Assistant Engineers

Training and Assessment Record Book (TARB)

Order Form



To: Director, Singapore Maritime Academy
Singapore Polytechnic
500 Dover Road
Singapore 139651


I wish to purchase [ ] copy/copies of the TARB.

Please send me by mail [ ] copy/copies of the TARB to the address given below.
I enclose a bank draft in favour of the Singapore Polytechnic for the amount
S$21.00 x [ ] (inclusive S$5.00 overseas postage per copy) as payment and agree
to abide by the condition stated below.


Name: _______________________________________________________________________

Address: _______________________________________________________________________

_______________________________________________________________________



For SMA Use
TARB received by/on:




Signature & Date


I declare that I will not hold the Singapore Polytechnic responsible for
any claim whatsoever arising from the loss of the TARB in the mail. I
also acknowledge that no part of the book may be reprinted,
photocopied or duplicated without the prior permission of Director,
Singapore Maritime Academy, Singapore Polytechnic.







__________________ ________________
Signature Date

TARB mailed by/on:



Signature & Date


For Official Use by Singapore Polytechnic Total Amount









To the Finance Officer

cash for S$16 x [ ] / S$21 x [ ]*
as payment for [ ] copy/copies of the TARB

S$16 x [ ] / S$21 x [ ]* as payment for [ ]
copy/copies of the TARB in the attached bank draft



No: _________________for the amount of S$__________


Receipt No: _____________