FORM 29

(See Rule 72)

GOVERNMENT OF INDIA
MINISTRY OF PORTS, SHIPPING AND WATERWAYS
DIRECTORATE GENERAL OF SHIPPING
Application for Examination and Assessment for certificates under Merchant
Shipping (Standards of Training, Certification and Watch-keeping for Seafarers)

Application No. : AT/MMD(DL)/2025/10017805 Received Date :23/08/2025

A. Grade of Examination : First Mate of a Foreign Going Ship

Place of Examination : MMD DELHI

1. Full Name : BALRAM

(Block letters)

2. Permanent Address : 124108, Jhajjar,Haryana,Haryana

AT/MMD(DL)/2025/10017805
3. Present Address : Vill+Po- Chhaparjhajjar,Jhajjar,124108 Haryana,India

4. Telephone Number : 08059241686

(with STD Code)
5. Nationality : INDIAN
(Proof to be produced)
6. Passport Number : Z6876824
7. Date and Place of Issue : 10/08/2022 At DELHI
8. Continuous Discharge : MUM 250441
Certificate (C.D.C)
Number
9. Date and Place of Issue : 06/07/2015 At MUMBAI
10. Date of Birth : 24/05/1996
(Proof to be produced)
11.Place of Birth : CHHAPAR,HARYANA
12.Personal Identification : A CUT ON LEFT EYEBROW
marks
13. INDos No : 14NL0320
14. Email Id : brdagar00@gmail.com
Note : Any Person who makes, causes to be made or assists in making any false representation for the purpose of obtaining for himself /

B. DETAILS OF SCHOLASTIC EDUCATION :

(Separate sheets must be attached)
1.Scholastic Education Level : 10+2 (HSC/Intermediate/equivalent)
2.Principal Subjects : Mathematics,Physics,Chemistry
3. Year of Passing : 2013
4. School/College/ Board : V P SR SEC SCHOOL BOARD OF SCHOOL EDUCATION HARYANA
5. Address of the Institution : RATTAN THAL(REWARI)

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C. DETAILS OF PRE-SEA TRAINING / MARINE ENGINEERING WORKSHOP :
(Separate sheet must be attached )

1. Training Institute : Maritime Training Institute

2. Address of the Institution : C/o Shipping Corporation of India,52-C, Adi Shankaracharya Marg, Powai ,
,400 072 MTI@SCI.CO.IN,022-5701430,5700338
3. Attended From : 01/08/2013 To 30/06/2014
4. Result : pass
5. Courses Attended : Pre Sea Training for Deck Cadet

D1. DETAILS OF SEA-GOING SERVICE (FOR DECK DEPARTMENT PERSONNEL) :

Port of Trade: Period

Gross
Name of Registry/ NCV/ FG/
Type Tonnage Rank From To Remarks
Ship Official Coastal
Number Months
Days
Watch Keeping
Deck Officer
CONSTANTIOS Oil Tanker 81306 MONROVIA FG 23/12/2024 31/07/2025 7 10
OINW or Third
officer
Watch Keeping
Deck Officer
UOG AEOLOS Oil Tanker 42010 MAJURO FG 24/08/2023 16/03/2024 6 24
OINW or Third
officer
Watch Keeping
Deck Officer

AT/MMD(DL)/2025/10017805
AFRAMAX RIVIERA Oil Tanker 57948 PANAMA FG 29/09/2022 11/04/2023 6 13
OINW or Third
officer
DESH MAHIMA Oil Tanker 64397 MUMBAI FG Junior Officer 09/02/2021 20/10/2021 8 10
Watch Keeping
Offshore Supply Deck Officer
SCI SARASWATI 3616 MUMBAI FG 20/06/2020 03/11/2020 4 14
Vessel OINW or Third
officer
Watch Keeping
Special Category : 1.Trade
Offshore Supply Deck Officer
L.J JOHNSON 1831 MUMBAI NCV 28/11/2019 19/03/2020 3 22 Area - Near Coastal Voyage,
Vessel OINW or Third
officer
Watch Keeping
Offshore Supply Deck Officer
SCI SARASWATI 3616 MUMBAU FG 04/07/2019 04/10/2019 3 2
Vessel OINW or Third
officer
Special Category : 1.Nature
Gas Carrier Cadet(Nautical of watch keeping - Assistant
LPG/C ANNAPURNA 17778 MUMBAI FG 04/11/2016 13/07/2017 8 10
(LPG) Science) Officer of Navigational
Watch,
Special Category : 1.Nature
Cadet(Nautical of watch keeping - Assistant
M.T. DESH PREM Oil Tanker 61978 MUMBAI FG 05/09/2015 03/07/2016 9 29
Science) Officer of Navigational
Watch,

