BIO-DATA
Name -PRIBEESH.K.P
Father’s Name -PETER.K.T
Date of Birth -30-03-1991
Sex -MALE
Religion -CHRISTIAN, LATIN CATHOLIC
Nationality -INDIAN
Marital Status -SINGLE
Languages Known -ENGLISH, MALAYALAM & HINDI
Residential Address -KUNNEL HOUSE, KANNAMALY P.O,
COCHIN-682008, ERNAKULAM, KERALA
Mobile -088********, 099********
Email -************@*****.***
1, Passport Details
Passport No -J0454571
Date of Issue & Expiry -30/09/2010 & 29/09/2020
Place of Issue -COCHIN
2 Indos Number
Certificate Number -10HL2542
Date of Issue & Expiry - 16-12-2010 &
Place of Issue -(issuing country)INDIA
3 CDC Details
Certificate No -MUM 214003
Date of Issue & Expiry -15/04/2013 & 14/04/2023
Place of Issue -MUMBAI
Educational Qualification
Course Board/University
GP Rating I.M.A., Chennai
Marine Mechanical- Fitter College Of Marine Technology, Cochin
Plus Two Board of Higher Secondary Examination
SSLC Board of Public Examination
STCW
COURSE NAME CERTIFICATE NO PLACE OF ISSUE HELD FROM
EFA R8/26/12 CHENNAI 06.09.2012 TO 08.09.2012
PST R8/26/12 CHENNAI 10.09.2012 TO 12.09.2012
PSSR R8/26/12 CHENNAI 03.09.2012 TO 05.09.2012
FPFF R8/26/12 CHENNAI 13.09.2012 TO 15.09.2012
OTF R8/26/12 CHENNAI 16.10.2012 TO 20.10.2012
HUE 2725 MUMBAI 30.12.2010 (Date of Issue)
DECLARATION
I hereby declare that the information furnished above is true to the best of my knowledge.
Place: Cochin PRIBEESH.K.P
Date:02/08/2013