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FORM No-25 [ See Rule 43(1) ]
Application for grant of Certificate of competency as Master/Serang/Engineer/Engine Driver/Lascar
Category Type* Select Exam Center*
Applicant Name*
Father or Mother Name*
Permanent Address*
Temperory Address*
Duration of stay at the present address* Email ID*
District*
Qualification* Contact NO*
Date of Birth*
Experience*
Place of Birth*
Blood Group*
Nationality*
Others
Identification Mark1*
Identification Mark2*
Height(cm)*
Application Fees
DD Details
DD Number*
DD Date*
Bank Name* Branch Name*
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Upload your Photo*  
Upload ID proof details*  
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