The Maritime Union of India
represents the Merchant Navy Officers who are members of this Union

CERTIFICATE INSURANCE APPLICATION

Important : please ensure that all coulmns are filled up for acceptance of this application by office of The Maritime Union of India.


DECLARATION

I hereby declare that the above details are in every reapect true and correct, and that I have not withheld any information calculated to influence the decision in regard to this proposal.
I pay here with the sum of RS.200/- being the first application cost and agree to renew it every year.