Seafarer'S Application Form Page 2
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5Darya Shipmanagement Pvt Ltd.
FORM : PER -1
.
6. LICENCE / CERTIFICATE OF COMPETENCY
Date of
Date of
STCW 95
Grade
Number
Date of Issue
Expiry
Revalidation
YES
NO
INDIAN
OTHERS
7. STCW AND OTHER CERTIFICATES
Issuing Authority/
STCW Courses
Certificate No.
Date of Issue
Date of Expiry
Place of Issue
INSTITUTE
PSSR
EFA/MFA/MEDICARE
(First Aid)
PST/ PSCRB
(Survival)
FP & FF / AFF
(First Fighting)
ROC
ARPA
GMDSS
GMDSS END
REFRESHER & UPDATING
RANSCO / NARAS
S0MS/ NAV CONTROL
W/K CERT. FOR RATINGS
SIMULATOR TRAINING
ENGINE SIMULATOR
BTM
ECDIS
BRM/ ERM / VRM
TANKER COURSES
TASCO / TANKER FAM.
CHEMCO/ CHEM FAM.
GASCO/ GAS FAM.
DCE PETROLEUM
DCE CHEMICAL
DCE GAS
LIQUID CARGO SIM
OTHER COURSES
Safety Officers Cert/ ISPS ( SOC)
SSO
COOKERY COURSE
WELDING 2G,3G,6G
Version No: 01
Dated: 01-Jan-2015
Page 2 of 5
Approved by : CEO
CONTROLLED DOCUMENT
File: Office
Frequency: During Crew Selection
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