Preliminary Assessment of Candidates Seeking To Apply For LOE For COC3 Deck

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Dear Candidate,

Fill the appropriate column as applicable to you. All columns entered 'Yes' must have documented proof
for verification.

Do not send any document as attached file at this stage.

Preliminary assessment of candidates seeking to apply for LOE for COC3 Deck

Name:
P/P No:
Date of birth:
Email:
Alternative email:
MPA LOE Application reference number (if applicable):

S.No Criteria Yes / No


1. Basic educational background
10 years of school – equivalent to O- level
12 years of school – equivalent to A- level – 2nd year of University
Diploma/Degree programme
Kindly fill the following marks for:
O-level (Class 10) A-level (Class 12)
Maths
Science
English
2. Can you read and write in English?
3. Have you done Distance Learning Programme (DLP) / correspondence
course?
4. Have you completed ‘Training Assessment and Record Book (TARB)?
5. Have you completed ‘Pre-sea Cadet Training’ from Overseas?
If ‘Yes’, the duration of training is of:
6 months or less, in duration.
More than 6 months duration.
Holds a degree / diploma in Nautical Science
List the name of institute and the year training was completed:
6. Have you kept ‘Bridge watch’ under the supervision of a qualified officer
(with documented proof).
If yes, the duration of ‘Bridge watch keeping’ is for:
6 months or less
6 to 12 months
More than 12 months
7a. Have you performed the sea service on ships above 3000 GT ?
7b. Have you performed the sea service on ships engaged in Ocean going
voyages or in voyages of more than 500 miles between ports?
8. Have you done any post-sea preparatory courses e.g. Foundation course for
‘Near-coastal voyage’ watch keeper, STCW short course like GMDSS,
Tanker Familiarization, Medical First-Aid etc.
If yes, list the name of courses done:

9. Have you served in a shipping company having 10 or more ships under it’s
management.
List the name and address of the company:

10. Have you served on Singapore flag ships?


11. Is your company based in Singapore?
List the name and address of the company: (Leave blank if there is no office
in Singapore)

12. Total sea time


Sea time as Deck cadet
Sea time as A/B
Sea time as O/S
13. Kindly fill the following details for your sea service:
Name of the ship Gross Rank From To Mon Day Trade Port of
tonnage serve ths s (Foreign/Co registry
d astal)

Detail of any STCW certificate held:

Certificate:
Cert No:
Issue by:
Date of issue:
Date of expiry:
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