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Application for Maritime Safety Management-Module 4 (Accident Investigation)
Please find below the list of documents required to get on the first day of the course.
2 passport size photographs,
Copies of Passport, CDC, COC & INDOS No.
Certificates copies like AFF, EFA, TASCO.(Only for DG Approved courses)
Course Schedule
*
From 16-03-2019 To 16-03-2019 Location: Mumbai
From 30-03-2019 To 30-03-2019 Location: Mumbai
From 04-03-2019 To 04-03-2019 Location: Odessa
Last Name
*
First Name
*
Middle Name
Name (To be mentioned as required on the certificate)
*
Date of Birth
*
INDOS No
*
Passport No
*
CDC / Seaman Book No
*
Rank
*
C.O.C held
Nationality
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
Valid Tanker Endorsement
(If booking tanker courses)
Queries / Remarks
Enter code in the field below
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