Professional Documents
Culture Documents
No. On Exn
15 E (Pak)
APPLICATION
FOR
ENGINEERS EXAMINATION
Note. Application should be made at a Mercantile Marine Office as many days as possible before the Applicant desires to sit. It
should be handed in at least two weeks before the examination. If it is not convenient for the Applicant to attend at a Mercantile
Marine Office, the form together with the necessary enclosures and the appropriate fee should be sent by post. In this event the
applicant will complete the Declaration (G) in the presence of the Examiner, prior to the Examination.
(A)
Particulars of Applicant.
Name in full (Block letters)
Permanent address
Where born
Town and Country
Nationality
Stream, Motor,
Combined Steam and
Motor
Class
Issue
Court of Authority
Date
Cause
Class
Date
(D) All previous results for the grade of Certificate now required, whether examination taken in Pakistan or United
Kingdom or in another Commonwealth country or in the Irish Republic (if no previous attempts state so)
Where any exemption from Academic Subjects is claimed
sate nature of the exempting qualification:
Day
Month
Year
Port
Time
Subject in which examined and results
PROFESSIONAL
Engineering
Knowledge
ACADEMIC
Applied
Mechanics
Applie
d Heat
Applied
Mathem
atic
Engineer
ing
Drawing
Electro
technolog
y
Naval
Architecture
Orals
Penalty if
any
Candidate should read the Regulations Exn. I E carefully. Copies may be purchased at the Government
Shipping Offices and Mercantile Marine Offices, Karachi.
PL. CROSS APPROPRIATE BOX
Applied
Mechanics
Allied
Heat
Applied
Engineering
ElectroNaval
Engineering
Mathematic
Drawing
Technology Architecture Knowledge
Nature of the
business for which
the Works exist
Date
From
Period
To
Net qualifying
service
Net qualifying
service
Orals
Yrs.
Name of School
Courses Attended
Periods of attendance
Certificates Obtained
(3)
Sea Service
Particulars of sea Service should be taken from the Discharge Book.
Kilowatts
Power
Trade
Rank
Foreign
or
Home
(4)
Period
From
To
Net qualifying
serve
Days
Official
Number
Dates
Months
Nature of Service
Years
No. Of testimonials
of.. 19..
Present Address
Telephone contact, if any (No. _________________)
Applied
Mathematics
Electrotechnology
Engineering
knowledge
Applied
Heat
Engineering
Drawing
Naval
Architecture
Orals
Time penalty
(if any)
Particulars of
Certificate to be
issued
Height
Feet
Color of
Inches
Eyes
Complexion
Personal Marks of
Peculiarities (if any).
Hair
I hereby certify that the particulars in II and J are correct and that Workshop and Sea Service have been
verified by reference to Discharges and Testimonials.
Date.
Examiner..