E-1 REPORT ON STRUCTURED ON-BOARD TRAINING :

Phase No Date Of Name of Master Details Of Certificate Of Competancy

SSTPOC 13/07/2017 Maritime training institute 20186

E-2 REPORT OF DESIGNATED COMPANY TRAINING OFFICER :

Signature :

Name : Certificate No. :

E-3 REPORT OF HEAD OF ASSESSMENT CENTRE :

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 Signature :

Name : Official Stamp :

F. REPORT OF ASSESSMENT CENTRE :

POST-SEA APPROVED EDUCATION AND TRAINING AT APPROVED INSTITUTION LEVEL
2M(Operational)/1M&M(Management)

Function /Part Institution From To Remarks

PHASE2 SEI Educational Trust Faridabad 15-APR-2024 14-JUL-2024

Applied Research International 16-OCT-2017 14-FEB-2018

School of Higher Academic And Professional Education

PHASE1 15-MAR-2022 14-JUN-2022
(SHAPE)

F-2 REMARKS OF HEAD OF ASSESSMENT CENTRE :

ELIGIBILTY FOR OPERATIONAL/MANAGEMENT LEVEL(Phase I & II)

ELIGIBILITY FOR WRITTEN FUNCTION I/II/III/ASM
ELIGIBILTY FOR ORALS FUNCTION I/II/III/ASM

AT/MMD(DL)/2025/10017805
* Online application may be provisionally approved subject to verification of Originals during Orals

Signature :

Name : Official Stamp :

G. PARTICULARS OF STCW CONVENTIONS MODULAR COURSES (POST-SEA) :

STCW Reg. / Period

Sr. Validity
Courses STCW Code Cert. No. Approved Institution
No.
No From To

1 General Operator`s Certificate for GMDSS MUM/R/6763 Maritime Training Institute 05-MAR-2018 17-MAR-2018

2 Medical First Aid A-VI/4-1 0121440012017 TS Rahaman 04-OCT-2017 07-OCT-2017

Electronic Chart Display and Information

3 0510390052017 TS Rahaman 25-SEP-2017 29-SEP-2017
Systems

4 Automatic Radar Plotting Aids A-II/1 0210330062017 TS Rahaman 18-SEP-2017 22-SEP-2017

5 Radar Observer Simulator A-II/1 0200330062017 TS Rahaman 04-SEP-2017 15-SEP-2017

Proficiency In Survival Craft and Rescue

6 A-VI/2-1 0051370062017 TS Rahaman 28-AUG-2017 01-SEP-2017
Boats

7 Advanced Training in Fire Fighting A-VI/3 0021320152017 TS Rahaman 21-AUG-2017 26-AUG-2017

Augmentation of FPFF (Practical Tanker Fire AIIMT/MUM/AUG/B17/3 Asha International Institute of

8 22-OCT-2016 22-OCT-2016 21-OCT-2021
Fighting) 78 Marine Technology

9 Refresher Training for Proficiency in FPFF 14104016989265 Marine Medical Clinic 19-OCT-2016 19-OCT-2016 18-OCT-2021

BPMA/PST-
10 Refresher Training for Proficiency in PST BP Marine Academy 18-OCT-2016 18-OCT-2016 17-OCT-2021
RF/3089/2016

Crowd Management, Passenger Safety and

11 14183002034635 Maritime Training Institute 21-JUL-2014 23-JUL-2014
Safety Training

Security Trng. for Seafarer with Designated

12 14189000771443 Maritime Training Institute 16-JUL-2014 17-JUL-2014
Security Duties

Familiarization Training Programme For LNG

13 14123001023175 Maritime Training Institute 10-JUL-2014 15-JUL-2014
Tanker Operation

