BIO – DATA

POST APPLIED FOR :

NAME : KHALASI NIKHILBHAI GAJANANDBHAI

FATHER’S NAME : GAJANANDBHAI NARANBHAI KHALASI

DATE & PLACE OF BIRTH : 15/11/1993, TALODH,NAVSARI,GUJARAT.

ADDRESS : AT & POST AMALSAD, SUVIDHAPARK SOCIETY,

TA GANDEVI, DIST NAVSARI 369310 GUJARAT, INDIA

MOBILE NO : +919*********

NATIONALITY : INDIAN

HEIGHT & WEIGHT : 170CMS & 50kg

MARITAL STATUS : UNMARRIED

NEXT OF KIN & RELATION : KHALASI SOBHNABEN GAJANANDBHAI

EDUCATIONAL QUALIFICATION : S.S.C PASS

DOCUMENT DETAILS:

DOCUMENT DOC NUMBER DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE

PASSPORT L2436182 08/07/2013 07/07/2023 SURAT

INDIAN CDC MUM236225 23/052014 22/05/2024 MUMBAI

INDOS NO. 13GL4346 05/09/2013 MUMBAI

YELLOW FEVER J5256 17/04/2014 16/04/2024 MUMBAI

PASSPORT IMMIGRATION:ECNR

DETAILS OF STCW COURSES:

COURSE CERTIFICATE NO. DATE OF ISSUE PLACE OF ISSUE

E.F.A E.F.A 082.1314.2013 16/10/2013 MUMBAI

P.S.T P.S.T/083.1324.2013 19/10/2013 MUMBAI

P.S.S.R 079.1268.2013 05/10/2013 MUMBAI

F.P & F.F F.P.F.F/084.1337.2013 23/10/2013 MUMBAI

DATE: SIGNATURE OF CANDIDATE

PLACE: NIKHILBHAI G. KHALASI