CHECKLIST FOR DANGEROUS CARGO ENDORSEMENT

FOLLOWING DOCUMENTS ARE REQUIRED FOR (MANAGEMENT & OPERATIONAL) ALONG WITH APPLICATION FOR DANGEROUS CARGO ENDORSEMENT. XEROX COPY OF EACH DOCUMENT MUST BE ARRANGED IN THE FOLLOWING SEQUENCE. NAME: _____________________________ RANK : ______________________

(If Name and Place of birth is different in CDC and Passport, Notarized Affidavit to be submitted in original). SR. DESCRIPTION OF DOCUMENT NO. 1 Application Form in original duly filled up & signed 2 Copy of Seafarer Registration Print Out on E-Governance of MMD, Mumbai (Copy attach with application no.) 3 Copy of Certificate of Competency (For Officers) 4 Copy of Oil / Chemical / Liquid Gas Familarisation Course 5 Copy of Specialised Training Programme Oil / Chemcal / Gas Tanker Course. 6 Copy of Advanced Fire Fighting Course (For Officers) / Fire Fighting & Fire Prevention (For Rating) 7 Original Old Level 1 / Level 2 DC Endorsement. 8 3 months experience appropriate to duties on the type of tanker within last 5 years (For Renewal / Level 2 DC ) 9 Copy of Liquid Cargo Handling Course (Oil Operational / Management Level) 10 Original letter issued by the owner of the vessel / Agent in original regarding sea service with RPSL Number & Email Address. 11 Indos Number 12 Copy of CDC (Relevant sea service pages) 13 Copy of Passport (First & last page) 14 Copy of Medical Fitness Certificate (DGS approved) Latest within 6 months 15 Two recent colour photographs passport size. 16 Copy of Challan of Rs. 1000/- for each endorsement 17 Above all documents to be kept in one green envelope size 10 x 14 inches with name, rank, contact no./e-mail, sr. no. of register entry & type of endorsement. YES NO

Please note : 1) Seafarers Registration Compulsory for all Candidates at the time for applying Dangerous Cargo Endorsement. 2) For Endorsement on Oil, Chemical, Gas Tankers, certificate from the Company should mention the name of Oil, Chemical, Gas Cargo carried along with their grade. Signature : ___________________________