Obt. Cadet Information Sheet Rev 002 2020

You might also like

Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1of 1

PHILIPPINE MERCHANT MARINE SCHOOL OBTF - 002

Rev. No.: 002


San Antonio Valley Road, Talon, Las Piñas City Eff. Date:
Tel. # (02)8773300; Telefax (632)805-0243 Jan. 2020
E-mail Address: pmms_mlalpc@yahoo.com

ONBOARD TRAINING OFFICE

STUDENT’S INFORMATION SHEET

Name _________________________ Age __________ Sex ______ Status_________

Provincial Address _____________________________________________________

City Address __________________________________________________________

Contact Number/s ______________________________________________________

Program/Course ____________________________12months_____36months_____

Year Graduated ________________________________________________________

Shipping Line ____________________________ Name of Vessel _______________

Gross T. _____________________ Number of Years _________________________

Date of Embarkation ___________________ Date of Discharge ________________

Credential / Documents to be submitted: (Photocopies only)

1. Certification from Agency


2. Sea Service Certificate
3. Page No. 1 of Seaman book
4. Embarkation and Disembarkation pages of Seaman Book
5. 1 pc. of ID Picture (2x2 or 1x1)

__________________
Signature

(Please fill-up all blanks and return to OBT after being assessed / evaluated)

You might also like