14 Tanker Familiarization- Chemical 14122001283274 Maritime Training Institute 04-JUL-2014 09-JUL-2014

Generated on : 23/08/2025 1.12 PM Page 3 of 11

 15 Tanker Familiarization- Oil 14121003800227 Maritime Training Institute 28-JUN-2014 03-JUL-2014

16 Fire Prevention & Fire Fighting A-VI/1-2 14104016989265 Maritime Training Institute 27-JAN-2014 29-JAN-2014

17 Personal Survival Techniques A-VI/1-1 14102008401604 Maritime Training Institute 23-JAN-2014 25-JAN-2014

18 Personal Safety & Social Responsibilities A-VI/1-4 14101004108365 Maritime Training Institute 20-JAN-2014 22-JAN-2014

19 Elementary First Aid A-VI/1-3 14103004679156 Maritime Training Institute 16-JAN-2014 17-JAN-2014

H. PREVIOUS CERTIFICATE ( Issued in India or elsewhere, If none state so) :

If any time suspended or cancelled, state
Place & date of Examination
Number Certificate
Class /Grade
Details Examination Issue Date
Court of Authority
Date Cause
Second Mate of a Foreign Going
1 IF40270
Ship
MUMBAI 01-JAN-2019

I. DECLARATION TO BE MADE BY THE CANDIDATE :

I hereby declare that the particulars contained in the form are correct and true to the best of my knowledge and belief
and that the papers enumerated and sent with this form are true and genuine documents given and signed by the person
whose name appears on them. I further declare that Section D contains a true and correct account of my sea-going service
without exception and I make this declaration conscientiously believing the

BALRAM The above declaration was signed in my presence.

AT/MMD(DL)/2025/10017805
Signature of the candidate Examiner of Masters and Mates
Mercantile Marine Department.........................District

J. REQUEST FOR ALLOTMENT OF SEATS FOR EXAMINATION :

K 1. Sight Test :Date of Examination : _________________Result _____________Signature of Examiner

K 2. RESULT OF EXAMINATION :( for official purpose only) :

Name of Examiner
No. Written Papers Orals Signal
of O : Oral , W :Written
Atte Month Grade
mpts CARGO/ CARGO/
NAV1 NAV2 NAV3 NAV4 SOF1 SOF2 NAV SOF
ASM ASM

SECOND
SEP-2018 PASS
MATE

Note :
Second Mate (FG) / NWKO-NCV : NAV 1: Terrestrial and coastal Navigation, NAV 2: Celestial Navigation, NAV 3: Meteorology, NAV 4: Bridge Watch Keeping and Emergencies.

First Mate (FG / NCV ): Phase I: NAV 1:Terrestrial and coastal Navigation. NAV 2: Meteorology, SOF 1: Ship Safety, Damage Control and Management of Personnel, SOF 2: Naval
Architecture Paper I.

First Mate (FG / NCV ) Phase II: NAV 1: Navigation AIds Including compasses, NAV 2: Bridge Watch Keeping . Ship Handling and Emergencies , NAV 3: Engineering Knowledge ,
Instruments and Control Systems , SOF 1: Naval Architecture Paper II, SOF 2: Marine Legislatoin .

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L. REPORT OF EXAMINATION CENTRE
1. I hereby certify that Balram has satisfactory produced testimonials and proof of sea-going service/watch keeping
service/approved workshop training as required for the grade.

2. The candidate complies with the examination of the Merchant Shipping Standards (Standards of Training
Certification and Watch-keeping for Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

3. The candidate has passed his examinations for the functions as under :

Function
Phase Level
Written Written Examiner Oral Oral Examiner

M. FOR THE CHIEF EXAMINER OF MASTERS AND MASTES

1. I hereby certify that Balram born at Chhapar,Haryana on 24.05.1996 has satisfactory produced his testimonials and
proof of Sea-going Service/Watch Keeping Service.

2. The candidate complies with the Merchant Shipping (Standards of Training Certification and Watch-keeping for
Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

AT/MMD(DL)/2025/10017805
3. The candidate has passed the examination of the functions as under :

Phase Level Function Sign. of Examiner with Remarks

Written Oral

The candidate meets the requirements be eligible to be issued the Certificate of Competency as ...............................................
provisional certificate issued No.................................................................... on....................................................................

Examiner of Masters and Mates

Mercantile Marine Department

N. FINAL ASSESSMENT PRIOR CERTIFICATION

Medical Fitness

Pre-Sea Training
Structured on Board Training

Sea-Service Requirement

Written Examination (Assessment)

Oral Assessment

Modular Courses

Eligibility

Certificate for Competency First Mate of a Foreign Going Ship as recommended by Mercantile Marine Department may be issued.

