Navigating the complexities of professional certifications, particularly in the maritime sector, can be a daunting task. The DC Endorsement Form, essential for individuals seeking certification for service on tankers, stands as a critical step in this intricate process. Managed by the Facilitation Centre of the CMMI Chennai Chapter, the application encompasses various crucial elements. These include selection among tanker oil, chemical, and liquefied gas categories, each requiring a separate application, and detailed personal information alongside professional qualifications. Additionally, it mandates the submission of specific documents and adherence to instructions for filling out the application accurately. The form also outlines payment details, with precise instructions for demand draft preparation in favor of designated authorities. Applicants must declare the authenticity of their provided information, subject to verification and potential consequences for falsification. This streamlined process, designed to ensure that applicants possess the necessary qualifications and documentation for tanker service endorsement, underscores the rigorous standards set forth in the maritime industry. The DC Endorsement Form serves as a crucial gateway for maritime professionals aiming to validate their expertise and embark on their service on tankers, highlighting the importance of meticulous attention to detail and adherence to procedural protocols.
| Question | Answer |
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| Form Name | Dc Endorsement Form |
| Form Length | 2 pages |
| Fillable? | No |
| Fillable fields | 0 |
| Avg. time to fill out | 30 sec |
| Other names | how to check dc endorsement status, dc renewal procedure, dc form, dc endorsement checklist 2020 |
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Application for issuance of certificate (Endorsement) |
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For Service on Tankers by FCs. |
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The Facilitation Centre. CMMI Chennai Chapter. |
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Applied for Tanker Oil/ Chemical/ Liquefied Gas |
Date of Submission: |
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( Note each category need separate application. Tick only the one type, what you applied for) |
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2 Personal particulars ( Fill capital letters only) |
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a |
NAME in capital |
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b |
Contact Number |
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e. Nationality |
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c |
Date of Birth |
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f. Place of Birth |
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d |
C D C No |
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g. INDos No |
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d |
Passport No |
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3 |
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Modular courses |
Certificate No |
Level |
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Institute |
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done detail |
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Name |
Location |
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Cont No |
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Email add |
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a |
Fire |
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b |
Oil Tanker |
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c |
Chemical |
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Gas |
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4 Record of Service: On type of the tanker for which endorsement is sought. Not applicable for fresher's |
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Vessel Particulars |
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Duration of Service |
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Name |
Port of Reg |
Rank |
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To |
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Total Served |
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5 |
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Declaration: |
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a I hereby declare the that the particulars given in this application are true to the best of my knowledge. |
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b |
I have read the instruction given overleaf |
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c |
I am aware that , if the given information found false, I am liable for punishment under section 182 |
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Date: |
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Place |
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Signature of Applicant |
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Payment detail: Note the DD preferably from Indian Bank or any other nationalized bank only, payable at Chennai. |
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a |
DD drawn in favor of " P O, MMD Chennai for Rs. 1000/- |
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DD No: |
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DD Date |
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Bank detail |
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b |
DD drawn in favor of " The Company of Master Mariners of India, Chennai Chapter" for Rs. 1124/- |
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DD No: |
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DD Date |
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Bank detail |
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…………………………………………………………………………………………………………………………………… |
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7 |
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Payment receipt (Fill up all, except Signature)) |
CMMI Chennai Contact number : |
72008 33279 |
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Your Application number……………………. Dated………………….. |
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Received with thanks from Mr.…………………….. For the application process fees of Oil/ Chemical/ Gas tanker |
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…………… Bank, DD no………………. For Rs.1000 for MMD fees & DD no………………… for Rs. 1124* for CMMI fees. |
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( * Rs. 1000 + 12.36% service tax Rs.124) |
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Date: |
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Sig of CMMI Authorized signatory. |
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Instruction for filling this application |
Page 2 of 2 |
1Name should be written in CAPITAL LETTERS, and the way it should appear in your certificate
2 Your contact mobile number is must
3 Separate application with fees should submitted for Oil /Chemical/Gas
4 All photo copies and the print outs should be self attested with your signature at the bottom.
5 In the back side of the both DD , your name, contact number & CDC number should be written 6 Write your name at the back side of your passport size color photograph.
Attach following document as instructed in the same order. |
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Against each srl number put |
or |
mark |
1Passport size photo - 3 numbers, your name written on back side 2 a DD drawn in favor of " P O, MMD Chennai for Rs. 1000/-
b This DD please be drawn, preferably from Indian Bank or any other nationalized bank
c On the back side of this DD, write your (i) Name, (ii) Contact number (iii) CDC number .
3 a DD in favor of " The Company of Master Mariners of India, Chennai Chapter" for Rs. 1124/- b This DD please be drawn, preferably from Indian Bank or any other nationalized bank
c On the back side of this DD, write your (i) Name, (ii) Contact number (iii) CDC number . 4 Copy of Fire prevention and Fire fighting course, STCW 1995 or 2010, self attested
5 Copy of Oil/ Chemical / Gas Taker familiarization STCW 1995 or 2010, self attested
Note: If the tanker course done on or after 1/1/2012, the DCE will be valid up to 31/12/2016. Other wise the DCE validity date will be 5 years from the completion of tanker course date.
6 e samundra screen shot copy, where your Sea service is recorded. Self attested. 7 CDC Copy, all stamped pages copy, self attested
8 Passport all stamped pages, self attested
9 Print out of Seafarer profile registration on DG Shipping web site.
10Medical fitness certificate, Valid at least 6 months from the date of application, in original
11Additional document required to attach, only incase of Renewal
a Original Old Level 1, DC Endorsement ( In case of renewal)
bOriginal letter issued by Owner of the vessel/agent regarding minimum of 3 months supervised sea service, with RSPL number
(In case of non availability of original letter, than fresh course on tanker familiarization need to be
done)
ce samundra (Form III A) screen shot copy, where your Sea service Sign IN & Sign OFF dates mentioned, with the company seal and signature
Application forms acceptance days:
Monday to Friday - 10 am to 4 pm ( Except National Holidays)
While submitting the application form, please bring all your original documents for verification.
Certificate collection date:
You can collect the certificate in 2 days, provided the verifications reaches us in time. We inform you through phone, once your certificate is ready
Facilitation centre Chennai
Contact mob no: 72008 33279. (Check the status before reporting for collection.)
Email: cmmi.chennaicertificates@gmail.com