FORM 29

(See Rule 72)

GOVERNMENT OF INDIA
MINISTRY OF PORTS, SHIPPING AND WATERWAYS
DIRECTORATE GENERAL OF SHIPPING
Application for Examination and Assessment for certificates under Merchant
Shipping (Standards of Training, Certification and Watch-keeping for Seafarers)

Application No. : AT/MMD(KO)/2025/10013940 Received Date :20/02/2025

A. Grade of Examination : First Mate of a Foreign Going Ship

Place of Examination : MMD KOLKATA

1. Full Name : SURAJ PANDEY

(Block letters)

2. Permanent Address : Hansapur,Pandeybabakadipur,Sultanpur 228132, Sultanpur,Uttar Pradesh,India

AT/MMD(KO)/2025/10013940
3. Present Address : 08, Ramashankarpathak Chal,Kurar Villageappa Pada,Malade-E,Mumbai,400097
Maharashtra,India
4. Telephone Number : 08303922457
(with STD Code)
5. Nationality : INDIAN
(Proof to be produced)
6. Passport Number : W1965247
7. Date and Place of Issue : 17/08/2022 At LUCKNOW
8. Continuous Discharge : MUM 240170
Certificate (C.D.C)
Number
9. Date and Place of Issue : 31/07/2014 At MUMBAI
10. Date of Birth : 02/09/1993
(Proof to be produced)
[Link] of Birth : SULTANPUR
[Link] Identification : MOLE ON LEFT SIDE OF NECK
marks
13. INDos No : 14NL0599
14. Email Id : surajpandey519@[Link]
Note : Any Person who makes, causes to be made or assists in making any false representation for the purpose of obtaining for himself /

B. DETAILS OF SCHOLASTIC EDUCATION :

(Separate sheets must be attached)
[Link] Education Level : 10+2 (HSC/Intermediate/equivalent)
[Link] Subjects : Pcm
3. Year of Passing : 2012
4. School/College/ Board : SARASWATI VIDYA MANDIR INTER COLLEGE UP BOARD
5. Address of the Institution : JHARKHAND KADIPUR SULTANPUR, 228132

Generated on : 20/02/2025 1.39 PM Page 1 of 11

C. DETAILS OF PRE-SEA TRAINING / MARINE ENGINEERING WORKSHOP :
(Separate sheet must be attached )

1. Training Institute : MMTI'S Education & Research Trust,Khopoli

2. Address of the Institution : VILLAGE KALOTE RAYATI, ,TALUKA KHALAPUR,OFF NH-4,

DISTRICT RAIGAD,412202 MMTI53@[Link],9960542003,26731359
3. Attended From : 01/08/2013 To 30/07/2014
4. Result : PASS
5. Courses Attended : Diploma In Nautical Science

D1. DETAILS OF SEA-GOING SERVICE (FOR DECK DEPARTMENT PERSONNEL) :

Port of Trade: Period

Gross
Name of Registry/ NCV/ FG/
Type Tonnage Rank From To Remarks
Ship Official Coastal
Number Months
Days
Watch Keeping
Deck Officer
MT YANGTZE Oil Tanker 62877 LIBREVILLE FG 27/04/2024 23/11/2024 6 27
OINW or Third
officer
Watch Keeping
Deck Officer
MT LEFKADA Oil Tanker 56204 LIBREVILLE FG 12/05/2023 19/11/2023 6 9
OINW or Third
officer
Watch Keeping
HUA HONG TBRN Deck Officer

AT/MMD(KO)/2025/10013940
Oil Tanker 3686 LIBREVILLE FG 19/09/2022 01/05/2023 7 13
KRA OINW or Third
officer
Special Category : [Link]
Gas Carrier Cadet(Nautical of watch keeping - Assistant
GAS LEO 46789 FG 21/12/2017 15/08/2018 7 26
(LPG) Science) Officer of Navigational
Watch,
Special Category : [Link]
of watch keeping - Assistant
MV. IDSHIP BULKER Bulk Carrier 17018 0 FG Deck Cadet 06/01/2017 12/04/2017 3 8
Officer of Navigational
Watch,
Special Category : [Link]
of watch keeping - Assistant
M.V. SINAR BIAK Container Ship 15184 22158 95 E FG Deck Cadet 09/05/2015 20/02/2016 9 13
Officer of Navigational
Watch,

