Scribd Logo
Upload

Welcome to Scribd!

  • 3 FORM 3 Qualification of Supervisors Instructors Assessors

    Uploaded by

    City Hope Grivialde
    1 views1 page
    The document is a form from the Philippines Department of Transportation Maritime Industry Authority for qualifying supervisors, instructors, and assessors. It requests information including name, position, subjects taught/assessed, highest education level, licenses/certificates, training in IMO model courses, and simulator training certificates. The form will be evaluated and commented on by the STCW Office.

    Original Description:

    Original Title

    3-FORM-3-Qualification-of-Supervisors-Instructors-Assessors

    Copyright

    © © All Rights Reserved

    Available Formats

    DOC, PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    The document is a form from the Philippines Department of Transportation Maritime Industry Authority for qualifying supervisors, instructors, and assessors. It requests information including name, position, subjects taught/assessed, highest education level, licenses/certificates, training in IMO model courses, and simulator training certificates. The form will be evaluated and commented on by the STCW Office.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    1 views1 page

    3 FORM 3 Qualification of Supervisors Instructors Assessors

    Uploaded by

    City Hope Grivialde
    The document is a form from the Philippines Department of Transportation Maritime Industry Authority for qualifying supervisors, instructors, and assessors. It requests information including name, position, subjects taught/assessed, highest education level, licenses/certificates, training in IMO model courses, and simulator training certificates. The form will be evaluated and commented on by the STCW Office.

    Copyright:

    © All Rights Reserved
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    REPUBLIC OF THE PHILIPPINES

    DEPARTMENT OF TRANSPORTATION

    MARITIME INDUSTRY AUTHORITY


    AD NO.: 03-00
    Initial Issue Date: 09-08-2017
    Revision Date: 00

    FORM 3: QUALIFICATION OF SUPERVISORS, INSTRUCTORS


    AND ASSESSORS
    (Individual information sheet to be attached)

    License / Training in Simulator-


    Subject Highest based
    Certificate IMO Model
    Name Position taught / educational Training
    of Course 6.09
    Assessed Attainment Certificate
    Proficiency and/or 3.12 (if applicable)

    (To be accomplished by the STCW Office)

    EVALUATOR’S COMMENT

    Evaluator’s Signature over Printed Name

    Date Evaluated

    You might also like