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New Course Booking Form

This document is a course booking form for the SCI Maritime Training Institute. It collects information about the participant such as name, rank, company, date of birth, and contact details. It then lists over 20 different course options organized by control number, name, whether they are residential/non-residential, dates, fees, and eligibility requirements. At the bottom it documents any partial or full payment made, the payment method, and signatures for the participant, course booking officer, and cashier.

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hussainamini
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© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
102 views

New Course Booking Form

This document is a course booking form for the SCI Maritime Training Institute. It collects information about the participant such as name, rank, company, date of birth, and contact details. It then lists over 20 different course options organized by control number, name, whether they are residential/non-residential, dates, fees, and eligibility requirements. At the bottom it documents any partial or full payment made, the payment method, and signatures for the participant, course booking officer, and cashier.

Uploaded by

hussainamini
Copyright
© Attribution Non-Commercial (BY-NC)
Available Formats
Download as PDF, TXT or read online on Scribd
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FORM 4.

1
SCI MARITIME TRAINING INSTITUTE
POWAI, MUMBAI

COURSE BOOKING FORM

PARTICIPANT’S NAME : __________________________________________________________________________________

RANK : _________________COMPANY ________________ DATE OF BIRTH ______________________________________

P.C.NO. ______________ C.D.C.NO.______________ INDIAN PASSPORT NO.______________________________________


(For SCI only)
CONTACT ADDRESS _____________________________________________________________________________________

PHONE NO.:_____________ Email ID:_______________ COURSE BOOKED BY ______________PHONENO_______________

CONTROL COURSE NAME Res. /


NO. Non.Res FROM TO FEES (RS.) ELIGIBILITY

SEAMEN’S PACKAGE

101 PSSR

102 PERSONAL SURVIVAL TECHNIQUES

103 PROF.IN ELEMENTARY FIRST AID

104 FIRE PREVENTION AND FIRE FIGHTING

105 PROF.IN MEDICAL FIRST AID

106 ADVANCED FIRE FIGHTING

121 OIL TANKER FAMILIARIZATION

122 CHEMICAL TANKER FAMILIARIZATION

123 LPG TANKER FAMILIARIZATION

124 LIQUEFIED GAS TANKER OPERATION

126 SPECIALIZED TANKER SAFETY

127 MEDICAL CARE

140 TFI ( GENERAL )

141 TOTA

142 TFI ( MARINE ENGINEERING )

160 GMDSS -GOC

183 PASSENGER SHIP FAMILIARIZATION

188 SHIP SECURITY OFFICERS

309 ISM

Part Payment

Paid vide receipt No:____________ Dtd : _______ BALANCE / TOTAL Rs:

DD.NO._______________ DATED________________ DRAWN ON _________________________________________________________

SIGNATURE
( Candidate / Representative )
COURSE BOOKING OFFICE

PARTICIPANT’S ELIGIBILITY FOR THE COURSES CHECKED : COURSE BOOKING OFFICER’S SIGNATURE _______________________

FEE RECEIPT NO .______________________DATE ____________ CASHIER’S SIGNATURE_________________________

24.10.2007 / 04 Page 07 0f 16

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