| MASTER (FG) CHECK LIST | |||
| MERCANTILE MARINE DEPARTMENT, MUMBAI | |||
| DOCUMENTS TO BE SUBMITTED FOR ASSESSMENT OF ELIGIBILITY FOR WRITTEN/ORALS | |||
| NAME:- ______________________________________________ INDoS No_____________________ | |||
| SR. NO. | PARTICULARS | ENCLOSED PHOTOCOPY YES/NO/NA | ORIGINAL VERIFIED BY THE PRINCIPAL YES/NO/NA |
| 1 | Form 29 - Print out of application submitted online using e-Samudra | ||
| 2 | Form 'J' | ||
| 3 | Assessment online payment receipt printout copy | ||
| 4 | CDC relevant pages copies | ||
| 5 | Passport relevant pages copies | ||
| 6 | Chief Mate F.G. COC (issue by DGS) copy | ||
| 7 | Sea service letters from the RPSL/Owner company (Original) | ||
| 8 | Record Bridge WKG duties Certificate issued by Master. | ||
| 9 | Valid Medical certificate and eye sight test report | ||
| 10 | ASM (FG) course completion certificate issued by DGS approved institute | ||
| For Orals Assessment :- | |||
| 11 | Ship Manouvering Simulator (SMS) course copy | ||
| 12 | Electronic chart Display and Information Systems (ECDIES) course copy | ||
| 13 | Ship Security Officer (SSO) course copy | ||
| Note: Originals of the above mentioned documents to be produced at the time of Assessment. | |||
| Candidate's Signature:.__________________________ | |||
