Kuwait Maritime Association

I Hereby Apply for Membership to Class of:

Active Membership 30.00 KWD / per year Associate Membership 30.00 KWD / per year Student Membership 1.00 KWD / per year

01 1. Personal Information

Full Name *

Please enter your full name.

Civil ID Number *

Please enter your Civil ID number.

Gender

Nationality *

Please select or type your nationality.

Date & Place of Birth

Job Title

Employer Name

Employer Address

02 2. Contact & Address Details

Email Address *

Please enter a valid email address.

Mobile Number *

Please enter your mobile number.

Office Telephone

Residential Telephone

Residential Address

P.O. Box

Country

Mailing Address

03 3. Academic & Maritime Qualifications

Degree / Qualification	University / Academy	Country	Major	Graduation Year

04 4. Practical Experience & Career History

Position / Rank	Employer / Organization	From	To	Responsibilities / Notes

Summary of Acquired Skills & Experience

05 5. Recommenders (Association Members)

Recommender 1

Recommender 2

06 6. Required Documents & Attachments

Civil ID Copy *

Please attach your Civil ID copy.

Certificate / Qualification Copy *

Please attach your certificate or qualification copy.

Personal Photo

Curriculum Vitae (CV)

Employer Certificate

Student ID / Enrollment Certificate

I declare that all information and attached documents are true and accurate, and I undertake to abide by the statute and bylaws of Kuwait Maritime Association.

You must check the declaration to proceed.

Membership Application Form