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 Assessor at Directorate General of Shipping for Masters and Mates.

Remarks_____________________________________________________________________

Chief Examiner
(Masters and Mates)

A. Grade of Examination : First Mate of a Foreign Going Ship

Place of Examination : MMD DELHI

1. Full Name : BALRAM

(Block letters)

2. Permanent Address : 124108, Jhajjar,Haryana,Haryana

3. Present Address : Vill+Po- Chhaparjhajjar,Jhajjar,124108 Haryana,India

4. Telephone Number : 08059241686

(with STD Code)
5. Nationality : INDIAN
(Proof to be produced)
6. Passport Number : Z6876824

AT/MMD(DL)/2025/10017805
7. Date and Place of Issue
8. Continuous Discharge
Certificate (C.D.C)
: 10/08/2022 At DELHI
: MUM 250441
Number
9. Date and Place of Issue : 06/07/2015 At MUMBAI
10. Date of Birth : 24/05/1996
(Proof to be produced)
11.Place of Birth : CHHAPAR,HARYANA
12.Personal Identification : A CUT ON LEFT EYEBROW
marks
13. INDos No : 14NL0320
14. Email Id : brdagar00@gmail.com
Note : Any Person who makes, causes to be made or assists in making any false representation for the purpose of obtaining for himself /

B. DETAILS OF SCHOLASTIC EDUCATION :

(Separate sheets must be attached)
1.Scholastic Education Level : 10+2 (HSC/Intermediate/equivalent)
2.Principal Subjects : Mathematics,Physics,Chemistry
3. Year of Passing : 2013
4. School/College/ Board : V P SR SEC SCHOOL BOARD OF SCHOOL EDUCATION HARYANA
5. Address of the Institution : RATTAN THAL(REWARI)
C. DETAILS OF PRE-SEA TRAINING / MARINE ENGINEERING WORKSHOP :
(Separate sheet must be attached )

1. Training Institute
2. Address of the Institution

3. Attended From
4. Result

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 : Maritime Training Institute
: C/o Shipping Corporation of India,52-C, Adi Shankaracharya Marg, Powai ,
,400 072 MTI@SCI.CO.IN,022-5701430,5700338
: 01/08/2013 To 30/06/2014
: pass
5. Courses Attended : Pre Sea Training for Deck Cadet

D1. DETAILS OF SEA-GOING SERVICE (FOR DECK DEPARTMENT PERSONNEL) :

Port of Trade: Period

Gross
Name of Registry/ NCV/ FG/
Type Tonnage Rank From To Remarks
Ship Official Coastal
Number Months
Days
Watch Keeping
Deck Officer
CONSTANTIOS Oil Tanker 81306 MONROVIA FG 23/12/2024 31/07/2025 7 10
OINW or Third
officer
Watch Keeping
Deck Officer
UOG AEOLOS Oil Tanker 42010 MAJURO FG 24/08/2023 16/03/2024 6 24
OINW or Third
officer
Watch Keeping
Deck Officer
AFRAMAX RIVIERA Oil Tanker 57948 PANAMA FG 29/09/2022 11/04/2023 6 13
OINW or Third
officer
DESH MAHIMA Oil Tanker 64397 MUMBAI FG Junior Officer 09/02/2021 20/10/2021 8 10

AT/MMD(DL)/2025/10017805
SCI SARASWATI
Offshore Supply
Vessel
3616 MUMBAI FG
Watch Keeping
Deck Officer
OINW or Third
officer
20/06/2020 03/11/2020 4 14

Watch Keeping
Special Category : 1.Trade
Offshore Supply Deck Officer
L.J JOHNSON 1831 MUMBAI NCV 28/11/2019 19/03/2020 3 22 Area - Near Coastal Voyage,
Vessel OINW or Third
officer
Watch Keeping
Offshore Supply Deck Officer
SCI SARASWATI 3616 MUMBAU FG 04/07/2019 04/10/2019 3 2
Vessel OINW or Third
officer
Special Category : 1.Nature
Gas Carrier Cadet(Nautical of watch keeping - Assistant
LPG/C ANNAPURNA 17778 MUMBAI FG 04/11/2016 13/07/2017 8 10
(LPG) Science) Officer of Navigational
Watch,
Special Category : 1.Nature
Cadet(Nautical of watch keeping - Assistant
M.T. DESH PREM Oil Tanker 61978 MUMBAI FG 05/09/2015 03/07/2016 9 29
Science) Officer of Navigational
Watch,

