DCER Annexure-II
CHECKLIST FOR ISSUANCE OF DANGEROUS CARGO ENDORSEMENT FOR E/R RATINGS, E/R PETTY OFFICERS & ENGINEER OFFICER TRAINEES – LEVEL 1 – By Facilitation Centres)
FOLLOWING DOCUMENTS ARE REQUIRED ALONG WITH APPLICATION FOR DANGEROUS CARGO ENDORSEMENT
Name : ...... Date : .……......
Date of Birth : ...... Place of Birth : ......
INDOS No. PASSPORT NO. C.D.C.No.
DATE OF ISSUE OF TANKER FAMILIARISATION COURSE.- …………………………….
(If Name and Place of birth is different in CDC and Passport, Notarized affidavit to be submitted in original)
XEROX COPY OF EACH DOCUMENT MUST BE ARRANGED IN THE FOLLOWING SEQUENCE YES NO
1. / APPLICATION FORM IN ORIGINAL DULY FILLED AND SIGNED2. / COPY OF CDC (ALL STAMP & PRINTED PAGES) (SELF ATTESTED-SIGN)
3. / INDOS NUMBER PRINT OUT COPY
4. / CDC CHECKER PRINT OUT COPY (WWW.DGSHIPPING.GOV.IN)
5. / COPY OF PASSPORT (ALL STAMP & PRINTED PAGES) (SELF ATTESTED-SIGN)
6. / COPY OF FIRE PREVENTION AND FIRE FIGHTING COURSE
7. / COPY OF AGUMENTATION OF FIRE PREVENTION AND FIRE FIGHTING COURSE
8. / COPY OF OIL/ CHEMICAL/ GAS TANKER FAMILIARISATION COURSE (WITHIN 5 YEARS FOR FRESH CANDIDATES ONLY)
9. / LETTER ISSUED BY THE OWNER OF THE VESSEL/ AGENT IN ORIGINAL. REGARDING MINIMUM OF 3 MONTHS SUPERVISED SEA SERVICE ON THE TYPE OF TANKER (OIL / CHEMICAL / LIQUID GAS TANKER) WITH RPSL NUMBER AND E-MAIL ADDRESS. (OR) APPROPRIATE REFRESHER TRAINING (FOR RENEWAL ONLY)
10. / ORIGINAL OLD LEVEL 1 D. C. ENDORSEMENT (FOR RENEWAL ONLY)
11. / COPY OF MEDICAL FITNESS CERTIFICATE LATEST (WITHIN 6 MONTHS)
12. / THREE RECENT COLOUR PHOTOGRAPHS, (PASSPORT 40 X 30 MM SIZE)
13. / DD PAYABLE TO “PRINCIPAL OFFICER MMD MUMBAI” OF AMOUNT
RS. 3000/- DD No.
14. / DD PAYABLE TO “THE INSTITUTE OF MARINE ENGINEERS (INDIA)” OF AMOUNT RS. 1517/- FOR SERVICE CHARGE OF FACILITATION CENTRE
DD No.
15 / CONTACT No.
Please Note: For Renewal of Endorsement on Oil, Chemical, Gas Tankers, certificate from the Company should mention the name of Oil, Chemical, Gas Cargo carried along with their grade.
Signature Name of the Applicant