APPLICATION FORM

POST APPLIED FOR WIPER

Personal information

Name GURPREET SINGH

Date&Place Of Birth 03/10/1992 / BADLA/PUNJAB

Permanent Address VPO.-JAJA, TEHSIL- DASUYA, DISTRICT – HOSHIARPUR,

STATE-PUNJAB, PIN-144212

Contact No. 098********

Next Of Kin/Relation GURMUKH SINGH / FATHER

Next Of Kin Address VPO.-JAJA, TEHSIL- DASUYA, DISTRICT – HOSHIARPUR,

STATE-PUNJAB, PIN-144212

Next Of Kin Cont. No 075********

Qualification 10+2(COMM)

E-MAIL ablkk2@r.postjobfree.com

Travel Document

Document Name Certificate At Place Of Issue Issue Till Expiry

Passport No. K6196740 JALANDHAR 26/03/2013 25/03/2023

CDC(INDIAN)No. MUM 238197 MUMBAI 27/06/2014 26/06/2024

STCW & Other Certificates

Sr Courses Certificate No. Issue Expiry Place Of Issue

.

1 PRE SEA GPR SIMS 1201/023/2014 21.JUNE.2014 NEW DELHI

2 PSSR SIMS 5700/363/014 08.FEB.2014 UNLIMITED NEW DELHI

3 STSDSD SIMS 1429/069/014 11.FEB.2014 UNLIMITED NEW DELHI

4 EFA SIMS 5620/395/014 14.FEB.2014 NEW DELHI

5 FPFF SIMS 6131/412/014 19.FEB.2014 NEW DELHI

6 PST SIMS 6254/401/014 22.FEB.2014 NEW DELHI

7 OTFC SIMS 1941/158/014 06.JUNE.2014 NEW DELHI

8 INDOS NO. 14GL0664 13.FEB.2014 LIFETIME MUMBAI

Sea Exp. Fresher

Signature: GURPREET SINGH

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