LAYAG NG PANGARAP - REGISTRATION

SECTION 1: Personal Information

First Name

Last Name

Middle Name

Suffix

Birthday

Gender

Male Female

City/Municipality

Barangay

Contact Number

Email Address

SECTION 2: Socio-Econimic Background

Educational Attainment

Current Occupation / Source of Income

Monthly Household Income

Are you Currently Employed?

SECTION 3: Maritime Interest Profile

Are you a graduate of a maritime degree/course? (Yes/No)

If yes, please state course/institution.

Do you have a seaman’s book? (Yes/No)

If yes, please state validity.

Have you previously worked abroad or onboard a ship?

What type of shipboard work are you interested in?

Have you taken any MARINA accredited maritime training? (Yes/No)

If Yes, pls state course/s, and validity.

Are you willing to undergo a 9-day Basic Training (BT) / and STSDS courseDin COMPASS Cavite?

SECTION 4: Upload Requirements

Upload a clear photo of any valid ID

Upload a recent photo (2x2 or passport size)

SECTION 5: Consent & Confirmation

I confirm that all information provided is true and correct. I consent to be contacted for future maritime training opportunities. I allow the organizers to store and use my information for the purpose of this program and raffle.