Application form for availing Emergency treatment for a group/individual to prevent from drowning

Online application form coming soon..

Until then send an email to [email protected] with subject as “Emergency treatment for prevention from drowning” with the below details:

  1. Name of the owner of ship/boat:
  2. ID number of the ship:
  3. Approximate location of the accident site:
  4. Total no. of individuals travelling on board:
  5. Date and time of accident in IST:
  6. Your name:
  7. Your relationship with the ship/boat:
  8. Contact email id:
  9. Contact number (including STD/ISD code): 
  10. Payment remittance details: