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CU-QMS-STO-002Capitol University

College of Maritime EducationCagayan de Oro City

ENROLLMENT FORMSHIPBOARD TRAINING PROGRAM

(Accomplish in triplicate)

(PRINT ALL ENTRIES)

Name:___________________________________________________________(Family Name) (Given Name) (Middle Name)

Complete Address:_______________________________________________(House No.) (Street) (Barangay/District)

_________________________________Telephone No.: ________________(Town/City) (Province)

Department: _______________Date Finished AMT/AME: ______________Date Submitted STO Basic Documents: ________ Receipt No.: _____

I understand that my enrolment in the Shipboard Training Program isCONDITIONAL until I have submitted the following additional documents/Information:

1. EMPLOYMENT CONTRACT WITH SHIPPING/MANNING COMPANY

2. SHIPS PARTICULARS

3. CONTACT ADDRESS OF SHIPPING/MANNING COMPANY

and after I have fully paid the ENROLLMENT FEE for the Shipboard TrainingProgram.

____________________________________Cadets Signature above Printed Name

Verified and Approved by:

___C/M John R. Jaromahum___Shipboard Training OfficerDate: ________________

Issue: 05 April06 Revision: 05----------------------------------------------------------------

CU-QMS-STO-002ENDORSEMENT

Respectfully indorsing to the College Registrar, the Enrolment Form ofDeck/Engine Cadet __________________________ for official enrollment and for theinclusion of his name in the enrollment list for the ________ semester, SchoolYear _____________, subject Cadet having successfully complied with theenrollment requirements of this Office.

______C/M John R. Jaromahum____

Shipboard Training Officer

Date: ____________________

Issue: 05 April06 Revision: 05

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