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new registration
September 30, 2023
new registration
new registration
PLEASE CHOOSE A PACKAGE FOR PPCDL
[select_custom select_custom-675 class:zn_form_input form-control class:form-control--light class:kl-fancy-form-select "280|PPDCL Course only (RSYC Member) - $280" "340|PPDCL Course only (Non-member) - $340" "300|PPDCL Course only (NSF & Students) - $300" "380|PPDCL Course with accommodation (RSYC Members) - $380" "440|PPDCL Course with accommodation (Non-member) - $440" "400|PPDCL Course with accommodation (NSF & Students) - $400"]
PLEASE SELECT THE COURSE DATES FOR PPCDL
10 & 11 November 2018
17 & 18 November 2018
24 & 25 November 2018
PARTICIPANT'S FULL NAME To be printed on the certificate
PARTICIPANT'S GENDER
Male
Female
PARTICIPANT'S NRIC NO. or PASSPORT NO.
COUNTRY OF ISSUE
PARTICIPANT'S DATE OF BIRTH
PARTICIPANT'S CONTACT NO. (MOBILE)
PARTICIPANT'S NATIONALITY
PARTICIPANT'S AGE
PARTICIPANT'S EMAIL ADDRESS
PARTICIPANT'S MAILING ADDRESS
PLEASE CONFIRM By moving forward, you hereby agree that your personal details are correct and to be printed on the certificate. Please ensure details are same as your verification document (i.e NRIC or Passport).
NAME OF GUARDIAN / PARENT (if applicable)
GUARDIAN'S / PARENT'S CONTACT NO. (MOBILE) (if applicable)
GUARDIAN'S / PARENT'S NRIC/PASSPORT NO. (if applicable)
GUARDIAN'S / PARENT'S EMAIL (if applicable)
DO YOU HOLD A VALID POWERED PLEASURE CRAFT DRIVING LICENCE (PPCDL)?
Yes
No
DO YOU PRESENTLY HOLD A VALID SSF SAILING PROFICIENCY CERTIFICATE?
Yes
No
ARE YOU RED/GREEN COLOUR BLIND?
Yes
No
DO YOU CURRENTLY RECEIVE TREATMENT FOR ANY MEDICAL CONDITION?
Yes
No
If Yes, Please Specify
AGREEMENT
1) I declare that I am/my child is physically fit.
2) I declare that I am/my child is able to swim 50 meters with and without life jacket.
3) I declare that by enrolling myself/my child for and participating in Sea Sports Activities Course at the Republic of Singapore Yacht Club (RSYC), I will not hold RSYC, its members, officers and employees liable for any accident, loss, damage, injury suffered by my child or myself during the duration of this course, whether such accident, loss, damage or injury shall occur ashore or afloat.
4) I hereby confirm that myself/my child is participating in this course solely at his/her/my own risk and indemnify the RSYC, it’s members, officers and employees in respect of any claim arising out of this course.
5) I understand that registration will only be confirmed by making full payment fee(s) for the above mentioned course. 6) My registration will be forfeited (with or without prior notice), if full payment is not made 2 weeks prior to course commencement.
Send me a copy
Register for PPDCL
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