattern (2:3, 3:3, etc.)

Date of next trip

Marital Status:

Residence Address

GP’s Name & Address

Do you smoke/vape?

If yes, how many per day? And for how many years?

If an ex-smoker, when did you give up?

Do you drink alcohol?

If Yes, Average weekly alcohol consumption, state quantity and type.

Leisure-time physical activity (what, how often, duration)

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We are certified to issue Medical Certificate of Fitness for Offshore Work in accordance with Oil & Gas UK Guidelines

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107, El-Tayaran Street, El-Tawfik Buildings, Nasr City , Cairo 11371