E-1 REPORT ON STRUCTURED ON-BOARD TRAINING :

Phase No Date Of Name of Master Details Of Certificate Of Competancy

SSTPOC 28/09/2018 MMTIs/ VR MERITIME MERT/IMU/204/2018

PVT LTD

E-2 REPORT OF DESIGNATED COMPANY TRAINING OFFICER :

Signature :

Name : Certificate No. :

E-3 REPORT OF HEAD OF ASSESSMENT CENTRE :

Signature :

Name : Official Stamp :

F. REPORT OF ASSESSMENT CENTRE :

Generated on : 20/02/2025 1.39 PM Page 2 of 11

 POST-SEA APPROVED EDUCATION AND TRAINING AT APPROVED INSTITUTION LEVEL
2M(Operational)/1M&M(Management)

Function /Part Institution From To Remarks

Fosma Maritime Institute & Research Organisation (Kol)
17-DEC-2018 13-APR-2019

F-2 REMARKS OF HEAD OF ASSESSMENT CENTRE :

ELIGIBILTY FOR OPERATIONAL/MANAGEMENT LEVEL(Phase I & II)

ELIGIBILITY FOR WRITTEN FUNCTION I/II/III/ASM
ELIGIBILTY FOR ORALS FUNCTION I/II/III/ASM

* Online application may be provisionally approved subject to verification of Originals during Orals

Signature :

Name : Official Stamp :

G. PARTICULARS OF STCW CONVENTIONS MODULAR COURSES (POST-SEA) :

STCW Reg. / Period

AT/MMD(KO)/2025/10013940
Sr. Validity
Courses STCW Code Cert. No. Approved Institution
No.
No From To
Simulator- Liquid Cargo Handling - Oil -
1 3030145114240026 SEI Educational Trust 05-FEB-2024 09-FEB-2024
Management level

HSNA Maritime Education And

2 Refresher Training for Medical First Aid 1030086412230058 27-DEC-2023 27-DEC-2023 27-DEC-2028
Research

Centre for Maritime Education And

3 Ship Security Officer 1010036511230183 19-DEC-2023 21-DEC-2023
Training

Advanced Training for Liquified Gas Tanker

4 20100151222200811 BP Marine Academy 11-APR-2022 21-APR-2022
Cargo Operations

Advanced Training for Oil Tanker Cargo

5 2010015112220132 BP Marine Academy 28-MAR-2022 07-APR-2022
Operations

6 Advanced Training in Fire Fighting A-VI/3 303016082200021 SENSEA MARITIME ACADEMY 18-FEB-2020 22-FEB-2020

Proficiency In Survival Craft and Rescue

7 A-VI/2-1 303016022200031 SENSEA MARITIME ACADEMY 11-FEB-2020 15-FEB-2020
Boats

Indian Institute of Port Management

8 General Operator`s Certificate for GMDSS K-4299 30-JUL-2019 16-AUG-2019 01-SEP-2073
(IMU Kolkata)

Fosma Maritime Institute &

9 Medical First Aid A-VI/4-1 30501801019041 21-MAY-2019 24-MAY-2019
Research Organisation (Kol)

Electronic Chart Display and Information Fosma Maritime Institute &

10 30501816519091 13-MAY-2019 17-MAY-2019
Systems Research Organisation (Kol)

Fosma Maritime Institute &

11 Automatic Radar Plotting Aids A-II/1 30501802419051 03-MAY-2019 09-MAY-2019
Research Organisation (Kol)

Fosma Maritime Institute &

12 Radar Observer Simulator A-II/1 30501802319041 16-APR-2019 30-APR-2019
Research Organisation (Kol)

Augmentation of FPFF (Practical Tanker Fire AIIMT/MUM/AUG/B33/7 Asha International Institute of

