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Application for
Please find below the list of documents required to get on the first day of the classroom course.
Certificate copies of PST, FPFF, EFA & PSSR (Only for DG Approved Courses)
Course Schedule
*
Currently course is not scheduled.
Last Name
*
First Name
*
Middle Name
Name (To be mentioned as required on the certificate)
*
Date of Birth
*
INDOS No
*
BOM ID
*
Passport No
*
CDC / Seaman Book No
*
Rank
*
C.O.C held
Sign-off Date once full seatime completed
Nationality
Permanent Residence (Town)
*
Courses Done
*
ECDIS
GMDSS
SSO
Contact Details
Phone
(with STD code)
Mobile
*
Email
*
Company Serving with
Mode of Payment
Payment to be made by self
Payment to be made by company
Queries / Remarks
Enter code in the field below
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