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GOVERNMENT OF INDIA
MINISTRY OF SHIPPING
APPLICATION FORM FOR
CONTINUOUS DISCHARGE CERTIFICATE-CUMSEAFARERS IDENTITY DOCUMENT (CDC)
Reference No: _________________________________
(For Office use)
All the columns are to be filled neatly in Block letters ( Use only A4
size paper for the format and enclosures)
Non-refundable fee Rs. 500/- (Rupees Five Hundred only) for fresh
CDC and Rs.1,000/- (Rupees One Thousand only) for Duplicate/
Replacement of CDCs, to be paid through Demand Draft drawn in favour
of The Shipping Master, * Mumbai/ Kolkata/ Chennai. (concerned
Shipping Master).
Branch:.
District:_________________________________State:________________________________
Pin Code_________________ Phone with STD Code:_________________________________
. * Strike out, whichever is not applicable
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__________________________
_____________________________________________________________________________________
District:______________________________State:____________________________________
Pin Code_____________________________Phone with STD Code:_____________________
13. E-mail address, if any : ___________________________________________________________
14. Name, relationship and address of Next-of-Kin___________________________________
_____________________________________________________________________________________
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20.
22.
(A)
DECK CADETS
Three months Pre-Sea Training Certificate
(a) No:__________________ (b) Date of Issue:___________________________________
(c) Place of Issue:______________( d) Issuing authority:_____________________________
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24.
25.
26.
I. PURSER/SHIPS CLERK
Graduation Certificate:
(a) No:__________________ (b) Date of Issue:_________________________________
(c) Place of Issue:______________(d) Issuing authority:_____________________________
Certificate in Accountancy in case of Graduate other than commerce :
(a) No:__________________ (b) Date of Issue:__________________________________
(c) Place of Issue:______________( d) Issuing authority:_____________________________
Certificate in Computer operation:
(a) No:__________________ (b) Date of Issue:_________________________________
(c) Place of Issue:_____________( d) Issuing authority:_____________________________
II. ELECTRICAL AND ELECTRONIC OFFICER
Diploma or Degree Certificate:
(a) No:__________________ (b) Date of Issue:___________________________________
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PETTY OFFICERS
28.
UTILITY HAND
(COMPASSIONATE GROUND ONLY)
(A)
YES/NO
(B)
YES/NO
(C)
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Sea service experience certificate issued by the Master in the capacity in which he
seeks CDC, for not less than 03 years within the previous 07 years preceding from
the date of this application.
(a) No:__________________ (b) Date of Issue:_______________________________
(c) Place of Issue:_____________( d) Issuing authority:___________________________
30.
ISSUANCE OF CDC TO THE APPLICANTS WHO HAVE WORKED ONBOARD
FOREIGN GOING VESSELS OF ANY FLAG
Seafarers Identity Document issued by Foreign Nation:
(a) No:__________________ (b) Date of Issue:__________________________________
(d)
Details of three years working experience on board foreign-going vessels of any flag
during the period between
1st January, 1982 and 19th June, 2001 as recorded in
Seafarers Identity Document issued by foreign nation and/or on Passport, duly endorsed by
the Master or Owner or Owners authorised Agent:
Sr.
No
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Name of the
Vessel and
Name of Owner
Flag
Rank/
Capacity
From
To
Total period
of service
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31.
(In pursuance of Mumbai High Court order dated 24th April, 1993 in Writ Petition
No. 2932/1991 and order dated 24th January, 1994 in Writ Petition No. 2381/93)
(APPLICATION IS TO BE MADE TO THE SHIPPING MASTER, MUMBAI ONLY)
(A)
(B)
(C)
Sr.
No
Name of the
Vessel and
Name of Owner
32.
Flag
Rank/
Capacity
From
To
Total period
of service
RENEWAL OF CDC
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DECLARATION
1.
I hereby declare that all the statements made in this application are true
and complete to the best of my knowledge and belief and nothing has been
concealed/distorted.
2.
(Applicants for fresh CDCs) *I also affirm and declare that I have not
previously been issued a Continuous Discharge Certificate-cum-Seafarers
Identity Document {CDC} and have not submitted an application for CDC to
any other Shipping Master in India.
(Applicants for Renewal/Duplicate/Replacement CDCs) *I hereby
submit that I am the holder of CDC No..... issued from the
port of.. .
3.
I am aware that, if at any time, I am found to have concealed/distorted
any material information and the Shipping Master has reasons to believe that I
have obtained the CDC by false or erroneous information, my CDC will be
cancelled/suspended forthwith as per the provisions contained in Rule 10 of the
Merchant Shipping (Continuous Discharge Certificate-cum-Seafarers Identity
Document) Rules, 2001.
Place :.
Date :.
List of Enclosures:213836324.doc
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10
1.
2.
3.
4.
5.
6.
7.
8.
9.
10.
* Strike out whichever is not applicable
Note:
1. Pages No. 1 to 3 and Declaration / List of Enclosures (Page No. 10) and Specimen
Signatures (Page No. 12) and are common to all applicants, which are to be completed
and forwarded. Pages No. 4 to 9 are applicable depending on the category of CDC being
applied for and only the concerned pages relevant to the applicant may be filled in and
forwarded.
