PHILIPPINE MERCHANT MARINE SCHOOL

ONBOARD TRAINING OFFICE

1x1 ID Picture
ASSESSMENT CARD
OBTF 028

1. Name __________________________________________________________ Sex ________ Civil Status_________________

(Last Name) (Given Name) (M.I)

2. Birth Date _______________________ Age ______ Height _______ Weight ________ Tell/Cell. No _____________________

3. Course _______________________________ Date Graduated ________________ Email Address _______________________

4. Name of Parents/Guardians ________________________________________ Tell/Cell. No ____________________________

Email Address __________________________________________

5. Other Relatives in case of Emergency ________________________________ Tell/Cell. No ____________________________

Email Address __________________________________________________

6. Provincial Address _______________________________________________________________________________________

7. City Address ____________________________________________________________________________________________

PHILIPPINE MERCHANT MARINE SCHOOL

ONBOARD TRAINING OFFICE 1x1 ID Picture
ASSESSMENT CARD
OBTF 028

1. Name __________________________________________________________ Sex ________ Civil Status_________________

(Last Name) (Given Name) (M.I)

2. Birth Date _______________________ Age ______ Height _______ Weight ________ Tell/Cell. No _____________________

3. Course _______________________________ Date Graduated ________________ Email Address _______________________

4. Name of Parents/Guardians ________________________________________ Tell/Cell. No ____________________________

Email Address __________________________________________

5. Other Relatives in case of Emergency ________________________________ Tell/Cell. No ____________________________

Email Address __________________________________________________

6. Provincial Address _______________________________________________________________________________________

 PHILIPPINE MERCHANT MARINE SCHOOL
ONBOARD TRAINING OFFICE
ASSESSMENT CARD
OBTF 028

7. City Address ____________________________________________________________________________________________