Scribd Logo
Upload

Welcome to Scribd!

  • Application ID: 1120031003030711 Bangladeshi CDC/ID For Others: C/O/9339

    Uploaded by

    Al Mamun Shuvo
    20 views3 pages
    1) Abdullah Al Mamun has applied for assessment of eligibility for the Deck Officer Class 3 examination. 2) He has over 1 year of sea time experience aboard two ships and has completed the required preparatory course. 3) He is submitting documents including his CDC, medical certificate, academic and training certificates, and sea service records to support his application.

    Original Description:

    payment_slip

    Original Title

    payment_slip

    Copyright

    © © All Rights Reserved

    Available Formats

    PDF, TXT or read online from Scribd

    Did you find this document useful?

    Is this content inappropriate?

    Report this Document
    1) Abdullah Al Mamun has applied for assessment of eligibility for the Deck Officer Class 3 examination. 2) He has over 1 year of sea time experience aboard two ships and has completed the required preparatory course. 3) He is submitting documents including his CDC, medical certificate, academic and training certificates, and sea service records to support his application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    20 views3 pages

    Application ID: 1120031003030711 Bangladeshi CDC/ID For Others: C/O/9339

    Uploaded by

    Al Mamun Shuvo
    1) Abdullah Al Mamun has applied for assessment of eligibility for the Deck Officer Class 3 examination. 2) He has over 1 year of sea time experience aboard two ships and has completed the required preparatory course. 3) He is submitting documents including his CDC, medical certificate, academic and training certificates, and sea service records to support his application.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Flag for inappropriate content
    Download as pdf or txt
    of 3

    DoS Copy

    APPLICATION FOR ASSESSMENT OF ELIGIBILITY FOR COC


    EXAMINATION
    Deck Officer Class 3
    Application ID: 1120031003030711
    Bangladeshi CDC/ID for Others : C/O/9339

    Name: ABDULLAH AL MAMUN Father's Name: MD. TOFAZZOL Documents Attached


    Date of Birth: 20-11-1996 HOSSAIN 1x Photocopy CDC and NID or Passport
    Phone: 01788686646 Birth Place: KHULNA 1x Photocopy Medical Fitness Certificate
    Present Address: GARULIA, CDC: C/O/9339 1x Photocopy All Academic Certificates
    LAKSHMIPUR, ATAIKULA, PABNA Permanent Address: GARULIA, 1x Photocopy each Preparatory Course, Pre-sea Training Certificate
    LAKSHMIPUR, ATAIKULA, PABNA 1x Photocopy Declaration from employer on sea service experience
    1x Photocopy Record of Sea Service, Watch keeping Certificate
    1x Photocopy Sea service testimonial, Steering Certificate
    1x Photocopy Workshop certificate, Training Record Book
    1x Photo Stamp size

    Preparatory Course
    Sl Course Name
    1 PREPARATORY COURSE FOR NAVIGATIONAL WATCH KEEPING OFFICER ON SHIPS OF 500 GROSS TONNAGE OR MORE

    Sea Time Records


    Sl Ship Name GT/KW Date From Date To Voyage area Duration
    1 M.V. NENG YUAN 43491 GRT 2018-09-23 2019-10-08 FGN Month :12, Days :15
    2 M.V. PEACE GRACE 6454 GRT 2017-04-22 2018-04-20 FGN Month :11, Days :28

    DoS Comment: Result:

    10-03-2020
    Application Date Candidate Signature Examiner Signature

    Bank Use Only


    Application ID:1120031003030711

    Deck Officer Class 3 Eligibility Fees 1,000.00


    DoS Registration Fee 200.00
    Processing Charge (Service Provider) 24.00
    Total Payable: 1,224.00 Bank Signature & Seal

    Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
    Bank. Then appear for examination. After examination submit the DoS copy to Counter.
    Candidate Copy
    APPLICATION FOR ASSESSMENT OF ELIGIBILITY FOR COC
    EXAMINATION
    Deck Officer Class 3
    Application ID: 1120031003030711
    Bangladeshi CDC/ID for Others : C/O/9339

    Name: ABDULLAH AL MAMUN Father's Name: MD. TOFAZZOL Documents Attached


    Date of Birth: 20-11-1996 HOSSAIN 1x Photocopy CDC and NID or Passport
    Phone: 01788686646 Birth Place: KHULNA 1x Photocopy Medical Fitness Certificate
    Present Address: GARULIA, CDC: C/O/9339 1x Photocopy All Academic Certificates
    LAKSHMIPUR, ATAIKULA, PABNA Permanent Address: GARULIA, 1x Photocopy each Preparatory Course, Pre-sea Training Certificate
    LAKSHMIPUR, ATAIKULA, PABNA 1x Photocopy Declaration from employer on sea service experience
    1x Photocopy Record of Sea Service, Watch keeping Certificate
    1x Photocopy Sea service testimonial, Steering Certificate
    1x Photocopy Workshop certificate, Training Record Book
    1x Photo Stamp size

    Preparatory Course
    Sl Course Name
    1 PREPARATORY COURSE FOR NAVIGATIONAL WATCH KEEPING OFFICER ON SHIPS OF 500 GROSS TONNAGE OR MORE

    Sea Time Records


    Sl Ship Name Reg Power Date From Date To Voyage area Duration
    1 M.V. NENG YUAN 43491 GRT 2018-09-23 2019-10-08 FGN Month :12, Days :15
    2 M.V. PEACE GRACE 6454 GRT 2017-04-22 2018-04-20 FGN Month :11, Days :28

    DoS Comment: Result:

    10-03-2020
    Application Date Candidate Signature Examiner Signature

    Bank Use Only


    Application ID:1120031003030711

    Deck Officer Class 3 Eligibility Fees 1,000.00


    DoS Registration Fee 200.00
    Processing Charge (Service Provider) 24.00
    Total Payable: 1,224.00 Bank Signature & Seal

    Please submit DoS, Bank & Candidate copies to Bank during payment and get these copies signed and sealed by
    Bank. Then appear for examination. After examination submit the DoS copy to Counter.
    Bank Copy
    Deck Officer Class 3
    Application ID: 1120031003030711
    Bangladeshi CDC/ID for Others : C/O/9339

    Name: ABDULLAH AL MAMUN Father's Name: MD. TOFAZZOL Documents Attached


    Date of Birth: 20-11-1996 HOSSAIN 1x Photocopy CDC and NID or Passport
    Phone: 01788686646 Birth Place: KHULNA 1x Photocopy Medical Fitness Certificate
    Present Address: GARULIA, CDC: C/O/9339 1x Photocopy All Academic Certificates
    LAKSHMIPUR, ATAIKULA, PABNA Permanent Address: GARULIA, 1x Photocopy each Preparatory Course, Pre-sea Training Certificate
    LAKSHMIPUR, ATAIKULA, PABNA 1x Photocopy Declaration from employer on sea service experience
    1x Photocopy Record of Sea Service, Watch keeping Certificate
    1x Photocopy Sea service testimonial, Steering Certificate
    1x Photocopy Workshop certificate, Training Record Book
    1x Photo Stamp size

    Preparatory Course
    Sl Course Name
    1 PREPARATORY COURSE FOR NAVIGATIONAL WATCH KEEPING OFFICER ON SHIPS OF 500 GROSS TONNAGE OR MORE

    10-03-2020
    Application Date Candidate Signature Examiner Signature

    Bank Use Only


    Application ID:1120031003030711

    Deck Officer Class 3 Eligibility Fees 1,000.00


    DoS Registration Fee 200.00
    Processing Charge (Service Provider) 24.00
    Total Payable: 1,224.00 Bank Signature & Seal

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

    You might also like