13 17-DEC-2016 17-DEC-2016
Fighting) 54 Marine Technology

Familiarization Training Programme For LNG

14 BPMA/LGT/890/2016 BP Marine Academy 12-DEC-2016 16-DEC-2016
Tanker Operation

Basic Training for Oil and Chemical Tanker AIIMT/OTCTO/MUM/B4 Asha International Institute of
15 05-DEC-2016 10-DEC-2016
Cargo Operations 9/1122 Marine Technology

AIIMT/REF/PST/B173/3 Asha International Institute of

16 Refresher Training for Proficiency in PST 23-MAR-2016 23-MAR-2016
004 Marine Technology

AIIMT/REF/FPFF/GN/B1 Asha International Institute of

17 Refresher Training for Proficiency in FPFF 23-MAR-2016 23-MAR-2016
73/2435 Marine Technology

AIIMT/EFA/GN/B178/42 Asha International Institute of

18 Elementary First Aid A-VI/1-3 16-MAR-2016 17-MAR-2016
96 Marine Technology

AIIMT/PSSR/GN/B177/4 Asha International Institute of

19 Personal Safety & Social Responsibilities A-VI/1-4 10-MAR-2016 12-MAR-2016
263 Marine Technology

Mumbai Maritime Training Institute

20 Tanker Familiarization- Chemical MMTI/CTF/8337/2014 10-FEB-2014 14-FEB-2014

MMTI/OTF/10753/2014 Mumbai Maritime Training Institute

21 Tanker Familiarization- Oil 03-FEB-2014 07-FEB-2014

MMTI/FPFF/12629/2014 Mumbai Maritime Training Institute

22 Fire Prevention & Fire Fighting A-VI/1-2 28-JAN-2014 30-JAN-2014

Generated on : 20/02/2025 1.39 PM Page 3 of 11

 Security Trng. for Seafarer with Designated MMTI/STSDSD/2166/20 Mumbai Maritime Training Institute
23 24-JAN-2014 25-JAN-2014
Security Duties 14

MMTI/PSTY/11244/2014 Mumbai Maritime Training Institute

24 Personal Survival Techniques A-VI/1-1 21-JAN-2014 23-JAN-2014

H. PREVIOUS CERTIFICATE ( Issued in India or elsewhere, If none state so) :

If any time suspended or cancelled, state
Place & date of Examination
Number Certificate
Class /Grade
Details Examination Issue Date
Court of Authority
Date Cause
Second Mate of a Foreign Going DG SHIPPING 23-MAR-2022
1 IF 44552
Ship MUMBAI

I. DECLARATION TO BE MADE BY THE CANDIDATE :

I hereby declare that the particulars contained in the form are correct and true to the best of my knowledge and belief
and that the papers enumerated and sent with this form are true and genuine documents given and signed by the person
whose name appears on them. I further declare that Section D contains a true and correct account of my sea-going service
without exception and I make this declaration conscientiously believing the

SURAJ PANDEY The above declaration was signed in my presence.

Signature of the candidate Examiner of Masters and Mates

Mercantile Marine Department.........................District

AT/MMD(KO)/2025/10013940
J. REQUEST FOR ALLOTMENT OF SEATS FOR EXAMINATION :

K 1. Sight Test :Date of Examination : _________________Result _____________Signature of Examiner

K 2. RESULT OF EXAMINATION :( for official purpose only) :

Name of Examiner
No. Written Papers Orals Signal
of O : Oral , W :Written
Atte Month Grade
mpts CARGO/ CARGO/
NAV1 NAV2 NAV3 NAV4 SOF1 SOF2 NAV SOF
ASM ASM

SECOND
JUL-2021 PASS
MATE

Note :
Second Mate (FG) / NWKO-NCV : NAV 1: Terrestrial and coastal Navigation, NAV 2: Celestial Navigation, NAV 3: Meteorology, NAV 4: Bridge Watch Keeping and Emergencies.

First Mate (FG / NCV ): Phase I: NAV 1:Terrestrial and coastal Navigation. NAV 2: Meteorology, SOF 1: Ship Safety, Damage Control and Management of Personnel, SOF 2: Naval
Architecture Paper I.

