Life Service

RESUME

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POST APPLIED FOR : O/S

NAME : MOOSA LAVALIKAGE

FATHERS NAME : IBRAHIM VALUGOTHI

DATE OF BIRTH : 11/07/1985

PLACE OF BIRTH : MINICOY

NEXT OF KIN : AYSHA LAVALIKAGE

RELATION : MOTHER

NATIONALITY : INDIAN

ADDRESS : PALESSERY VILLAGE, MINICOY ISLAND

U.T.OF LAKSHADWEEP, PIN-

682559

PHONE NO. [RESI] : 048**-****** MOB; +91-949*******

PRESENT ADDRESS : PALLESSERY KENDIPARTY WELFAIRE SOCIETY

160/162 SAMUEL STREET

11O/111, TANTANPURA STREET

3RD FLOOR, MUMBAI-400009

PHONE NO. : 022- 23476265, 23444895,+91-986*******

E-MAIL : ********@*****.***

DETAILS OF DOCUMENTS:

|DOCUMENTS |DOCUMENT |DATE OF |DATE OF |PLACE OF |ECNR |

| |NUMBER |ISSUE |EXPIRY |ISSUE | |

|PASSPORT |F0553179 |06/10/2004 |05/10/2014 |COCHIN |CLEAR |

|CDC INDIAN |CH104388 |29/11/2005 |29/11/2015 | CHENNAI N.A

|YELLOW FEVER |2045 |26/07/2005 |16/07/2019 | COCHIN |

|INDOS |05CL0061 |21/02/2005 |LIFE LONG | MUMBAI |

|US VISA | | | | |

DETAILS OF STCW95 COURSES:

|COURSES |CERTIFICATE |DATE OF |DATE OF EXPIRY |PLACE OF |

| |NUMBER |ISSUE | |ISSUE |

|EFA |EMA/234-05/2886 |07/05/2005 |LIFE LONG |COCHIN |

|PST |EMA/222-05/2889 |18/05/2005 |LIFE LONG |COCHIN |

|PSSR |EMA/220-05/2887 |04/05/2005 |LIFE LONG |COCHIN |

|FPFF |EMA/173-05/2562 |11/05/2005 |LIFE LONG |COCHIN |

|OTFC |005400 |11/12/2009 |LIFE LONG |COCHIN |

|OIL(DEC) |DCE/OT/KOC/496/09 |14/12/2009 |13-12-2014 |COCHIN |

|ISPS |MMC/ISPS/38/91/201|21/05/2010 |LIFE LONG |MUMBAI |

| |0 | | | |

|PSF |EMA/39-05/342 |14/05/2005 |LIFE LONG |COCHIN |

|CTFC |CTF/E-5948/2010 |15-05-2010 |LIFE LONG |MUMBAI |

|CHM(DEC) |M/C/1/E/10/57151 |01-06-2010 |14-05-2015 |MUMBAI |

RECORD OF SEA SERVICE:

|COMPANY NAME |NAME OF SHIP |TYPE |GRT |RANK |PERIOD |

| | | | | |FROM |TO |

|RACE SHIPPIMG |MT. M. STAR |TANKER |160,29|OS |02/08/201|18/04/201|

| | | |2 | |1 |2 |

|RACE SHIPPIMG |MT. GRAND SEA |TANKER |160,21|OS |25/10/201|13/02/201|

| | | |8 | |0 |1 |

| | | | | | | |

| | | | | | | |

I hereby declare that all the information given above is true to the best

of my knowledge.

PLACE:

DATE: MOOSA

LAVALIKAGE

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