E-1 REPORT ON STRUCTURED ON-BOARD TRAINING :

Phase No Date Of Name of Master Details Of Certificate Of Competancy

SSTPOC 13/07/2017 Maritime training institute 20186

E-2 REPORT OF DESIGNATED COMPANY TRAINING OFFICER :

Signature :

Name : Certificate No. :

E-3 REPORT OF HEAD OF ASSESSMENT CENTRE :

Signature :

Name : Official Stamp :

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F. REPORT OF ASSESSMENT CENTRE :
POST-SEA APPROVED EDUCATION AND TRAINING AT APPROVED INSTITUTION LEVEL
2M(Operational)/1M&M(Management)

Function /Part Institution From To Remarks

PHASE2 SEI Educational Trust Faridabad 15-APR-2024 14-JUL-2024

Applied Research International 16-OCT-2017 14-FEB-2018

School of Higher Academic And Professional Education

PHASE1 15-MAR-2022 14-JUN-2022
(SHAPE)

F-2 REMARKS OF HEAD OF ASSESSMENT CENTRE :

ELIGIBILTY FOR OPERATIONAL/MANAGEMENT LEVEL(Phase I & II)

ELIGIBILITY FOR WRITTEN FUNCTION I/II/III/ASM
ELIGIBILTY FOR ORALS FUNCTION I/II/III/ASM

AT/MMD(DL)/2025/10017805
* Online application may be provisionally approved subject to verification of Originals during Orals

Signature :

Name : Official Stamp :

G. PARTICULARS OF STCW CONVENTIONS MODULAR COURSES (POST-SEA) :

STCW Reg. / Period

Sr. Validity
Courses STCW Code Cert. No. Approved Institution
No.
No From To

1 General Operator`s Certificate for GMDSS MUM/R/6763 Maritime Training Institute 05-MAR-2018 17-MAR-2018

2 Medical First Aid A-VI/4-1 0121440012017 TS Rahaman 04-OCT-2017 07-OCT-2017

Electronic Chart Display and Information

3 0510390052017 TS Rahaman 25-SEP-2017 29-SEP-2017
Systems

4 Automatic Radar Plotting Aids A-II/1 0210330062017 TS Rahaman 18-SEP-2017 22-SEP-2017

5 Radar Observer Simulator A-II/1 0200330062017 TS Rahaman 04-SEP-2017 15-SEP-2017

Proficiency In Survival Craft and Rescue

6 A-VI/2-1 0051370062017 TS Rahaman 28-AUG-2017 01-SEP-2017
Boats

7 Advanced Training in Fire Fighting A-VI/3 0021320152017 TS Rahaman 21-AUG-2017 26-AUG-2017

Augmentation of FPFF (Practical Tanker Fire AIIMT/MUM/AUG/B17/3 Asha International Institute of

8 22-OCT-2016 22-OCT-2016 21-OCT-2021
Fighting) 78 Marine Technology

9 Refresher Training for Proficiency in FPFF 14104016989265 Marine Medical Clinic 19-OCT-2016 19-OCT-2016 18-OCT-2021

BPMA/PST-
10 Refresher Training for Proficiency in PST BP Marine Academy 18-OCT-2016 18-OCT-2016 17-OCT-2021
RF/3089/2016

Crowd Management, Passenger Safety and

11 14183002034635 Maritime Training Institute 21-JUL-2014 23-JUL-2014
Safety Training

Security Trng. for Seafarer with Designated

12 14189000771443 Maritime Training Institute 16-JUL-2014 17-JUL-2014
Security Duties

Familiarization Training Programme For LNG

13 14123001023175 Maritime Training Institute 10-JUL-2014 15-JUL-2014
Tanker Operation

14 Tanker Familiarization- Chemical 14122001283274 Maritime Training Institute 04-JUL-2014 09-JUL-2014

Generated on : 23/08/2025 1.12 PM Page 8 of 11

 15 Tanker Familiarization- Oil 14121003800227 Maritime Training Institute 28-JUN-2014 03-JUL-2014

16 Fire Prevention & Fire Fighting A-VI/1-2 14104016989265 Maritime Training Institute 27-JAN-2014 29-JAN-2014

17 Personal Survival Techniques A-VI/1-1 14102008401604 Maritime Training Institute 23-JAN-2014 25-JAN-2014

18 Personal Safety & Social Responsibilities A-VI/1-4 14101004108365 Maritime Training Institute 20-JAN-2014 22-JAN-2014

19 Elementary First Aid A-VI/1-3 14103004679156 Maritime Training Institute 16-JAN-2014 17-JAN-2014

H. PREVIOUS CERTIFICATE ( Issued in India or elsewhere, If none state so) :

If any time suspended or cancelled, state
Place & date of Examination
Number Certificate
Class /Grade
Details Examination Issue Date
Court of Authority
Date Cause
Second Mate of a Foreign Going
1 IF40270
Ship
MUMBAI 01-JAN-2019