First Mate (FG / NCV ) Phase II: NAV 1: Navigation AIds Including compasses, NAV 2: Bridge Watch Keeping . Ship Handling and Emergencies , NAV 3: Engineering Knowledge ,
Instruments and Control Systems , SOF 1: Naval Architecture Paper II, SOF 2: Marine Legislatoin .

Generated on : 20/02/2025 1.39 PM Page 4 of 11

L. REPORT OF EXAMINATION CENTRE
1. I hereby certify that Pandey Suraj has satisfactory produced testimonials and proof of sea-going service/watch
keeping service/approved workshop training as required for the grade.

2. The candidate complies with the examination of the Merchant Shipping Standards (Standards of Training
Certification and Watch-keeping for Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

3. The candidate has passed his examinations for the functions as under :

Function
Phase Level
Written Written Examiner Oral Oral Examiner

M. FOR THE CHIEF EXAMINER OF MASTERS AND MASTES

1. I hereby certify that Pandey Suraj born at Sultanpur on 02.09.1993 has satisfactory produced his testimonials and
proof of Sea-going Service/Watch Keeping Service.

2. The candidate complies with the Merchant Shipping (Standards of Training Certification and Watch-keeping for
Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

AT/MMD(KO)/2025/10013940
3. The candidate has passed the examination of the functions as under :

Phase Level Function Sign. of Examiner with Remarks

Written Oral

The candidate meets the requirements be eligible to be issued the Certificate of Competency as ...............................................
provisional certificate issued No.................................................................... on....................................................................

Examiner of Masters and Mates

Mercantile Marine Department

N. FINAL ASSESSMENT PRIOR CERTIFICATION

Medical Fitness

Pre-Sea Training
Structured on Board Training

Sea-Service Requirement

Written Examination (Assessment)

Oral Assessment

Modular Courses

Eligibility

Certificate for Competency First Mate of a Foreign Going Ship as recommended by Mercantile Marine Department may be issued.

Generated on : 20/02/2025 1.39 PM Page 5 of 11

 Assessor at Directorate General of Shipping for Masters and Mates.

Remarks_____________________________________________________________________

Chief Examiner
(Masters and Mates)

A. Grade of Examination : First Mate of a Foreign Going Ship

Place of Examination : MMD KOLKATA

1. Full Name : SURAJ PANDEY

(Block letters)

2. Permanent Address : Hansapur,Pandeybabakadipur,Sultanpur 228132, Sultanpur,Uttar Pradesh,India

3. Present Address : 08, Ramashankarpathak Chal,Kurar Villageappa Pada,Malade-E,Mumbai,400097

Maharashtra,India
4. Telephone Number : 08303922457
(with STD Code)
5. Nationality : INDIAN
(Proof to be produced)
6. Passport Number : W1965247

AT/MMD(KO)/2025/10013940
7. Date and Place of Issue
8. Continuous Discharge
Certificate (C.D.C)
: 17/08/2022 At LUCKNOW
: MUM 240170
Number
9. Date and Place of Issue : 31/07/2014 At MUMBAI
10. Date of Birth : 02/09/1993
(Proof to be produced)
[Link] of Birth : SULTANPUR
[Link] Identification : MOLE ON LEFT SIDE OF NECK
marks
13. INDos No : 14NL0599
14. Email Id : surajpandey519@[Link]
Note : Any Person who makes, causes to be made or assists in making any false representation for the purpose of obtaining for himself /

B. DETAILS OF SCHOLASTIC EDUCATION :

(Separate sheets must be attached)
[Link] Education Level : 10+2 (HSC/Intermediate/equivalent)
[Link] Subjects : Pcm
3. Year of Passing : 2012
4. School/College/ Board : SARASWATI VIDYA MANDIR INTER COLLEGE UP BOARD
5. Address of the Institution : JHARKHAND KADIPUR SULTANPUR, 228132
C. DETAILS OF PRE-SEA TRAINING / MARINE ENGINEERING WORKSHOP :
(Separate sheet must be attached )

