1. PEOPLE DEPARTMENT
Training Request Form - Offshore
PE-09
Document No: HQ/GN02/BPG Rev No: 10 Issue Date: 23/08/2010 Page 1 of 1
If printed, this document is regarded as “uncontrolled”
(For enrolment, please e mail thisform to your Training Administratoronce it has been approved by your Rig Manager)
Student Information – Student please complete ALL information (NO nickname please)
Name: Thomas L Seay Emp. ID#10000099
Home Phone:850-352-2525 Personal Email Address: tomseay1952@yahoo.com
Home City, State/Country: Cottondale,Fl., U.S.A. Nationality:U.S.A.
RigName: Titanium Explorer Job Title: Chief Electrician
Course, School & Hotel Accommodation – STC Please provide as much information as possible
TrainingCourseRequested: Cameron Hybrid Advanced X Matrix Required
CourseDate Requested: Sept. 16 –Sept.20 Date Submitted: Aug 25, 2013
Trainingwill beattended while: On Rig X Off Rig Field BreakStarts:Sept. 9,1013 Ends:Sept.20 13
Nameof School: Cameron Basic Hydraulics ContactPerson:
Address of School: Houston,Tx.
Email Address: Web Address:
Phone: Fax:
Is Air travel / Flights required? X Yes No If yes,Departure Airport:Panama City,FL.
Additional Information:i.e. Visa Yes X No
Hotel Accommodation Required? X Yes No
Check-In Date: Sept. 15,2013 Check-OutDate: Sept. 20,2013
NOTES / Comments /Special Instructions:
Delta Airlines FF #2609611500
Declaration
I, the undersigned employee of Vantage Drilling, am aware that I am being scheduled for the above mentioned course. I
understand that I may be held financially responsible for any cancellation fees in the event I do not show up for the course,
flights and/or hotel. I understand that this financial responsibility is at the Rig Manager’s discretion.
Employee Signature: Date: Aug. 25, 2013
Authorization
DepartmentSupervisor: Signature: Date:
Asst.RigManager: Signature: Date:
RigManager: Signature: Date:
PO No:
______________
Est. Cost (USD):
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