Fields marked ( * ) are required

Your Name: * (in block letters)
Membership Number: (if applicable)
NRIC/FIN/BC Number: *
Date of Birth: Date Month Year
Contact Number: *
Home Address: *
Postal Code: *
Age:
Sex:
Email Address: *
PPCDL Course Date for 2017 & 2018: *
Course Fees: *

*The PPCDL course duration comprises of 1 weekend: 1 x full Saturday + 1 x full Sunday.
**Affiliates refer to those SAF/MINDEF Personnel or students.

DECLARATION

  1. I declare that I am physically fit.
  2. I declare that in enrolling for and participating in this course at the SAF Yacht Club, I will not hold the Club, its instructors and employees liable for any accident, loss, damage or injury suffered by me during the conduct of the course, whether such accident, loss, damage or injury should occur ashore or afloat.
  3. I hereby confirm that I participate in this course solely at my own risk and indemnify the SAF Yacht Club, its instructors and employees in respect to any claims arising from the course.
  4. I understand all payments made are non-refundable. I also understand that there will be no make-up lessons should I fail to attend the course.
  5. I understand that a make-up lesson will only be allowed when supported with valid Medical proof. A make-up fee of $50 per day (excl. GST) will then be imposed.
  6. I understand that the price stated excludes all Medical Examinations, Theory and Practical Test Fees.
  7. I understand that registration is only confirmed upon payment.
  8. I understand that the course date is only allowed to be postponed once.
  9. I declare that I have read, understood and will abide by the terms and conditions spelt out in the "SAF Yacht Club Powered Pleasure Craft Driving License Course - Terms & Conditions".

Parents / Guardian´s Particulars (Only for applicant below 21 years old)

Parent´s Name:
NRIC/FIN/BC:
Guardian´s Name:
NRIC/FIN/BC:
Residential Address:
Contact Number:
Email Address:

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