Directorate General of Shipping, EAC Branch

Documents to be submitted for Assessment of Eligibility for Writtens/Orals

Name of the MMD: CHENNAI Checklist Rev.3 dtd 01.06.2020

Candidate Name: ___________________________

INDOS No. ________________________ DOB: _______________
Candidate Mobile No. ______________________ Email id: _____________________
Grade: Second Mate (F.G)
Enclosed Original
Sr. photocopy verified by
Particulars
No. YES/ NO / the Principal
NA Yes/No/NA
For Written Assessment
1 Assessment online payment receipt printout copy
Form-29 - Print out of application submitted online using e-Samudra (Colour Photograph
2
size 35mm x 35mm in clear white ground )
Sea service letters from the Indian ship owners / RPSL agencies - addressed to the Principal
3
Officer, MMD (original)
4 Article of agreement copies for service in Indian ships
5 Seafarers Employment Agreement (SEA) in case of service in foreign flag ships copy
6 Master Checker copy of sea service and courses updated by company and institues
7 SSTP completion certificate, in case of DNS candidates
8 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
9
verified during the oral examination)
10 Record of 6 M bridge WKG duties documented in approved record book copies
11 DGS approved Pre-sea course completion certificate copy
12 HSC/XIIth STD/Degree Mark sheet copy
13 Personal Survival Techniques course or Basic Safety Training certificate copy
14 Elementary First Aid course or Basic Safety Training certificate copy
15 Fire Prevention and Fire Fighting course or Basic Safety Training cert copy
16 Personal Safety and Social Responsibility course or Basic Safety Training cert copy
17 CDC relevant pages copies
18 Passport first and last page and relevant pages copy
19 Indos printout copy
Second Mate (FG) 4 months functions course completion certificate with the result of
20
Internal Assessment copy (NA for 3 or 4 year B.Sc NS/NT/BE -Marine candidates)
Additionally for the candidates from the Rating Stream:
21 Letter of eligibility issued by the MMD copy
22 Foundation course pass certificate from Institute or DGS result copy
23 NWKO-NCV Course completion certificate from Institute copy
24 NWKO-NCV pass certificate from Institute or DGS result copy
For Orals Assessment
25 Seat Booking online payment receipt printout copy
26 Radar Observer and ARPA Simulator (ROC-ARPA) course copy
27 Proficiency in survival craft rescue boats courses (PSC-RB) course copy
28 Advanced Fire Fighting (AFF) course copy
29 Medical First Aid (MFA) course copy
30 Electronic Chart Display and Information System (ECDIS) course copy
31 Global Maritime Distress and Safety System (GMDSS) course copy
32 Designated Security Duties (STSDSD) or Ship Security Officer (SSO) course copy
33 Degree certificate for B.Sc NS /MS/NT/BE Marine (Provisional or Final degree) copy
Note: A) Prior to COC application online, candidates need to undergo refresher training in PST & PSCRB, FPFF&AFF if the relevant
course certificates are more than five years old. B)
RUT course for deck officers (5 day) is required for B.Sc/BE degree candidates exempted from 2M course.

Candidate's Signature ____________________

Verified by Dealing Assistant of MMD (Date & Signature):_______________________ Signature of Examiner