NOTE: Powerboat Training UK does not accept paper waivers, please submit electronically.

MCA Induction Form

As a MCA recognised centre we are required to validate that you satisfy the entry requirements for this course. This form is used to record that information.

Please enter your legal name as it appears on your passport

First Name

Last Name

Date of Birth

What course are you undertaking?

course

What qualification do you hold?

qualification

Please select the particular course you are undertaking

If ‘Other’ please detail the qualifications that you hold.

qualification - other

Please type the course here if not listed above

What proof of your identity have you provided?

proof of id

Please record the number of the identity document that you have listed

proof of id number

Please provide an approximation of how many days you have spent afloat in the last 5 years.

days afloat

I agree that the information that I have provided in this form is true and an accurate representation of my experience.

Click to Sign

Signature

Electronic Signature Consent

By checking here, you acknowledge you have read and understand the above terms, and are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.