1. Training Institute
2. Address of the Institution

3. Attended From
4. Result

Generated on : 20/02/2025 1.39 PM Page 6 of 11

 : MMTI'S Education & Research Trust,Khopoli
: VILLAGE KALOTE RAYATI, ,TALUKA KHALAPUR,OFF NH-4,
DISTRICT RAIGAD,412202 MMTI53@[Link],9960542003,26731359
: 01/08/2013 To 30/07/2014
: PASS
5. Courses Attended : Diploma In Nautical Science

D1. DETAILS OF SEA-GOING SERVICE (FOR DECK DEPARTMENT PERSONNEL) :

Port of Trade: Period

Gross
Name of Registry/ NCV/ FG/
Type Tonnage Rank From To Remarks
Ship Official Coastal
Number Months
Days
Watch Keeping
Deck Officer
MT YANGTZE Oil Tanker 62877 LIBREVILLE FG 27/04/2024 23/11/2024 6 27
OINW or Third
officer
Watch Keeping
Deck Officer
MT LEFKADA Oil Tanker 56204 LIBREVILLE FG 12/05/2023 19/11/2023 6 9
OINW or Third
officer
Watch Keeping
HUA HONG TBRN Deck Officer
Oil Tanker 3686 LIBREVILLE FG 19/09/2022 01/05/2023 7 13
KRA OINW or Third
officer
Special Category : [Link]
Gas Carrier Cadet(Nautical of watch keeping - Assistant
GAS LEO 46789 FG 21/12/2017 15/08/2018 7 26

AT/MMD(KO)/2025/10013940
(LPG) Science) Officer of Navigational
Watch,
Special Category : [Link]
of watch keeping - Assistant
MV. IDSHIP BULKER Bulk Carrier 17018 0 FG Deck Cadet 06/01/2017 12/04/2017 3 8
Officer of Navigational
Watch,
Special Category : [Link]
of watch keeping - Assistant
M.V. SINAR BIAK Container Ship 15184 22158 95 E FG Deck Cadet 09/05/2015 20/02/2016 9 13
Officer of Navigational
Watch,

E-1 REPORT ON STRUCTURED ON-BOARD TRAINING :

Phase No Date Of Name of Master Details Of Certificate Of Competancy

SSTPOC 28/09/2018 MMTIs/ VR MERITIME MERT/IMU/204/2018

PVT LTD

E-2 REPORT OF DESIGNATED COMPANY TRAINING OFFICER :

Signature :

Name : Certificate No. :

E-3 REPORT OF HEAD OF ASSESSMENT CENTRE :

Signature :

Name : Official Stamp :

F. REPORT OF ASSESSMENT CENTRE :

POST-SEA APPROVED EDUCATION AND TRAINING AT APPROVED INSTITUTION LEVEL
2M(Operational)/1M&M(Management)

Generated on : 20/02/2025 1.39 PM Page 7 of 11

 Function /Part Institution From To Remarks
Fosma Maritime Institute & Research Organisation (Kol)
17-DEC-2018 13-APR-2019

F-2 REMARKS OF HEAD OF ASSESSMENT CENTRE :

ELIGIBILTY FOR OPERATIONAL/MANAGEMENT LEVEL(Phase I & II)

ELIGIBILITY FOR WRITTEN FUNCTION I/II/III/ASM
ELIGIBILTY FOR ORALS FUNCTION I/II/III/ASM

* Online application may be provisionally approved subject to verification of Originals during Orals

Signature :

Name : Official Stamp :

G. PARTICULARS OF STCW CONVENTIONS MODULAR COURSES (POST-SEA) :

STCW Reg. / Period

Sr. Validity
Courses STCW Code Cert. No. Approved Institution
No.
No From To

AT/MMD(KO)/2025/10013940
Simulator- Liquid Cargo Handling - Oil -
1 3030145114240026 SEI Educational Trust 05-FEB-2024 09-FEB-2024
Management level

