Office Course

RANK APPLIED FOR: DECK CADET [pic]

*. PERSONAL PARTICULARS:

Name First Name Middle Name Last Name

SNEHASISH PADHI

Date Of Birth Place Of Birth Sex Nationality INDOS No.

**/**/**** ******** **** INDIAN 11NL0812

Contact Address Permanent Address

C/O-PRAKASH KALEKAR C/O-GOBINDA CHANDRA PADHI,

POTE APT.NO.4,A/3rd/66 AT/PO-BHNAJPUR,NEAR-LIC OFFICE,

TISGAON ROAD,KOLSEWADI,KALYAN(E) VIA-BARIPADA

MOBILE NUMBER- 089******** (MUMBAI) DIST-MAYURBHANJ,ODISHA-757002, ODISHA,

EMAIL: *******@*****.*** INDIA

Height (cms) Weight (Kgs) Color of Eye Color of Hair

174 65 BLACK BLACK

2. NEXT OF KIN :

Name First Name Middle Name Last Name

UPENDRA NATH PADHI

Contact Address Relation

C/O-GOBINDA CHANDRA PADHI,

AT/PO-BHNAJPUR,NEAR-LIC OFFICE, FATHER

VIA-BARIPADA

DIST-MAYURBHANJ,ORISSA-757002, ORISSA,

INDIA

MOB: 094********

3. DETAILS OF PASSPORT:

Number Place Of Issue Date Of Issue Date of Expiry Issuing Country

J9373222 BHUBANESWAR 29.08.2011 28.08.2021 INDIA

4. DETAILS OF SEAMAN'S BOOK

Number Place Of Issue Date Of Issue Date of Expiry Issuing Country

MUM200217 MUMBAI 11.04.2012 10.04.2022 INDIA

5. DETAILS OF VISA:

Type Number Place Of Issue Date Of Issue Date of Expiry

6. ENDORSEMENTS:

Type Endors.Number Place Of Issue Date Of Issue Date of Expiry

DCE (OIL) DCE/OT/DK/CHE/641/ CHENNAI 02.05.2012 31.12.2016

12

7. Y.F VACCINATION :

TYPE DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE

Internatio 03.12.2012 2.12.2022 CHENNAI

nal

certificat

e of

vaccinatio

n (YELLOW

FEVER)

8. STCW'95 COURSES:

Year Course Institute/University/Issu Certificate No Date of Issue Place of

ing Authority Issue

2011 EFA MARITIME FOUNDATION MF/EFA/1931/2011 30.03.2011 INDIA

2011 PST MARITIME FOUNDATION MF/PST/1871/2011 30.03.2011 INDIA

2011 FPFF MARITIME FOUNDATION MF/FPFF/1971/2011 06.04.2011 INDIA

2011 PSSR MARITIME FOUNDATION MF/PSSR/1891/2011 02.04.2011 INDIA

9. MARITIME COURSE DETAILS:

Course Academy Percentage of Certificate Date of Passing Year of

Program Marks Obtain No. Pass

RVS COLLEGE OF 2011

DNS MARITIME SCIENCE7 67.845% 05.07.2011

ENGINEERING DCT/01/021

10.

OTHER QUALIFICATION:

Course Subject Studied

DIPLOMA IN COMPUTER APPLICATION WINDOWS & FOXPRO

11. Well performance in Quiz, GK, debate and other Curricular activities.

12. Recommendation :-

NAME POSITION CONTACT

DETAILS

Mr.Rens Papo Dutch Worldseas Labour. Tel/Fax: +31(0)515336099

(9am-5pm weekly days local

Dutch time)

Crewing & Manpower. Mobile:

+31(0)629548152/+31(0)1737

Hospitality school. 3023.

Mining and Agro email:

business. **********@*******.***

Shipbroking.

Survey.

I hereby declare that the above furnished details are true and correct to

the best of my knowledge and belief.

Date: 31.05.2013

[pic]

Place: MUMBAI

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