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(Note: Please makes following declaration on 100 Rs.

stamp paper with duly Notarized & submit when coming for admission) Dated: STUDENT UNDERTAKING. I _______________________________________________________________________ S/o.__________________________________________ DOB______________________________ residing at _____________________________________________________________________ have applied to PHOENIX MARITIME SERVICES PVT LTD head quartered at Uday Business Services , 85- Canal Road, Ramdaspeth , NAGPUR ( Maharashtra) or its any authorized branch office for admission to its course of Graduate Marine Engineers/ Electro Technical Officer / Trainee Navigating Officer leading to Master / Chief Engineers / Electro Technical Officer. I hereby declare as follows: I am aware that Phoenix Maritime Services Pvt. Ltd. conducts Maritime courses through Various reputed Indian & Foreign training colleges/ Universities providing Maritime Education and Training which is approved by DG Shipping, Govt. Of India as well as approved by reputed foreign colleges / universities. Contd....2

As I am interested in pursuing career in Merchant Navy, I approached Phoenix Maritime Services Pvt. Ltd. along with my father/Guardian and expressed my interest in undergoing the training course. I aware of the fact that Phoenix Maritime Services Pvt Ltd agreed to admit me on the basis of my application and the certificates submitted by me and on the basis of my following declaration & after fulfillment / comply with following terms & condition. 1. I solemnly declare that I had been well informed about Phoenix Maritime Services Pvt. Ltd. and the course by the counselor from my native place and I have chosen to join the course on my own will and with full permission from my Parent/Guardian/Guarantor after clearly understanding the scope of training, nature of job and job opportunities available in Maritime Industry for this course. I am fully aware that if I pay program cost by way of bank loan, I will be personally responsible for the sanction of bank loan, if I fails, Phoenix Maritime Services Pvt. Ltd Will not be responsible for delay or cancelled selection for said program & amount deposited (full or part of fees) is nonrefundable & non-transferable in any case & will not be entitled for any indemnity. I am fully aware that selection will only take effect after qualifying B.E. / Diploma/ 10+2 / 10th examination with required marks & I have also to qualify in the CET test conducted by competent authority, if needed. If I fails to secure required marks then my selection will be cancelled & amount deposited (full or part of fees) is non-refundable & non-transferable & will not be entitled for any indemnity. I am fully aware that part-payment of fees will not be entertained & I will not be admitted to the program without full payment of fees as per schedule of program. In case of delayed payment I loose my priority for selected program & will not be entitled for any indemnity. I am fully aware that Phoenix Maritime Services Pvt. Ltd. ,which is Ship Management Company incorporated under the Company Act 1956 ( No. 1 of 1956) & the company is private limited. Reserves its right to reject me at any stage of selection without disclosing any reasons. In case Phoenix Maritime Services Pvt. Ltd. Reject me before starting training program amount deposited by me is partially refundable after deducing expenses bared by Phoenix Maritime Services Pvt. Ltd. I am fully aware that after completing my admission procedure in training program. Phoenix Maritime Services Pvt. Ltd. Reserves its rights to decide institute & course module as per availability of seats ( Subject to change without prior notice. & after paying the fees, if I decided to withdraw from program for any reasons or my parents / guardian wish to withdraw from training program or If I found unfit to continue, including medical grounds, or whatsoever reason, amount paid by me is not refundable & non-transferable for any reason under any circumstances I am fully aware of the fact that if I will be detained or found medically unfit from institute before / during or after period of training program or If the behavior of me is found detrimental to the smooth functioning of the institute, hostel or Phoenix Maritime Services Pvt. Ltd. (company) , I will be dismissed / removed from the institute & will not be re-admitted & Phoenix Maritime Services Pvt. Ltd. Will not be responsible for future training program & recruitment & fees paid by me is not refundable & non-transferable. Institute & Phoenix Maritime Services Pvt. Ltd.is not responsible for any kind of Accident / Death / Physical injuries when I am doing any practical in the institute or any other place of training outside the institute such as swimming pool, Boating etc. & Institute, Instructors Management, Phoenix Maritime Services Pvt. Ltd. Is not responsible for any compensation for any incident / Refund of any training fees. Contd....3