2. The envelope containing the application should clearly indicate the category of CDC applied
for, on the left top side in block letters.
3. Application for CDC based on experience on board foreign going vessels ( indicated at Sr. No.
th
30) shall be accepted only up to 18 June, 2002.
4. CDCs in respect of Deck, Engine and Saloon ratings shall be made available by the
respective Pre-Sea Rating Training Institutes and their individual applications will not be
entertained by the Shipping Masters directly.
5. All individual applications must be sent in the above format. Applications sent in any other
format are liable to be rejected.
6. Applications can be sent by Registered A/D post to any one of the Shipping Masters, at the
addressed mentioned below:
(A) The Shipping Master, Government Shipping Office, Nau Bhavan, 10, R.K.Marg, Ballard
Estate, Mumbai 400 001. (Phone No.022-2697971/2697972, Fax No.022-2693053,
Email :smmt498@bom3.vsnl.net.in).
(B) The Shipping Master, Government Shipping Office, Marine House, Hastings, Kolkata
700 022 (Phone No. 033-240229, Fax No.033-2420108)
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11
(C) The Shipping Master, Anchor Gate Building, III Floor, Rajaji Salai, Chennai 600 001,
(Phone No. 044 -5229674, Fax No. 044-5268550, Email:swosmchennai@vsnl.net)
7. No application will be accepted in person
8. Instructions to the applicants and General information about CDC (Pages No.13 to 15)
should not be sent along with the application.
9. Issuance of CDC does not guarantee a job, which is the prerogative of the
employers.
SPECIMEN SIGNATURES OF THE APPLICANT
(Signatures are to be confined to each of the boxes)
1
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12
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13
(D ) One self-addressed Post Card with extra Rs.3/- ( Rupees Three Only) postage stamp
affixed
(E) One self addressed envelope (size: 5x12 ) with Rs.50/-(Rupees Fifty Only) postage
stamp affixed to forward the CDC to the applicant by registered post with
acknowledgement.
(F) Account Payee Demand Draft for Rs.500/- ( for fresh CDC) / Rs. 1000/- ( for duplicate/renewal/
replacement CDC) , drawn in favour of respective Shipping Master. Demand Draft should be
kept on top of the application.
N.B.: This form is available free of cost in all Government Shipping Offices/Mercantile Marine
Departments and the same can also be downloaded from www.dgshipping.com/
www.marexbulliten.com/www.sailorbiz.com. The list of DG Shipping approved Medical
Examiners and approved training institutes are also available in all Government Shipping
Offices/Mercantile Marine Departments and the same are also available at
www.dgshipping.com.
Eligibility
for
Certificated
Officers -
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14
Utility Hand
Petty Officers (Carpenter, Chief Steward,
Electrician, Fitter, Machinist, Pump man,
Refrigeration Mechanic, Computer Operator,
Mechanic (Motor Vehicle), Automobile
Engineering, Pipe Fitter, Motor Mechanic,
Diesel
Mechanic,
General
Mechanic,
Maintenance Mechanic, Mechanic( Tool
Engineering), Welder, Electric Arc Welder,
Turner, Boiler Attendant,
Electronic
Mechanic)
Ex-Naval ratings
Non-certificated Officers such as Purser/Ships
clerk,
Electrical officer and Electronic Officer
Age
between 18
and
25
years
Qualification
Xth standard passed
Between 18
VIII standard passed
and
40
years
Between 18
and
40 Xth Std. passed with respective trade certificate from
years of age ITI (National Trade Certificate)(NTC) or National
Apprenticeship Certificate (NAC) or Diploma
Certificates approved by the National Council for
Vocational Training (NCVT) or All India Council for
Technical Education (AICTE). The minimum duration
of the courses from any one of the above institutes shall
be two years.
Upto
45
Not applicable
years
Between 18
A graduate with knowledge of accountancy and
and 40
computer operation.
A Diploma or Degree in respective Branch from a
Government recognized Polytechnic or recognized
University
(4) Successfully completed the pre-sea training for ratings of Deck, Engine and Catering (Saloon) from an
approved training institute as prescribed under sub-clause (b) of clause (ii) of sub-rule (2) of rule 28 of the
Merchant Shipping (Standards of Training, Certification and Watch keeping for Seafarers) Rules, 1998.
CDC in these categories shall be made available by the Pre-Sea Rating Training Institutes
(5)
All applicants should have undergone the four basic familiarization training courses as prescribed
under sub-rule (1) of rule 33 of the Merchant Shipping (Standards of Training, Certification and Watch
keeping for Seafarers ) Rules, 1998
(6) Applicants, who have worked on board foreign going vessels of any flag in any capacity without
CDC issued by Indian authority during the period between 1st January 1982 and 19 th June, 2001, for a
minimum period of not less than 3 years, in the same capacity, subject to production of passport or
foreign CDC/ Seafarers' Identity Document by giving details of the sea service rendered, duly endorsed
by the Master or owner or the owner's authorized agent of the vessel on which the seafarer had served or
the owners authorized agent. No educational qualification & age limit are prescribed for this category.
Issuance of CDC does not guarantee a job which is the prerogative of the employers.
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