REQUEST TO JOINING THE NAUTICAL TRAINING CORPS

50th Division - Littlehampton, Training Ship Implacable

Surname ...........................................................

First Names ..........................................................................................................

Date of Birth ............................

Parents / Guardians Name ...........................................................................

Full Address................................................................................

.......................................................................................................

.......................................................................................................

Post Code.......................................................

Telephone Number Home ..............................................

(Parent) Mobile ............................................(please state which parent)

Other Youth Organisations / Memberships ...........................................................

.............................................................................................................................

________________________________________________________________

I hereby agree to my son/daughter to apply to joining the Nautical Training Corps.

Signed ..................................................................... Date ......................................

Parent / Guardian

Once completed please post to :

Nautical Training Corps - Littlehampton Division

72 Wick Farm Road

Wick, Littlehampton

West Sussex, BN17 7HG