I declare that all information provided in this form, is true and complete in all respect. I fully understand that any misrepresentation or omission of information may be considered sufficient for withdrawal of the offer and dismissal from the course at any time. I also agree to the terms set out in Terms of Application.
I confirm that the information as set out in this application were provided by me and that the said information is true and correct.
I understand that I may be subject to prosecution if I have provided any information, which is false in any material particular or is misleading by reason of the omission of any material particular.
Further I, declare:
1. I shall not engage in or participate in any business or be self-employment during my training at Maritime Institute.
2. I shall not misuse controlled drugs or take part in any political or other illegal activities during my stay in Maritime Institute premise.
3. I have not submitted any false statement or submitted any document which I know to be false in order to obtain the admission at Maritime Institute.
4. I confirm that my candidature is purely on my merit and does not involve any recommendations.
I understand that if I breach any conditions above, during training at Maritime Institute or even after training at Maritime Institute, I will be subjected to:
1. Prosecution in court
2. Dismissal and pay all costs including Training fees if it is during training at Maritime Institute prior employment onboard.
3. Immediate dismissal from the ship and I agree to pay Blackhull Maritime:-
a. all the cost incurred for my repatriation
b. all the costs incurred for my relievers joining ship
c. all the costs incurred, including training fee for my pre-sea training at Maritime Institute.
d. all the costs incurred for my post-sea training at Maritime Institute.