EAD NO.

:18-00 REPUBLIC OF THE PHILIPPINES

Initial Issue Date: 09-08-2017 DEPARTMENT OF TRANSPORTATION
Revision Date: 00
MARITIME INDUSTRY AUTHORITY

PRACTICAL ASSESSMENT PERMIT FOR GOC / ROC

PASTE HERE your

SRNumber recent PASSPORT
NAME SIZE colored picture
LAST NAME GIVEN NAME MIDDLE NAME with white
background in
APPLICATION NO. proper uniform,
shoulder board with
ASSESSOR’S FULL NAME current rank
PAC & SIGNATURE shoulder board and
complete name tag.

CATEGORY GOC ROC

NO. OF ASSESSMENT RESULT OF ASSESSMENT

COMPETENCE KUP EXERCISES (PASSED OR FAILED)
DATE
1. Search and rescue radio-
communications, including
Transmit and procedures in the
International Aeronautical 1
receive and Maritime Search and
information Rescue (IAMSAR) Manual.
using GMDSS
subsystems 2. The means to prevent the
C1 transmission of false alerts
and equipment 1
and the procedure to mitigate
and fulfilling the effects of such alerts.
the functional
requirements 3. Ship reporting systems. 1
of GMDSS
4. Radio medical services. 1

1. Abandon ship. 1
Provide radio
C2 services in 2. Fire on board ship. 1
emergencies
3. Partial of full breakdown of
radio installations. 1

GRAND TOTAL 7

PAC Representative / Assessor’s Initials

Candidate’s Initials
IMPORTANT NOTE:
1. Only candidates with official Practical Assessment Permit shall be allowed to enroll / admit by Assessment Centers.
2. Candidate should report to the assigned Practical Assessment Center (PAC) and should conform to the rules and regulations
by the accredited PACs. Kindly present your Practical Assessment Permit and at least 2 valid government issued IDs to
the PAC.
3. The candidate shall be tested in seven (7) scenarios for the practical assessment. The candidate shall
satisfactory pass all scenarios;
4. Each competence shall be demonstrated, assessed and passed, independently.
5. A candidate shall pass all scenarios of the practical assessment within a period of NOT exceeding two
(2) years from the date of his last examination.
6. A resit for the same competence on the same day is NOT allowed
7. Re-sits shall be scheduled and conducted by the PAC every FRIDAY.
8. The full practical assessment is designed to be completed in 35 minutes in one sitting
9. All Practical Assessment Permits SHALL be surrendered to the MARINA-EAD after completing all
competencies for the issuance of Practical Assessment Certificates.

Confirmed by:
Signature (Applicant) Date

Issued by:
Signature over Printed Name Date
(EAD Personnel)