HSNA Maritime Education And

2 Refresher Training for Medical First Aid 1030086412230058 27-DEC-2023 27-DEC-2023 27-DEC-2028
Research

Centre for Maritime Education And

3 Ship Security Officer 1010036511230183 19-DEC-2023 21-DEC-2023
Training

Advanced Training for Liquified Gas Tanker

4 20100151222200811 BP Marine Academy 11-APR-2022 21-APR-2022
Cargo Operations

Advanced Training for Oil Tanker Cargo

5 2010015112220132 BP Marine Academy 28-MAR-2022 07-APR-2022
Operations

6 Advanced Training in Fire Fighting A-VI/3 303016082200021 SENSEA MARITIME ACADEMY 18-FEB-2020 22-FEB-2020

Proficiency In Survival Craft and Rescue

7 A-VI/2-1 303016022200031 SENSEA MARITIME ACADEMY 11-FEB-2020 15-FEB-2020
Boats

Indian Institute of Port Management

8 General Operator`s Certificate for GMDSS K-4299 30-JUL-2019 16-AUG-2019 01-SEP-2073
(IMU Kolkata)

Fosma Maritime Institute &

9 Medical First Aid A-VI/4-1 30501801019041 21-MAY-2019 24-MAY-2019
Research Organisation (Kol)

Electronic Chart Display and Information Fosma Maritime Institute &

10 30501816519091 13-MAY-2019 17-MAY-2019
Systems Research Organisation (Kol)

Fosma Maritime Institute &

11 Automatic Radar Plotting Aids A-II/1 30501802419051 03-MAY-2019 09-MAY-2019
Research Organisation (Kol)

Fosma Maritime Institute &

12 Radar Observer Simulator A-II/1 30501802319041 16-APR-2019 30-APR-2019
Research Organisation (Kol)

Augmentation of FPFF (Practical Tanker Fire AIIMT/MUM/AUG/B33/7 Asha International Institute of

13 17-DEC-2016 17-DEC-2016
Fighting) 54 Marine Technology

Familiarization Training Programme For LNG

14 BPMA/LGT/890/2016 BP Marine Academy 12-DEC-2016 16-DEC-2016
Tanker Operation

Basic Training for Oil and Chemical Tanker AIIMT/OTCTO/MUM/B4 Asha International Institute of
15 05-DEC-2016 10-DEC-2016
Cargo Operations 9/1122 Marine Technology

AIIMT/REF/PST/B173/3 Asha International Institute of

16 Refresher Training for Proficiency in PST 23-MAR-2016 23-MAR-2016
004 Marine Technology

AIIMT/REF/FPFF/GN/B1 Asha International Institute of

17 Refresher Training for Proficiency in FPFF 23-MAR-2016 23-MAR-2016
73/2435 Marine Technology

AIIMT/EFA/GN/B178/42 Asha International Institute of

18 Elementary First Aid A-VI/1-3 16-MAR-2016 17-MAR-2016
96 Marine Technology

AIIMT/PSSR/GN/B177/4 Asha International Institute of

19 Personal Safety & Social Responsibilities A-VI/1-4 10-MAR-2016 12-MAR-2016
263 Marine Technology

Mumbai Maritime Training Institute

20 Tanker Familiarization- Chemical MMTI/CTF/8337/2014 10-FEB-2014 14-FEB-2014

MMTI/OTF/10753/2014 Mumbai Maritime Training Institute

21 Tanker Familiarization- Oil 03-FEB-2014 07-FEB-2014

MMTI/FPFF/12629/2014 Mumbai Maritime Training Institute

22 Fire Prevention & Fire Fighting A-VI/1-2 28-JAN-2014 30-JAN-2014

Security Trng. for Seafarer with Designated MMTI/STSDSD/2166/20 Mumbai Maritime Training Institute
23 24-JAN-2014 25-JAN-2014
Security Duties 14

Generated on : 20/02/2025 1.39 PM Page 8 of 11

 MMTI/PSTY/11244/2014 Mumbai Maritime Training Institute
24 Personal Survival Techniques A-VI/1-1 21-JAN-2014 23-JAN-2014

H. PREVIOUS CERTIFICATE ( Issued in India or elsewhere, If none state so) :

If any time suspended or cancelled, state
Place & date of Examination
Number Certificate
Class /Grade
Details Examination Issue Date
Court of Authority
Date Cause
Second Mate of a Foreign Going DG SHIPPING 23-MAR-2022
1 IF 44552
Ship MUMBAI

I. DECLARATION TO BE MADE BY THE CANDIDATE :

I hereby declare that the particulars contained in the form are correct and true to the best of my knowledge and belief
and that the papers enumerated and sent with this form are true and genuine documents given and signed by the person
whose name appears on them. I further declare that Section D contains a true and correct account of my sea-going service
without exception and I make this declaration conscientiously believing the

The above declaration was signed in my presence.

