UNIVERSITY OF CEBU
College of Maritime Education
Alumnos, Mambaling, Cebu City
ENROLLMENT FORM FOR SHIPBOARD TRAINING
STUDENT SCHOOL INFORMATION
Course BSMARE Date filed Student Number
Last Name MAÑALAG First Name JERICHO Middle Name
Mobile Phone 9991706885 Landline N/A Email address
CANTIPLA 2, TABUNAN CEBU CITY CANTIPLA 2, TABUNAN CEBU CITY
City Address Home Address
CONTACT PERSON INFORMATION IN CASE OF EMERGENCY
Last Name MAÑALAG First Name CREEZZ Middle Name
Mobile Phone Landline N/A Email address
CANTIPLA 2, TABUNAN CEBU CITY
City Address CANTIPLA 2, TABUNAN CEBU CITY Home Address
ENROLLMENT STEPS FOR SHIPBOARD TRAINING
Documentations Dates and Certificate No. STEPS & Guide for SBT Enrolment Signature or Stamp
1. Go to REGISTRAR and fill-out SBT Enrolment
Date POBTOS Completed
4-Apr-23 Form
2. Go to the OBT OFFICE for data inclusion and
Date of Recognition 16-06-23
verification
Date TOR Release 3. Go to ICT department for encoding
TRB Cont. No. 4. Go to ACCOUNTING for assessment
CV14673
SIRB Number A0256655 5. Go to CASHIER for payment
SIRB Expiry Date 17-Mar-33 6. Go to DEAN/Department Head for approval
BT COP Number BT200075368623 7. Go back to ACCOUNTING for posting
8. Go to REGISTRAR for confirmation of
Passport No. (Optional) P3435183C
enrolment
Passport Expiry date 1-Mar-33
Received by:
Student Signature
Date:
Registrar's Copy
UNIVERSITY OF CEBU UNIVERSITY OF CEBU
Maritime Education and Training Center Maritime Education and Training Center
Alumnos, Mambaling, Cebu City Alumnos, Mambaling, Cebu City
Enrollment Form for Shipboard Training Enrollment Form for Shipboard Training
Student Number: Student Number:
Course: Date: Course: Date:
Name: Name:
(Last Name) (First Name) (Middle Name) (Last Name) (First Name) (Middle Name)
Documentations Dates and Certificate numbers Documentations Dates and Certificate numbers
Date POBTOS Completed 4-Apr-23 Date POBTOS Completed 4-Apr-23
Date of Recognition 16-06-23 Date of Recognition 16-06-23
Date TOR Release Date TOR Release
TRB Control No. CV14673 TRB Control No. CV14673
SIRB Number A0256655 SIRB Number 3/17/2033
SIRB Expiry Date 17-Mar-33 SIRB Expiry Date 17-Mar-33
BT COP Number BT200075368623 BT COP Number BT200075368623
Passport No. (Optional) P3435183C Passport No. (Optional) P3435183C
Passport Expiry date 1-Mar-33 Passport Expiry date 1-Mar-33
Student Signature Student Signature
Approved by: __________________________________ Approved by: _____________________________________
Maritime Department/Dean/Chairperson Maritime Department/Dean/Chairperson
Received by:_______________________ Date: _______________ Received by:_______________________ Date: _______________
Student's Copy Accounting's Copy
19383330
ARDIMER
manalagjericho22@gmail.com
NTIPLA 2, TABUNAN CEBU CITY
ARDIMER
NTIPLA 2, TABUNAN CEBU CITY
Signature or Stamp
Y OF CEBU
nd Training Center
ling, Cebu City
Shipboard Training
Name) (Middle Name)
Dates and Certificate numbers
________________________
partment/Dean/Chairperson
ate: _______________
g's Copy
UNIVERSITY OF CEBU
College of Maritime Education
