Directorate General of Shipping EAC.

Branch G
CHECK LIST FOR MEO CLASS IV
NAME OF MERCHANTILE MARINE DEPARTMENT
koLkATA
Part AExemption & Part
Following Documents are required to be submitted for MEO Class V
BExamination and assessment Requirements.
Arranged in the following sequence
Photo Copy of Each Document must be Self ÀAttested and
Name of the Candidate: VINEET KUMAR Date: 3o o6 )2023
PART A EXEMPTION & EXÂMINATION.
YES/NO REMARKS
NAME OF DOCUMENTS
S).No.
1 Copy of CDC.(1 & Last Page) and relevant service pages yES
Copy of Passport.(1& Last Page) YES
3 Copy of iNDOS No. Certificate
4Fees-Evidence of, Fees Paid YEs
5 Copy of Education Qualification. As applicable
6 Copy of Pre Sea course
Coy of Valid Medical Fitness Certificate (DCS Approved
-Doctor)
Documents to be shown-please fill in the Certificate NO
1. Original of STCW Course as follows: Certificate No. Name af
Institute

Personal Survival Techniques.or Refresher if

30100l6101 SENSEA MARLILMl
more than 5 years old 20213 AcADEMY
ii) Fire Prevention & Fire Fighting or Refresher if 3o|0016lo| SENSEA
220213 MARE TM
more than 5 years old ACAD EM
iii) Elementary First Aid valid within 5 years 301006)D22o LMU OLEATA
43
iv) PSSR within 5 years or Refresher 30jco I6iol220 LMU koOATA
v) STSDSD |30ooj66242.1DMU KoLAATA

Signature of Verifying DA Approving Authority

Based onabove information the candidate is exempted from PART A/Eligible to appear in part A

PART B EXAMINAION AND A^SESSMENT REQUIREMENTS

D
1 Original Sea Service lettér issued by the
Owner/RPSL address toconcerned PO MMD YES
2 Copy of Sea Service Testimonials. Indicating YES
4 Article/Propelling time es
3 Copy ofArticle of Agreement/Form3A YES
6
ld
4 Copyof CDC including relevant pages of sea service YES
(A)
5 Sighting of Original TAR BOOK. Va
YES
(B) 6 Copy of SeafarersProfile for checking Data
N
(C)
Cana 7 Evidence of Fees Paid
YES

WPIF-7.5-2A-03-MEO CLIV 01 JAN2015 REV 00

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