FORM NO MSF 4352

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APPLICATION FOR A LETTER OF INITIAL ASSESSMENT LEADING TO THE ISSUE OF A NOTICE OF ELIGIBILITY FOR ENGINEER OFFICERS IN THE MERCHANT NAVY

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1. PERSONAL DETAILS

Title – MR

Sex – MALE

Surname – CHECK YOUR PASSPORT AND PUT THE DETAILS. IF THE SURNAME SECTION IS BLANK ON

YOUR PASSPORT, LEAVE THIS SECTION EMPTY.

Forename – PLEASE ENTER THE GIVEN NAME AS PER YOUR PASSPORT

National Identity Number – PUT YOUR PASSPORT NUMBER

Full Home Address – PLEASE PUT YOUR COMPLETE HOME ADDRESS (WHERE YOU STAY) AND GIVE YOUR TELEPHONE, MOBILE AND EMAIL ADDRESS. IF YOU DO NOT HAVE A LANDLINE NUMBER, LEAVE THE TELEPHONE NUMBER SECTION BLANK, ONLY PUT YOUR MOBILE NUMBER. IT IS IMPORTANT TO PUT YOUR EMAIL ADDRESS SO THAT THE MCA CAN CONTACT YOU IF THEY NEED TO CLARIFY ANY DOUBTS.

Address for return of documents – IF THE COURIER SERVICE IN YOUR HOME ADDRESS LOCALITY IS RELIABLE, LEAVE THIS SECTION BLANK. MCA WILL RETURN YOUR DOCUMENTS BY COURIER. IF YOU ARE NOT SURE ABOUT THE RELIABILITY OF COURIER SERVICE IN YOUR AREA, GIVE THE RETURN ADDRESS OF A BIG CITY FOR E.G. CHENNAI, MUMBAI, DELHI, HYDERABAD, ETC. IF YOU WISH, YOU MAY GIVE OUR MUMBAI ADDRESS AS RETURN ADDRESS I.E. KUNAL ANSHUMAN, 529, MASTERMIND 4, ROYAL PALMS, AAREY COLONY, GOREGAON E, MUMBAI 400 065

2. ROUTE APPLYING THROUGH

Graduate / Undergraduate – Please tick \/

PLEASE PUT YOUR NAME AND DATE OF BIRTH IN THE RIGHT HAND SIDE COLUMN OF THE FIRST PAGE. LEAVE THE SDS NUMBER BLANK. SDS NUMBER IS A REFERENCE NUMBER THAT WILL BE GENERATED BY THE MCA AFTER THEY HAVE RECEIVED YOUR DOCUMENTS AND APPLICATION FORM. SDS NUMBER WILL BE USED LATER FOR ALL FURTHER COMMUNICATION BETWEEN YOU AND THE MCA.

3. SEA SERVICE

STUDENTS FOLLOWING THE GRADUATE / UNDERGRADUATE ROUTE ARE TO LEAVE THIS SECTION BLANK. YOUR LETTER OF INITIAL ASSESSMENT IS BEING ISSUED ON THE BASIS OF YOUR “BE MARINE” OR “BTECH MECHANICAL” DEGREE AND NOT YOUR SEA SERVICE.

4.CHECKLIST

YOU WILL BE APPLYING UNDER THE GRADUATE / UNDERGRADUATE ROUTE. HENCE, ONLY THAT SECTION IS TO BE FILLED UP. OTHER SECTIONS ARE TO BE LEFT BLANK.

4C - GRADUATE / UNDERGRADUATE

Academic achievement certificates - \/

Certified transcript of modules - \/

LEAVE THE OTHER SECTIONS OF 4C – GRADUATE / UNDERGRADUATE EMPTY.

5. DECLARATION

PUT YOUR SIGNATURE WITHIN THE RECTANGULAR BOX PROVIDED ON THE LIA FORM. THE SIGNATURE SHOULD NOT GO OUTSIDE OF THE RECTANGULAR BOX AS THIS SIGNATURE WILL BE EMBOSSED ON YOUR CoC. ENTER THE DATE ON WHICH YOU HAVE SIGNED ON THE FORM.

6.COUNTER SIGNATURE

THE PERSON WHO COUNTERSIGNS THE FORM “CANNOT” BE YOUR FRIEND OR RELATIVE I.E. FATHER, MOTHER, BROTHER, SISTER, UNCLE, AUNT, FRIEND, ETC. ARE NOT ELIGIBLE TO SIGN IN THIS SECTION. YOU CAN TAKE SIGNATURES FROM A CHIEF ENGINEER, SUPERINTENDENT, FLEET OFFICER, DOCTOR, LAWYER, BANK MANAGER, TEACHER, ETC. THE CONCERNED PERSON WILL COMPLETE SECTION 6 AND PUT HIS SIGNATURE AND DATE OF SIGNATURE ON THE LIA FORM. THE CONCERNED PERSON WILL ALSO SIGN BEHIND ONE OF THE PHOTOGRAPHS AS EXPLAINED BELOW.

7. PAYMENT

I enclose the MCA fee of £87

Cheque / Bankers Draft - \/

The demand draft can be made from any bank in favour of “MARITIME AND COASTGUARD AGENCY”. The Demand Draft will be made in £ and not in Indian Rupees. You will give the bank Indian Rupees and the bank will make the Demand Draft in £. If you face any difficulty in making the Demand Draft in £, please contact Mr. PradeepTambe from Cox & Kings, Mumbai at 09819058853. If you or your parents / relatives have a credit card, you can make a payment using credit card also. The card holder will have to put his card details and sign on the LIA form. Please note that debit cards are NOT accepted for overseas students.

Whilst making a demand draft, the bank may ask of a written document where the MCA LIA fees is mentioned. Please take a printout of the MCA LIA fees from the link below:

DOCUMENTS TO SEND FOR LETTER OF INITIAL ASSESSMENT TO THE MCA:

  • Letter of Initial Assessment application form
  • NARIC Letter of Comparability
  • Degree passing certificate
  • Individual semester marksheets / transcripts
  • 2 passport size photographs
  • DD of 87 GBP in favour of “MARITIME AND COASTGUARD AGENCY”

All documents have to be sent in ORIGINALS ONLY to the MCA office. Postal address of MCA is given in the last page of the LIA form. Photocopies will not be accepted.

Photographs size will be 40mm x 50mm. It will be of white background. Behind one photograph, you will write your name in capital letters and your date of birth (see below). Behind the other photograph, you will write your name in capital letters and then write “I CERTIFY THAT THIS IS A TRUE LIKENESS”. Then, on the 2nd photograph (see below), the person who has countersigned in section 6 of the LIA form will also sign below on that photograph.

NAMENAME

I CERTIFY THAT THIS

IS A TRUE LIKENESS

DOBSIGNATURE

You can expect to receive your Letter of Initial Assessment in about 45 days time from the day you have sent your documents to the MCA.

If you have any queries, please call me at 09892725375.