3rd officer

BIO-DATA

APPLICATION FORM

POST APPLIED FOR: THIRD OFFICER

Name RAJESH KUMAR

Date/Place of 15/11/1979-PATNA

Birth

Permanent Address S/O-Rana Pratap Singh,

Vill+P.O.-Simhari, P.S.-Dhanarua,

District-Patna(Bihar)-804451

Contact No. +91-943******* +919*********

************@*****.**.**

***********@*****.***

Next of Kin Rana Pratap Singh/Father

/Relation

Next of Kin Simhari, Dhanarua, Patna(Bihar)-804451

Address

Next of Kin Cont. +91-943*******

No.

Educational 10+2

Qualification

[pic]

Travel Documents

Document Name Certificate At Place of On Issue Til Expiry

No. Issue l

Passport J 5023674 At Patna On 03/12/2010 02/12/2020

CDC(Indian) MUM 214277 At MUMBAI On 17/04/2013 16/04/2023

CDC(MARSHALL) 23410 At U.S.A On 07/02/2001 07/02/2006

CDC(Bahamas) LON 64066 At UK On 05/11/2005

CDC(Panama) 14GO601026 At PANAMA On 10/10/2012 13/12/2016

Yellow Fever 14520 / 264 At Mumbai On 22/01/2013 31/01/2023

Indos Number 04ZL0527 At Mumbai On 02/11/2004

COC Details

Document Certificat At Place of On Issue Expiry Rank

Name e No. Issue

COC 14GO601026 At PANAMA On 10/10/20 13/12/20 Third Deck

(PANAMA) 12 16 Officer

Sr. Courses Certificate Issue Expiry Place of

No. Issue

1 Basic 226642514 Orion Maritime Panama

STCW(Panama)

2 Assesment Cert 468655996 Orion Maritime Panama

3 ROC(Panama) 191******* Orion Maritime Panama

4 ARPA(Panama) 562513041 Orion Maritime Panama

5 PSCRB(Panama) 382944149 Orion Maritime Panama

6 GMDSS(Panama) 36604112 Panama

7 GMDSS 884230849 Panama

Assesment(Panama)

8 GMDSS 36604112 Panama

Book(Panama)

9 GMDSS 207-***-**** Panama

Certificate(Panam

a)

10 P.S.SR 39/371/2000 MMC Mumbai-1

11 P.S.T. 33/332/2000 MMC Mumbai-1

12 MFA 0659/052/04 NMA Mumbai-5

13 F.P.F.F. 99/149/1993 MA Mumbai-38

14 OTF 3134/2004 OERC Mumbai-22

15 CTF 3410/2004 OERC Mumbai-22

16 PSCRB 0008/001/05 NMA Mumbai-5

17 ROC SMC/ROC/207 SMC Kolkata-84

18 ARPA SMC/ARPA/223 SMC Kolkata-84

19 SSO 01530 IMU Kolkata-43

20 GMDSS Indian GOC 14358 MOC&IT 14/12/201 New Delhi

5

21 NCV Written NWKO/06-299 L.B.S Mumbai-33

21/07/2006

22 2nd Mate (F.G.) 2MF06/P0061 L.B.S Mumbai-33

FOUNDATION 08/09/2006

23 OIL + CHEM TANKER CTB678478DI 18/02/2013 24/01/201 PANAMA

(D.C.) 8

Sea Service:

Sr. Company Name Vessel Name Type GRT NRT Rank From To 1

Marwan Shipping M.V. KHALID General Cargo 3511 1779 D/Cadet

22/01/2002 27/10/2004 2 Marwan Shipping M.V. JAIPUR General Cargo

8902 5937 A/B 18/09/2005 17/10/2005 3 CYRUS SHIPPING M.T. NESA 2

Tanker 499 349 A/B 18/10/2006 25/02/2008 4 Parsam Shipping M.T.

SPHERE 301 Tanker 1993 1116 A/B 17/05/2008 20/12/2008 5 Parsam

Shipping M.T. GENIUS UNION Tanker 3239 1624 A/B 31/08/2009

09/05/2010

(RAJESH KUMAR)

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