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I am fully aware of the risks involved in the job as it is in the ships sailing in the high seas. I declare that I have not been neither lured nor coerced, coaxed into joining the training. I confirm that I have been very lucidly explained and counseled on the scope of training and that I will have to undergo mandatory on-board training at my cost. I confirm that I am aware and I had been informed that college only facilitates and helps me to apply for Seaman's book (CDC) and mandatory on-board training. 13.1 I know and agree that I have to pay for all costs related to the application of Seaman's book and course fee/deposit for on-board training. I and my father/mother/Guarantor/Guardian jointly agree that we have been properly explained and we have understood clearly the Fees Structure. We know and agree that the fee payable to Training Institute is ................................................................... (In Words ............................................................................... Rs. Only) and other charges payable are: Caution deposit, Insurance & any Other charges required for my Institute & Onboard Training time to time. I agree to pay the fee, Insurance, Caution deposit and other charges on/or before joining the course and other charges as and when advised. I know that the course is totally residential and the fee includes hostel Accommodation and boarding charges. I agree that I will strictly abide by the rules and regulations of the college. I confirm to have received the copy of the same and read and understood the same & during training program I maintain strict discipline in the Institute / Hostel Campus / Outside during training program. I aware that Use of alcohol, tobacco & other illegal drugs are strictly prohibited & Use of mobile phone is strictly prohibited, any violation will be dismissed from the institute. I agree that failure to pay the fees, government and other charges, taxes as stipulated will forfeit admission. I and my Father/Guarantor/Guardian confirm that the certificates produced are Genuine. Phoenix Maritime Services Pvt. Ltd and The Training Institute is no way responsible for obtaining any of the certificates. I, further, indemnify the college against any damage in future caused if any of my certificates is found to be fake. I confirm that I am not suffering from any chronic disease Epilepsy, Migraine or any mental or physical disorders which cannot be detected otherwise by normal medical examination. Further confirm that I or my Parents/Guarantor/Guardian will not hold Phoenix Maritime Services Pvt. Ltd responsible if the trainee is found to have any disorder and rejected from any of his future assignments. I confirm that I have obtained the medical certificate that I have submitted now, briefly explaining the history of past illness, any accidents, any operations, blood group detail, and detail drug allergies at the time of admission. I agree that Personal insurance is compulsory. I, my parents, guarantor, guardian agree that Phoenix Maritime Services Pvt. Ltd is not responsible to pay any compensation what so ever Contd....4

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other than the Insurance payable by the Insurance companies in the event of any type of injuries to me due to any accident during the course duration in the institute. Payment of Insurance is the discretion of the Insurance company as per their rules and regulations. 18. 19. I agree that any other course or training adding value to the trainee shall be at my cost. I agree that I will obtain Foreign CDC along with Indian CDC (as R/O, through GMDSS program) as per program module & schedule & I have to clear required examination for obtaining CDC ,If needed for my on-board training program & I will personally responsible for PASSPORT before joining for onboard training program (Placement) & cost is only bare by me . I aware that delayed for passport cause my onboard training program. I am also aware that after completion of my course at least 120 days are required to obtain my foreign CDC (whichever will be applied). In case any delay will take place on the part of the Issuing Authority, I will wait patiently and will not ask for any financial penalty from Phoenix Maritime Services Pvt. Ltd. I clearly understand that CDC is basically issued by the competent authority and hence if due to any technical problem if the CDC will be delayed then I can't Pressurize Phoenix Maritime Services Pvt. Ltd. I am also aware that after obtaining my CDC I will have to wait patiently for my On-board training. I am also aware that on-board training( Placement) decided by Phoenix Maritime Services Pvt. Ltd. depending on the market situation, condition & variation I may have to wait for maximum 120-180 days for placement & only entities for one placement. & Not trying to defame name of Phoenix Maritime Services Pvt. Ltd in case of delay for on-board training purpose. I fully aware that If I want to join another training program for COC or any other value added courses or want to join for another or next placement I am ready to bare additional charges for it. I understand that fees claim will not be entertained under any circumstances. (Not even part fee). I assured that I should not join any other Training Institute, Company, Consultant for the purpose of training, recruitment etc. without written permission of Phoenix Maritime Services Pvt. Ltd. For all matters, disputes subject Jurisdiction is confined to Nagpur city (Maharashtra) only, where the registered office of Phoenix Maritime Services Pvt. Ltd. Is situated. DECLARATION : I finally agreed the terms & condition mentioned in above declaration. I further declare that all above information stands true & so I hereby agree to sign this document with all my senses intact & bound my heirs, successors & legal representatives.

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Trainee At ..................................on.....................

Father/Guardian Name & Address

Witness : Name & Address Guarantor : ...................................... Name and Address:

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