MARINERS’ POLYTECHNIC COLLEGES FOUNDATION OF CANAMAN (CAM SUR), INC.

Canaman, Camarines Sur

SHIPBOARD TRAINING OFFICE
Tel#: 4739726 loc 102 Cell#: (G) +639053928686/ (S) +639105201421
Email: marinerscssto@gmail.com/stobarasmpcf68@yahoo.com

DEBRIEFING FORM
(To be filled-up by the student/cadet after disembarkation and upon submission of
documents for bachelor’s degree)

Date
Name: _____________________________________________________________________
Course:____________________________________________________________________
Year completed academic Requirement: _______________________________________
Name of Company: __________________________________________________________
Name of Vessel:_____________________________________________________________
Position: ____________________________________________________________________
Date of Embarkation: _________________________________________________________
Date of Disembarkation: _______________________________________________________
Cellphone No. /Landline No.:___________________________________________________

Please answer the following questions honestly and briefly:

1. What can you say about the vessel? It is conductive for on board training?

2. What things have you learned during the onboard training?

3. What problems have you encountered during the conduct of the Shipboard training?

4. What qualities related to work do you think you have acquired during the Shipboard
training?

STO FORM 018

 MARINERS’ POLYTECHNIC COLLEGES FOUNDATION OF CANAMAN (CAM SUR), INC.
Canaman, Camarines Sur
SHIPBOARD TRAINING OFFICE
Tel#: 4739726 loc 102 Cell#: (G) +639053928686/ (S) +639105201421
Email: marinerscssto@gmail.com/stobarasmpcf68@yahoo.com

5. What is your comments/suggestions/recommendation about the shipboard training

for future improvement?

6. Your over-all evaluation of your Shipboard Training?

7. Do you intend to take the MARINA Board Exam for OIC immediately after graduation /
or conferment of Bachelor’s Degree?
a. Yes ___________, Why? _________________________________________________
_______________________________________________________________________
What is the name & address of review center? _____________________________
b. If No, State the reason why? _____________________________________________
_______________________________________________________________________
8. Would you like to be assisted by the school in connection w/ your preparation for the
MARINA Exam?
a. Yes ____________, in what way? __________________________________________
_______________________________________________________________________
b. No _____________, Why? ________________________________________________
_______________________________________________________________________
9. If cannot make it in the MARINA Board Exam for the first time, the school is willing to
provide assistance should you decide to retake immediately. Are you willing to avail of
the school’s service?
a. Yes _________.
b. No __________.

Trainee
(Signature over Printed Name)
Interviewed by:
3/E RICARDO C. VARGAS
Shipboard Training Officer

STO FORM 018