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Trainee Registration Form

This 3 sentence summary provides the key details about the registration form: The form collects personal information such as name, address, contact details, education history, shipping experience if any, and emergency contact details from trainees registering for training courses. It also specifies the particular course being enrolled for along with the scheduled dates and venue. The trainee needs to sign declaring the provided information is true and correct.

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Gerland Gregorio Esmedina
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745 views2 pages

Trainee Registration Form

This 3 sentence summary provides the key details about the registration form: The form collects personal information such as name, address, contact details, education history, shipping experience if any, and emergency contact details from trainees registering for training courses. It also specifies the particular course being enrolled for along with the scheduled dates and venue. The trainee needs to sign declaring the provided information is true and correct.

Uploaded by

Gerland Gregorio Esmedina
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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NMP Form No.

RCU-02
Issue No. 01
Rev. No.03 Oct. 2, 2017

REGISTRATION FORM

Instructions: Fill up items and check all necessary boxes. Write legibly in block letter.
Do not leave any space blank.
Trainee No.
New Returnee

1. GENERAL INFORMATION
1x1
Family Name : __________________________________________________________
2i
Given Name : ________________________ Extension (Jr, Sr,II, III, etc)_______

Middle Name : ______________________________

Sex : Male Female Citizenship: ___________________________

Civil Status : Single Married Annuled Widow(er)


Others

Birthday : _____/ _____/ ______ Birthplace: ________________________________________________


mm dd yy

Complete Mailing Address: _______________________ ____________________ ____________________


(House No./Street) (Barangay) (Municipality/City)
______________ _________________________ ________________________
(Postal Code) (Province) (Region)
Contact Numbers : ___________________________________________________________________
(Area Code) Landline Number (Mobile No. 1) (Mobile No. 2)
Email Address : ________________________________ Facebook Account: ____________________

2. HIGHEST EDUCATIONAL ATTAINMENT

Course/s Taken: ___________________________________________________________________

School Graduated: _____________________________ Address: ______________________________

3. LATEST SHIPBOARD EXPERIENCE


With Shipboard Experience Without Shipboard Experience

License _______________ Rank on Board _______________ Date of Disembarkation ____________


Shipping Principal _____________________ Manning Company ____________________________
(Area Code) Landline Number: ____________________________
Mobile Number: _________________________________________
4. TRAINING COURSE YOU WISH TO ENROLL
Schedule Venue Sponsor
Course Start End
mm dd - mm dd Tacloban Manila Personal OWWA Co.
/ - /

/ - /

/ - /

5. CONTACT PERSON IN CASE OF EMERGENCY:


Name : _________________________________________Relationship Spouse Parent Others (specify) _____________

Address: _____________________________________________________ Tel. No. ________________ Mobile No. 1 _______________________


Mobile No. 2 _______________________
Email Address: _____________________

I certify that the foregoing are true and correct to the best of my knowledge and belief.

_________________________ _____________
Approved: Signature of Trainee Date

_______________________
Registrar
(Signature Over Printed Name)

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