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DoS Copy

APPLICATION FOR COC EXAMINATION


Marine Engineer Officer Class 3
Application ID: 1121122006473787
Bangladeshi CDC/ID for Others : C/O/9294

CDC: C/O/9294 Father's Name: MD. KADDUS MIAH Documents Attached


Name: MD. AL MAMUN Birth Place: TANGAIL 1x Photocopy of Eligibility Application (Candidate’s Copy)
Eligibility No: 2021.2.EC3.000023 Present Address: GARASHIN,
Roll No: 2021.12.2.EC3.003 NALLAPARA, DELDUAR, TANGAIL
DoS Registration No: 2021.01.2.000011 Permanent Address:GARASHIN,
Date of Birth: 25-03-1996 NALLAPARA, DELDUAR, TANGAIL
Phone: 01630280925

Name of Courses
Sl Name of Subject
1 Eye Test

Comment:

Eye Test Result :

20-12-2021
Application Date Candidate Signature Chief Examiner (Deck / Engineering)

For Bank Use

Application ID:1121122006473787

Marine Engineer Officer Class 3 Eye Test Fees 500.00


Processing Charge (Service Provider) 10.00
Total Payable: 510.00 Bank Signature & Seal

Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
Bank. Then submit the DoS copy to Counter.
Candidate Copy
APPLICATION FOR COC EXAMINATION
Marine Engineer Officer Class 3
Application ID: 1121122006473787
Bangladeshi CDC/ID for Others : C/O/9294

CDC: C/O/9294 Father's Name: MD. KADDUS MIAH Documents Attached


Name: MD. AL MAMUN Birth Place: TANGAIL 1x Photocopy of Eligibility Application (Candidate’s Copy)
Eligibility No: 2021.2.EC3.000023 Present Address: GARASHIN,
Roll No: 2021.12.2.EC3.003 NALLAPARA, DELDUAR, TANGAIL
DoS Registration No: 2021.01.2.000011 Permanent Address:GARASHIN,
Date of Birth: 25-03-1996 NALLAPARA, DELDUAR, TANGAIL
Phone: 01630280925

Name of Courses
Sl Name of Subject
1 Eye Test

Comment:

Eye Test Result :

20-12-2021
Application Date Candidate Signature Chief Examiner (Deck / Engineering)

For Bank Use

Application ID:1121122006473787

Marine Engineer Officer Class 3 Eye Test Fees 500.00


Processing Charge (Service Provider) 10.00
Total Payable: 510.00 Bank Signature & Seal

Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
Bank. Then submit the DoS copy to Counter.
Bank Copy
APPLICATION FOR COC EXAMINATION
Marine Engineer Officer Class 3
Application ID: 1121122006473787
Bangladeshi CDC/ID for Others : C/O/9294

CDC: C/O/9294 Father's Name: MD. KADDUS MIAH Documents Attached


Name: MD. AL MAMUN Birth Place: TANGAIL 1x Photocopy of Eligibility Application (Candidate’s Copy)
Eligibility No: 2021.2.EC3.000023 Present Address: GARASHIN,
Roll No: 2021.12.2.EC3.003 NALLAPARA, DELDUAR, TANGAIL
DoS Registration No: 2021.01.2.000011 Permanent Address:GARASHIN,
Date of Birth: 25-03-1996 NALLAPARA, DELDUAR, TANGAIL
Phone: 01630280925

Name of Courses
Sl Name of Subject
1 Eye Test

20-12-2021
Application Date Candidate Signature Chief Examiner (Deck / Engineering)

For Bank Use

Application ID:1121122006473787

Marine Engineer Officer Class 3 Eye Test Fees 500.00


Processing Charge (Service Provider) 10.00
Total Payable: 510.00 Bank Signature & Seal

Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
Bank. Then submit the DoS copy to Counter.

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