Registration Form

MOLMI Employee

Others

Employee ID *

Passport Number *

Prefix * Prefix is required

First Name * First name is required

Middle Name * Middle name is required

Last Name * Last name is required

Gender * Gender is required

Date of Birth *

Rank Last Served on Vessel *

Manager (Last Served)

WhatsApp Number

Alternate Number

Nationality *

Email Address *

INDOS NO: (For Indian Seafarers)

I hereby declare that all the information provided in this form is true and can be used by MOLMI for training purposes. This information will be subject to data protection as per the MOLMI data protection policy.

You must accept the declaration