Alumnos, Mambaling, Cebu City
CADET SHIPBOARD TRAINING EMBARKATION UPDATE
STUDENT SCHOOL INFORMATION
Course BSMARE Date filed Student Number
Last Name MAÑALAG First Name JERICHO Middle Name
Mobile Phone 9991706885 Landline N/A Email address
CANTIPLA 2, TABUNAN CEBU CITY CANTIPLA 2, TABUNAN CEBU CITY
City Address Home Address
CONTACT PERSON INFORMATION IN CASE OF EMERGENCY
Last Name MAÑALAG First Name CREEZZ Middle Name
Mobile Phone 9974175238 Landline N/A Email address
CANTIPLA 2, TABUNAN CEBU CITY
City Address CANTIPLA 2, TABUNAN CEBU CITY Home Address
STEPS & Guide for SBT Enrolment
SBT EMBARKATION INFORMATION UPDATE Signature or Stamp
Updating
Date of Embarkation 24-Sep-33
1. Proceed to OBTO OFFICE with scan copy of
your Cadet Agreement & other required documents
Name of Vessel MV TAMPA BAY
Place of Registry HONGKONG, SAR CHINA 2. Proceed to OBTO Marketing, Monitoring and
Documentation for SBT Embarkation record
Trading pls. check Domestic International updating
Position ENGINE CADET
(e.i. Deck Cadet, OS, etc.) 3. Proceed to ICT for SBT Embarkation record
updating
Gross Tonnage 17,979
Net Tonnage 10,748
4. Proceed to Registrar for Final SBT
Pls. Specify: BHP / Embarkation Confirmation
6150
KW
Shipping/Manning
9/F,TOWER 1, DOUBLE DRAGON Received by:
Agency PB MARITIME PERSONNEL INC.
PLAZA, EDSA EXTENSION CORNER
Address of Agency/Company MACAPAGAL AVE., PASAY CITY, Date:
METRO MANILA
Student Signature
Registrar's Copy
UNIVERSITY OF CEBU UNIVERSITY OF CEBU
Maritime Education and Training Center Maritime Education and Training Center
Alumnos, Mambaling, Cebu City Alumnos, Mambaling, Cebu City
Shipboard Training Embarkation Update Shipboard Training Embarkation Update
Student Number: 19383330 Student Number:
Course: BSAMARE Date: Course: Date:
Name: MAÑALAG JERICHO ARDIMER Name:
(Last Name) (First Name) (Middle Name) (Last Name) (First Name) (Middle Name)
SBT EMBARKATION INFORMATION UPDATE SBT EMBARKATION INFORMATION UPDATE
Date of Embarkation 24-Sep-23 Date of Embarkation
Name of Vessel MV TAMPA BAY Name of Vessel
Place of Registry HONGKONG, SAR CHINA Place of Registry
Trading pls. check Domestic International Trading pls. check
Position Position
ENGINE CADET
(e.i. Deck Cadet, OS, etc.) (e.i. Deck Cadet, OS, etc.)
Gross Tonnage 17,979 Gross Tonnage
Net Tonnage Net Tonnage
BHP (KW) BHP (KW)
Shipping/Manning Shipping/Manning
PB MARITIME PERSONNEL INC.
Agency Agency
9/F,TOWER 1, DOUBLE DRAGON PLAZA, EDSA
Address of Agency/Company EXTENSION CORNER MACAPAGAL AVE., PASAY CITY, Address of Agency/Company
METRO MANILA
Student Signature Student Signature
Student's Copy Accounting's Copy
19383330
ARDIMER
manalagjericho22@gmail.com
TABUNAN CEBU CITY
ARDIMER
creezz.manalag@deped.gov.ph
TABUNAN CEBU CITY
Signature or Stamp
TY OF CEBU
n and Training Center
baling, Cebu City
Embarkation Update
Date:
rst Name) (Middle Name)
NFORMATION UPDATE
9/24/2023
MV TAMPA BAY
HONGKONG, SAR CHINA
Domestic International
ENGINE CADET
17,979
PB MARITIME PERSONNEL INC.
9/F,TOWER 1, DOUBLE DRAGON
PLAZA, EDSA EXTENSION CORNER
MACAPAGAL AVE., PASAY CITY,
METRO MANILA
ing's Copy
