Beruflich Dokumente
Kultur Dokumente
Enclosed Original
photocopy verified by
SNO Particulars YES/ NO / the Principal
NA Yes/No/NA
For Written Assessment
1 Assessment online payment receipt printout copy
Form-29 (previously called as Form-15) - Print out of application submitted online
2 using e-Samudra (Colour Photograph in light back ground )
Sea service letters from the Indian ship owners / RPSL agencies - addressed to the
3 Principal Officer, MMD (original)
4 Article of agreement copies for service in Indian ships*
5 Form -3A copy in case of service in foreign flag ships copy*
6 Bridge WKG duties certificate issued by Master copy
7 CDC relevant pages copies
8 Valid Medical certificate and eye sight test report (Copy only)
9 Passport - First and last page copy only.
10 Chief Mate F.G COC (issued by DGS) copy
11 ASM (FG) course completion certificate issued by DGS approved institute(copy)
*Note: If sea service is shown in the Master Checker then AOA and Form 3A will not be required
Enclosed Original
photocopy verified by
SNO Particulars YES/ NO / the Principal
NA Yes/No/NA
For Written Assessment (Phase I)
1 Assessment online payment receipt printout copy
Form-29 (previously called as Form-15) - Print out of application submitted online using e-
2 Samudra (Colour Photograph size: in light blue back ground )
3 Sea service letters from the RPSL/Owner company (original)
4 Article of agreement copies for service in Indian ships*
5 Form -3A copy in case of service in foreign flag ships copy*
6 Valid Medical certificate and eye sight test report (Copy only)
7 Bridge WKG duties certificate issued by Master (copy)
8 CDC relevant pages copies
9 Passport first and last page only copy
10 2nd Mate F.G COC (issued by DGS) copy
11 Phase I course completion certificate issued by DGS approved institute (copy)
13 Form-29 (previously called as Form-15) - Print out of application submitted online using e-
Samudra (Colour Photograph size: in light blue back ground )
14 Sea service letters from the RPSL/Owner company (original)
15 Article of agreement copies for service in Indian ships*
16 Form -3A copy in case of service in foreign flag ships copy*
17 Bridge WKG duties certificate issued by Master (copy)
18 CDC relevant pages copies
19 Passport relevant pages copies
20 Phase II course completion certificate issued by DGS approved institute (copy)
Enclosed Original
photocopy verified by
SNO Particulars YES/ NO / the Principal
NA Yes/No/NA
For Written Assessment
1 Assessment online payment receipt printout copy
Form-29 (previously called as Form-15) - Print out of application submitted online using
2 e-Samudra (Colour Photograph in light back ground )
3 Sea service letters from the Indian ship owners / RPSL agencies - addressed to the
Principal Officer, MMD (original)
4 Article of agreement copies for service in Indian ships
5 Form -3A copy in case of service in foreign flag ships copy
6 SSTP completion certificate, in case of DNS candidates
7 Valid Medical certificate and eye sight test report (Copy only)
Essential pages of Cadets Record Book for DNS and B.Sc candidates. (Original CRB will be
8 verified during the oral examination)
9 Record of 6 M bridge WKG duties documented in approved record book copies
10 DGS approved Pre-sea course completion certificate copy
11 HSC/XIIth STD/Degree Mark sheet copy
12 Personal Survival Techniques course copy
13 Elementary First Aid course copy
14 Fire Prevention and Fire Fighting course copy
15 Personal Safety and Social Responsibility course copy
16 CDC relevant pages copies
17 Passport first and last page and relevant pages copy
18 Indos copy
Second Mate (FG) 4 months functions course completion certificate with the result of
19 Internal Assessment copy (NA for 3 or 4 year B.Sc NS/NT/BE -Marine candidates)