C Medical
Resume:
Marine Placement Services Pvt. Ltd.
SCO-76; Second Floor; Sector-20 C, Chandigarh -160020, INDIA.
TEL: - 0172 – 4648882. EMAIL: - **@****************.***
AMAN KUMAR 17 SEPT 13
APPLICATION FORM
POST APPLIED FOR GP Rating
Personal Information
Name AMAN KUMAR
Date & Place Of Birth 1/01/1994 and narela
Permanent Address House no =25,Vpo barna,teh-thanesar,dist-kurukshetra
Pin-136118
Contract No. 995-***-****
Next Of Kin / Relation father
Next Of Kin Address House no =25,Vpo barna,teh-thanesar,dist-kurukshetra
Pin-136118
Next Of Kin Cont. No.
Qualification 12th non medical
Tech. Qualification GP rating
Travel Documents
Document Name Certificate No. At Place Of Issue On Issue Till Expiry
Passport No. K5028776 At Chandigarh On 10/10/12 Till 9/10/2022
CDC (Indian) No. MUM 214735 At Mumbai On 26/04/13 Till 25/04/2023
CDC (Panamian) No. At On Till
CDC (Marshall) No. At On Till
CDC (Other) No. At On Till
COC (Indian) No. At On Till
COC (Panamian) No. At On Till
COC (Other) No. At On Till
US Visa At On Till
GMDSS At On Till
Yellow Fever At On Till
STCW & Other Certificate
Sr. No. Courses Certificate No. Issue Expiry Place Of Issue
1 Pre Sea ISTA/CC/GPR/B19/1149/2012 31/12/12 chennai
2 P.S.S.R PSSR/B110/1946/2012 4/10/12 chennai
3 P.S.T PST/B138/1974/2012 8/10/12 chennai
4 E.F.A / M.F.A EFA/B110/1949/2012 10/10/12 chennai
5 F.P.F.F. FPFF/B27/435/2012 18/10/12 chennai
6 O.T.F.C OTFC/B38/681/2012 6/11/12 chennai
7 DCE (O.T.F.C)
8 C.T.F.C
9 DCE (C.T.F.C)
10 G.T.F.C
11 DCE (G.T.F.C)
12 P.S.C.R.B
13 A.F.F
14 I.S.P.S.
15 I.S.M. CODE
16 A.R.P.A
17 R.O.C
18 Watch Keeping No.
19 Indos No. 12GL4270 26/04/2013 chennai
Sea Experience
S.N Company Name Vessel Name Type BHP GRT Rank From To
Bank Details For Salary
Sr. No. Name Details
1. Salary
2. Bank
3. A/C
4. Bank Address.
5. Code Of The Bank
Declaration: I hereby declare that the details furnished above are true to the best of my knowledge & belief.
Date: Signature:
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