Sis Form 9 - Application For A Certificate Of Competency Page 4

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DOCUMENTS TO ACCOMPANY YOUR APPLICATION (Originals to be provided
)
Certificate
Number
Date
Place of issue
For Official Use
Only
Verified
Condition of
All applicants
NOE
Training Record Book
Educational Certificates
Certificate of Competency
Medical Fitness Certificate
Sea Service Testimonials
Passport
Birth Certificate
Discharge Book
Basic Training
Transcripts of all Results
from College & Degree
1. Personal Survival
Techniques
2. Fire Prevention and
Fire Fighting
3. Elementary First Aid
4. Personal Safety And
Social Responsibilities
Proficiency In Survival
Craft
Medical First Aid At Sea
Advanced Fire Fighting
Refresher Training
Photographs (Signed)
English Language
Proficiency IELTS
Fee
Deck applicants
AB Training Certificate
GMDSS GOC
Medical care on board ship
Navigation, Radar & ARPA
Simulator Training
BRM / HELM
Engineer Applicants
High Voltage Training
1. Operational level
2. Management level
NMCI exemption letter
For Official Use Only:
The Conditions of NOE have been indicated above. Additional conditions are:
Examiner Signature:
Date:
4
Certified copies may be submitted with the application and original documents produced prior to issue of any
certificate.

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