FORM No.23 [ See Rule 41(1) ]
Application for grant of Certificate of competency as Serang cum Driver in an Inland Mechanically Propelled Vessel With engine of less than 75 BHP
Category Type*
Select Exam Center*
Existing certificate No.* Date of Certificate*
Applicant Name*
Father or Mother Name*
permanent Address*
Temporary Address*
Duration of stay at the present address* Email ID*
Qualification* Contact NO*
Date of Birth*
Place of Birth*
Blood Group*
Identification Mark1*
Identification Mark2*
Application Fees
DD Details
DD Number*
DD Date*
Bank Name* Branch Name*
Upload files
Upload your Photo*(jpg or gif files with less than 20 kb file size)  
Upload ID proof details*(jpg or gif files with less than 20 kb file size)  
Uplaod Experience Details(pdf only)  
Uplaod Education Oualification(pdf only)  
Uplaod Existing training certificate(pdf only)