Signature of the candidate Examiner of Masters and Mates

Mercantile Marine Department.........................District

AT/MMD(KO)/2025/10013940
J. REQUEST FOR ALLOTMENT OF SEATS FOR EXAMINATION :

K 1. Sight Test :Date of Examination : _________________Result _____________Signature of Examiner

K 2. RESULT OF EXAMINATION :( for official purpose only) :

Name of Examiner
No. Written Papers Orals Signal
of O : Oral , W :Written
Atte Month Grade
mpts CARGO/ CARGO/
NAV1 NAV2 NAV3 NAV4 SOF1 SOF2 NAV SOF
ASM ASM

SECOND
JUL-2021 PASS
MATE

Note :
Second Mate (FG) / NWKO-NCV : NAV 1: Terrestrial and coastal Navigation, NAV 2: Celestial Navigation, NAV 3: Meteorology, NAV 4: Bridge Watch Keeping and Emergencies.

First Mate (FG / NCV ): Phase I: NAV 1:Terrestrial and coastal Navigation. NAV 2: Meteorology, SOF 1: Ship Safety, Damage Control and Management of Personnel, SOF 2: Naval
Architecture Paper I.

First Mate (FG / NCV ) Phase II: NAV 1: Navigation AIds Including compasses, NAV 2: Bridge Watch Keeping . Ship Handling and Emergencies , NAV 3: Engineering Knowledge ,
Instruments and Control Systems , SOF 1: Naval Architecture Paper II, SOF 2: Marine Legislatoin .

Generated on : 20/02/2025 1.39 PM Page 9 of 11

L. REPORT OF EXAMINATION CENTRE
1. I hereby certify that Pandey Suraj has satisfactory produced testimonials and proof of sea-going service/watch
keeping service/approved workshop training as required for the grade.

2. The candidate complies with the examination of the Merchant Shipping Standards (Standards of Training
Certification and Watch-keeping for Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

3. The candidate has passed his examinations for the functions as under :

Function
Phase Level
Written Written Examiner Oral Oral Examiner

M. FOR THE CHIEF EXAMINER OF MASTERS AND MASTES

1. I hereby certify that Pandey Suraj born at Sultanpur on 02.09.1993 has satisfactory produced his testimonials and
proof of Sea-going Service/Watch Keeping Service.

2. The candidate complies with the Merchant Shipping (Standards of Training Certification and Watch-keeping for
Seafarers) Rules, 1998 for the grade of First Mate of a Foreign Going Ship

AT/MMD(KO)/2025/10013940
3. The candidate has passed the examination of the functions as under :

Phase Level Function Sign. of Examiner with Remarks

Written Oral

The candidate meets the requirements be eligible to be issued the Certificate of Competency as ...............................................
provisional certificate issued No.................................................................... on....................................................................

Examiner of Masters and Mates

Mercantile Marine Department

N. FINAL ASSESSMENT PRIOR CERTIFICATION

Medical Fitness

Pre-Sea Training
Structured on Board Training

Sea-Service Requirement

Written Examination (Assessment)

Oral Assessment

Modular Courses

Eligibility

Certificate for Competency First Mate of a Foreign Going Ship as recommended by Mercantile Marine Department may be issued.

Generated on : 20/02/2025 1.39 PM Page 10 of 11

 Assessor at Directorate General of Shipping for Masters and Mates.

Remarks_____________________________________________________________________

Chief Examiner
(Masters and Mates)

AT/MMD(KO)/2025/10013940

Generated on : 20/02/2025 1.39 PM Page 11 of 11