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Testimonials Relationship Transcript TRN Passport Medical Certificate Police Record SECTION 2 Educational Background Course applied for Boarding required Please note Boarding Application form must be completed Part/Full Time circle one Indicate support/sponsorship YEAR START END Self Govt. Name of awarding body Name of Educational/Training Institution QUALIFICATION Candidates are required to submit proof of their qualification and training along with two testimonials from recognised officials two notarized recent passport size photographs copy of birth certificate TRN all originals must be presented and pay a non-refundable application fee of J 800. 00 Jamaican Residents or US 50. 00 overseas Students to the Registry at the Caribbean Maritime Institute Palisadoes Park P. O. Box 8081 CSO Kingston Jamaica West Indies. RESULTS KNOWN SUBJECT EXAM. BODY RESULTS AWAITED LEVEL Gen Basic etc. RESULT SECTION 3 General and Other Information REASON FOR APPLICATION Write a short paragraph NAMES ADDRESSES AND TELEPHONE NO. CARIBBEAN MARITIME INSTITUTE QUALITY MANAGEMENT SYSTEM PROCEDURES Document No CMI/ADM/FORM/001 Page 1 of 2 TITLE CMI APPLICATION FORM Revision No* 00 Revision Date st 1 July 08 FOR OFFICIAL USE ONLY SECTION 1 Personal Contact Information Surname Sex First Name Male Female Academic Year Std. No* Date of birth DD /MM/ YY Course Code Title Other Course No* Address F/Time Day Rel* - Phone Evening Email Cost Mailing Address Dept. if different from above Documents submitted Birth Certificate Nationality Educational Cert. Photographs Next of Kin Professional Cert. Testimonials Relationship Transcript TRN Passport Medical Certificate Police Record SECTION 2 Educational Background Course applied for Boarding required Please note Boarding Application form must be completed Part/Full Time circle one Indicate support/sponsorship YEAR START END Self Govt* Name of awarding body Name of Educational/Training Institution QUALIFICATION Candidates are required to submit proof of their qualification and training along with two testimonials from recognised officials two notarized recent passport size photographs copy of birth certificate TRN all originals must be presented and pay a non-refundable application fee of J 800. 00 Jamaican Residents or US 50. 00 overseas Students to the Registry at the Caribbean Maritime Institute Palisadoes Park P. O. Box 8081 CSO Kingston Jamaica West Indies. RESULTS KNOWN SUBJECT EXAM. BODY RESULTS AWAITED LEVEL Gen Basic etc* RESULT SECTION 3 General and Other Information REASON FOR APPLICATION Write a short paragraph NAMES ADDRESSES AND TELEPHONE NO. OF TWO REFERENCES EXTRA CURRICULAR ACTIVITIES PRACTICAL EXPERIENCE/EMPLOYMENT HISTORY Name and Address of Employer Position held/ Experience gained I declare that the information on this application is correct and complete. I acknowledge CMI s right to cancel this application if the information contained in it has been misrepresented* Applicant signature Date. CARIBBEAN MARITIME INSTITUTE QUALITY MANAGEMENT SYSTEM PROCEDURES Document No CMI/ADM/FORM/001 Page 1 of 2 TITLE CMI APPLICATION FORM Revision No* 00 Revision Date st 1 July 08 FOR OFFICIAL USE ONLY SECTION 1 Personal Contact Information Surname Sex First Name Male Female Academic Year Std. No* Date of birth DD /MM/ YY Course Code Title Other Course No* Address F/Time Day Rel* - Phone Evening Email Cost Mailing Address Dept.

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