I. DECLARATION TO BE MADE BY THE CANDIDATE :

I hereby declare that the particulars contained in the form are correct and true to the best of my knowledge and belief
and that the papers enumerated and sent with this form are true and genuine documents given and signed by the person
whose name appears on them. I further declare that Section D contains a true and correct account of my sea-going service
without exception and I make this declaration conscientiously believing the

The above declaration was signed in my presence.

AT/MMD(DL)/2025/10017805
Signature of the candidate Examiner of Masters and Mates
Mercantile Marine Department.........................District

J. REQUEST FOR ALLOTMENT OF SEATS FOR EXAMINATION :

K 1. Sight Test :Date of Examination : _________________Result _____________Signature of Examiner

K 2. RESULT OF EXAMINATION :( for official purpose only) :

Name of Examiner
No. Written Papers Orals Signal
of O : Oral , W :Written
Atte Month Grade
mpts CARGO/ CARGO/
NAV1 NAV2 NAV3 NAV4 SOF1 SOF2 NAV SOF
ASM ASM

SECOND
SEP-2018 PASS
MATE

Note :
Second Mate (FG) / NWKO-NCV : NAV 1: Terrestrial and coastal Navigation, NAV 2: Celestial Navigation, NAV 3: Meteorology, NAV 4: Bridge Watch Keeping and Emergencies.

First Mate (FG / NCV ): Phase I: NAV 1:Terrestrial and coastal Navigation. NAV 2: Meteorology, SOF 1: Ship Safety, Damage Control and Management of Personnel, SOF 2: Naval
Architecture Paper I.

First Mate (FG / NCV ) Phase II: NAV 1: Navigation AIds Including compasses, NAV 2: Bridge Watch Keeping . Ship Handling and Emergencies , NAV 3: Engineering Knowledge ,
Instruments and Control Systems , SOF 1: Naval Architecture Paper II, SOF 2: Marine Legislatoin .

Generated on : 23/08/2025 1.12 PM Page 9 of 11

L. REPORT OF EXAMINATION CENTRE
1. I hereby certify that Balram has satisfactory produced testimonials and proof of sea-going service/watch keeping
service/approved workshop training as required for the grade.

2. The candidate complies with the examination of the Merchant Shipping Standards (Standards of Training
Certification and Watch-keeping for Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

3. The candidate has passed his examinations for the functions as under :

Function
Phase Level
Written Written Examiner Oral Oral Examiner

M. FOR THE CHIEF EXAMINER OF MASTERS AND MASTES

1. I hereby certify that Balram born at Chhapar,Haryana on 24.05.1996 has satisfactory produced his testimonials and
proof of Sea-going Service/Watch Keeping Service.

2. The candidate complies with the Merchant Shipping (Standards of Training Certification and Watch-keeping for
Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

AT/MMD(DL)/2025/10017805
3. The candidate has passed the examination of the functions as under :

Phase Level Function Sign. of Examiner with Remarks

Written Oral

The candidate meets the requirements be eligible to be issued the Certificate of Competency as ...............................................
provisional certificate issued No.................................................................... on....................................................................

Examiner of Masters and Mates

Mercantile Marine Department

N. FINAL ASSESSMENT PRIOR CERTIFICATION

Medical Fitness

Pre-Sea Training
Structured on Board Training

Sea-Service Requirement

Written Examination (Assessment)

Oral Assessment

Modular Courses

Eligibility

Certificate for Competency First Mate of a Foreign Going Ship as recommended by Mercantile Marine Department may be issued.

Generated on : 23/08/2025 1.12 PM Page 10 of 11

 Assessor at Directorate General of Shipping for Masters and Mates.

Remarks_____________________________________________________________________

Chief Examiner
(Masters and Mates)

AT/MMD(DL)/2025/10017805

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