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FORM No.29 [ See Rule 45(2) ]
Application for grant of Certificate of Service for Ex-army / Navy / Coast guard personnel as Master / Serang / Engine driver / Lascar
Category Type*
Select Exam Center*
Number of existing certificate* Date of Certificate*
Applicant Name*
Father or Mother Name*
Permanent Address*
Temporary Address*
District*
Duration of stay at the present address Email ID*
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*
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)  
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