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TRAINEE DATA SHEEThajaja

The document is a Trainee Data Sheet for enrollment at PNTC Colleges – Maritime Training Center, requiring accurate personal information from applicants. It includes sections for trainee information, certificate delivery options, device specifications for online training, payment options, and training course details. Additionally, it contains a privacy disclaimer regarding the collection and use of personal information by PNTC-MTC personnel.

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0% found this document useful (0 votes)
9 views1 page

TRAINEE DATA SHEEThajaja

The document is a Trainee Data Sheet for enrollment at PNTC Colleges – Maritime Training Center, requiring accurate personal information from applicants. It includes sections for trainee information, certificate delivery options, device specifications for online training, payment options, and training course details. Additionally, it contains a privacy disclaimer regarding the collection and use of personal information by PNTC-MTC personnel.

Uploaded by

quidadopatrick
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOCX, PDF, TXT or read online on Scribd
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PNTC COLLEGES – MARITIME TRAINING CENTER

Ground Floor, Intramuros Corporate Plaza, Recoletos St., Intramuros, Manila, 1102 Philippines TDS No.
Tel. Nos. 8-526-2065 loc. 104 / 8-5262207 Telefax Nos. 8-526-0144 Date

TRAINEE DATA SHEET


This serves as your application for enrollment. It is important that you fill this form accurately, completely, and legibly.
I. TRAINEE INFORMATION(THIS WILL BE USED IN YOUR CERTIFICATE SO PLEASE WRITE ACCURATELY)
First Name (Complete) i.e. Middle Name (Complete} Last Name Suffixes i.e. JR, II, III

Residential Address Mobile No. Gender

E-mail Address (must be @gmailaccount) Date of birth (01 January 1990) Place of Birth

In case of emergency, please notify: (name and contact number) Rank Civil Status

Seafarer’s Registration Number (SRN) Manning Agency Name and Signature of Endorser (if any) Years of sea service

II. CERTIFICATE DELIVERY OPTIONS (Check only one)


Personal pickup (no additional fees)
Pickup by friend, relative, or agent (no additional fees)
Name:
Deliver to this address (within METRO MANILA)
Name of recipient:
Contact number of recipient:
Address

VI. TRAINING FEEEVALUATION (DO NOT FILL)


Training Fee
*** Pickup is at our main office in Intramuros.
Certificate Delivery Charges
*** Delivery fees will be added based on the delivery address.
*** Delivery time varies depending on the courier and your address. TOTAL FEES
III. SPECS OF DEVICES
What will you use for online training? Laptop Desktop Tablet Phone VII. SHIRT SIZE
Do you have a mic? yes no Small Medium Large XL
Do you have a video camera? yes no
How will you access the internet? WIFI Mobile Data

IV. PAYMENT OPTIONS _____________________________________


Amount Mode of payment SIGNATURE
x Full payment Will go to PNTC for payment
G-cash
Bank Deposit
*other modes of payment to follow
V. TRAINING COURSE
Training Course Schedule Section

Privacy Disclaimer
PNTC will collect information on your personal circumstances, such as but not limited to, name, email address, telephone number and other details. Your personal information is accessed and used by
PNTC-MTC personnel for the purpose of carrying its operations. By signing this document, you agree to PNTC privacy policies as stated in its website at pntc.edu.ph.

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