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Student Corner
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Application from for STCW Modular Courses
Course Details
Course Applied For
*
Please Select Course Name
BST Course – Elementary First Aid (EFA)
BST BST Course – Personal Survival Techniques (PST)
BST BST Course –Personal Safety and Social Responsibility (PSSR)
BST BST Course – Fire Prevention and Fire Fighting (FPFF)
SECURITY TRAINING FOR SEAFARERS WITH DESIGNATED SECURITY DUTIES TRAINEES
REF for PERSONAL SURVIVAL TECHNIQUE
REF for FIRE PREVENTION AND FIRE FIGHTING
Basic Training for Oil and Chemical Tanker Cargo Operation (OCTCO
BST Part-B Practical
Course Period
*
First Name
*
Last Name
*
Email
*
Date of Birth
*
Permanent Address
*
Contact Phone Number
*
Educational Qualification
*
Passport Number
Aadhaar Number
*
Professional Details
Rank
CDC Number
INDoS Number
*
Certificate of Competency Grade
Certificate Number
Sea Service
Years
Months
Days
Name of the Shipping Company
Rank
No. of years
Document Upload
Passport
*
10th Marksheet
*
Recent Colour Photograph
*
Signature
*
DGS Approved Doctor Medical Copy
*
Last BST Certificate
*
CDC (if available)
*
BST Part-A Certificate
*
I hereby declare that the information provided above is true to the best of my knowledge. I am aware of the personal safety aspects to be maintained while undergoing training and confirm that I do not suffer from any illness or disability that may hinder the physical exercises required during the course. I agree to maintain strict discipline and adhere to all safety precautions during the training period. Tamil Nadu Maritime Academy or any other organization involved in the training will not be held responsible for any accident or injury sustained during this course
I agree to the declaration terms mentioned above.
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