Please provide the following information:

Contact Person
Position/Title
Company/Organization
Location
Work Phone
FAX
E-mail
Website Address

            Note: Fields in Red are required for processing.

Please select the recruitment agency that should receive your job order:

-----Any Land-based Agency-----

Note: Press CTRL while you click the recruitment agencies for multiple selection.

You may submit your job orders through the Recruiter's Directory if you do not know which agency to select.

Job Order Details

Note: If you already have a document that contains your job details, you may copy the contents of that document and paste it on this form.