Register Call Us Tele: 242-698-MATE Call Us Tele: 242-356-3152 Email Us Info@shipmateltd.com Programme Select Course: Class A Captain LicenseClass B Captain LicenseCrisis ManagementCrowd ControlGMDSSPFSOSeamanship and BoathandlingSecurity Awareness For SeafarersShip Security OfficerSTCW Basic Safety TrainingSTCW Refresher Course Dates Applicant Information Last name Last name Last name Date Of Birth Age Street Address Phone Cell Your email Passport No Nationality Boat Handling Experience BeginnerIntermediateAdvance Work Telephone Number Place Of Employment Previous Maritime Experience Previous Maritime Course Disclaimer And Signature I certify that my above statements are correct to the best of my knowledge. I understand that false or mislead information in may result in my release from the programme. Date Attach a Copy Of Your Passport Emergency Contact Name Contact Relationship Place of Employment