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Directorate General of Shipping1245

This document is an application form for a candidate applying to take the navigation function examination at the Mumbai Mercantile Marine Department (MMD) in order to obtain the certificate of competency as a Second Mate of a Foreign Going Ship. The form provides details of the candidate's application, previous attempts, the scheduled dates and times for the written examination papers, payment details, and a list of original documents required to be presented at the oral examination. At the bottom, the candidate must declare that the information provided is true and correct.

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Dharmendra Shaw
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32 views2 pages

Directorate General of Shipping1245

This document is an application form for a candidate applying to take the navigation function examination at the Mumbai Mercantile Marine Department (MMD) in order to obtain the certificate of competency as a Second Mate of a Foreign Going Ship. The form provides details of the candidate's application, previous attempts, the scheduled dates and times for the written examination papers, payment details, and a list of original documents required to be presented at the oral examination. At the bottom, the candidate must declare that the information provided is true and correct.

Uploaded by

Dharmendra Shaw
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Directorate General of Shipping http://220.156.189.33/esamudraUI/controllerservlet?hidProcessMode=ge...

Welcome DHARMENDRA SHAW (Tuesday 22/03/2022 08:03 PM)


Application for Booking seat (Form15) - Nautical
Note : All fields marked with an ( * ) asterix are mandatory.
Application Details
Application No. : SB/MMD(KO)/2022/22229492 Application Date : 22/03/2022
MMD Applied To* : MMD KOLKATA
Grade* : Second Mate of a Foreign Going Ship
Stream : Deck Rating

Click to View Eligibility Criteria

Function Details
Note : All fields marked with an ( * ) asterix are mandatory.
Previous Attempt Details

Year* : 2022 Month* : APRIL


Attempt No. : 1 Attempt Date : 22/03/2022
Request Status : Application in Process Sight Test Done ? : No

Function Name : Navigation Function Result : Process

Sr No. Papers for written Date From To Result


1. Terrestrial and Coastal Navigation 04/04/2022 10:00 13:00 Process
2. Celestial Navigation 05/04/2022 10:00 13:00 Process
3. Meteorology 07/04/2022 10:00 12:00 Process
4. Bridge Watchkeeping and Emergencies 06/04/2022 10:00 13:00 Process

Payment Details
Note : All fields marked with an ( * ) asterix are mandatory.
Payment Details

Payment Mode* : ePayment


Bank ID* : AXG Reference No.* : WAXG0999854515
Amount ( Rs. ) : 1000 Payment Date* : 22/03/2022

Sr Amount (
Type
No. Rs. )
1. Written-Navigation 1000

Total Amount ( Rs. ) : 1000

Documents
Please bring the following documents in original to MMD for verification at the time of Oral
Examination.

Sr
Documents
No.
1. Graduate Degree
2. Medical Certificte as per PreSea standard
3. PSSR Course Certificate

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Directorate General of Shipping http://220.156.189.33/esamudraUI/controllerservlet?hidProcessMode=ge...

4. Personal Survival Techinique Certificate


5. GMDSS(GOC) Certificate
6. Security Training for Seafarer with Designated Security Duty
7. INDoS Certificate
8. MMD Sight Test pass (12 months validity)
9. Photographs 4 nos. (3.5 X 3.5 cm)
10. Radar Observer Course
11. Automatic Radar Plotting Course
12. Advance Fire Fighting Course Certificate
13. Proficiency in Survival Craft and Rescue Boat Course Certificate
14. Medical First Aid Course Certificate

DECLARATION TO BE MADE BY CANDIDATE :


I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the papers
enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I further declare that
Seagoing service information entered is a true and correct account of my sea-going service without exception and I make this declaration
conscientiously believing the same to be true. The documents in original will be presented to the examiner at the time of taking oral examination or
at an earlier time when asked by the department.
I agree.

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