Apply for Port Access

👤 Personal Information

First Name *

Middle Name

Last Name *

Alias / Other Name If you have an alias or have used another name, enter it here — it assists with background checks.

Religion / Faith

Date of Birth *

Gender

Nationality *

Place of Birth

📞 Contact Information

💡 Your Email Address below will be your login to this system. Type it carefully and confirm it in both fields — pasting is disabled to prevent typos.

Email Address *

Confirm Email Address *

Phone Number *

Address Line 1 *

Address Line 2

City / Town *

Parish / State

Postal Code

Previous Address If you have lived at another address recently, enter it here — it assists with background checks.

💼 Employment Details

Current Position

Department

Current Employer / Company Name

Current Employer Address

Previous Employment

List previous jobs with their addresses and your reason for leaving. Click "+ Add another previous job" for more rows. This assists with background checks.

🎓 Education

List the schools and colleges you attended, the period of attendance, and any certification or qualification you received.

🆘 Emergency Contact

Contact Name

Phone Number

Relationship

🪪 Identity Documents

Please upload two forms of valid government-issued photo identification. Accepted formats: JPG, PNG, PDF (max 10MB each).

ID Document 1 Type *

Upload ID Document 1 *

📎

Click to upload or drag and drop
JPG, PNG or PDF — Max 10MB

ID Document 2 Type *

Upload ID Document 2 *

📎

Click to upload or drag and drop
JPG, PNG or PDF — Max 10MB

💡 Many police clearance certificates have important details (issuing officer's signature, stamps, or notes) on the BACK of the page. Please upload both the front AND the back if your certificate is two-sided.

Police Clearance — FRONT *

📎

Click to upload the FRONT side
JPG, PNG or PDF — Max 10MB

Police Clearance — BACK (if two-sided)

📎

Click to upload the BACK side
Optional — only if your certificate has info on the reverse

I declare that the information provided above is true and correct, and hereby grant SCASPA my consent to conduct further background checks. I also understand that failing to do so shall result in the rejection of my application.