RECEIPT OF APPLICATION (ROA)

FOR CERTIFICATE OF ENDORSEMENT (COE)

(Under I/10 paragraph 5 of the STCW 1978, as amended)

This is to certify that the Singapore Administration (MPA) has on 18/01/2023 (dd/mm/yyyy) received the COE
application from the following officer for issue of Flag State Endorsement in accordance with Regulation I/10 of the
International Convention on Standards of Training, Certification and Watchkeeping for Seafarers (STCW) 1978, as
amended to serve on Singapore ship WAN HAI 262.

Name: MITRA DIPTAJYOTI

Nationality: INDIAN
Date of Birth: 04 AUGUST 1982

Particulars of the Certificate of Competency (COC/GOC/GMDSS):

Certificate No.: 95X-7867
Issuing Authority: INDIA
Date issued: 04 JULY 2012
Expiry date: 26 JANUARY 2027

This document is issued to allow the above officer to serve on board a Singapore ship for a maximum period of
three months from the date on which the officer signed on the vessel or till 17/04/2023 (dd/mm/yyyy), whichever is
earlier.

Issued in Singapore on 18/01/2023 (dd/mm/yyyy).

Receipt No : ROA-E-0000666/2023

CHEAH AUN AUN

Director of Marine
Maritime and Port Authority of Singapore

Note:
(1) This “Receipt of Application” is a computer-generated notification and is to be considered as the original
document. No signature is required.

(2) The authenticity of this document can be verified on-line through the following URL address:
https://marinet.mpa.gov.sg/sr-vs/ .

(3) This document shall be carried on board to serve as documented proof that an application for COE has been
submitted to MPA.