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Basics

Details

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Verification

First Name*

Last Name*

Phone Number*

Email*

Password*

Confirm Password*

Sea Fearers No*

Passport No*

Department*

Rank*

Date Of Birth*

Country*

Pin Code

Birth Certificate*

Upload

Passport*

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COC (Optional)

Upload

Course Completion Certificate (Optional)

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CDC (Optional)

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Birth Certificate*

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Passport*

Upload

COC (Optional)

Upload

Course Completion Certificate (Optional)

Upload

CDC (Optional)

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Application no: #268-136-734

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