OS

BIO – DATA

NAME - HASIB HANIF MHALUNGKAR.

FATHER’S NAME - HANIF ABDUL GAFOOR MHALUNGKAR.

ADDRESS - L-78 SAI SAMARTH SHRUSHTY

HOUSE NO. 159 WARD N0. 16

MHADA COLONY,

A/P VENGURLA

DIST - SINDHUDURG

STATE - MAHARASHTRA

12TH SCIENCE

EDUCATION -

CONTACT NO - +919*********

DATE OF BIRTH - 10/05/1989

SEX - MALE

NATIONALITY - INDIAN

MARITAL STATUS - UNMARRIED

LANGUAGE - MARATHI, HINDI, ENGLISH

: DOCUMENT DETAILS :

DOCUMENTS NUMBER DATE OF ISSUE PLACE OF ISSUE DATE OF EXPIRY

PASSPORT G4710781 08-08-2007 MUMBAI 07-08-2017

C.D.C. MUM 151***-**-**-**** MUMBAI 03-03-2018

INDOS NO. 07GL2733 24-09-2007 MUMBAI

YELLOW FEVER 204*-**-**-**** MUMBAI 10 YEARS

: COURSE DETAIS :

COURSE CERTIFICATE NO. DATE OF ISSUE PLACE OF ISSUE

P.S.T. 1021/200*-**-**-**** GOA

P.S.S.R. 971/200*-**-**-**** GOA

E.F.A. 1027/200*-**-**-**** GOA

E.P.F.F. 1047/200*-**-**-**** GOA

O.T.F. 117/200*-**-**-**** GOA

G.P. RATING COURSE 5723/200*-**-**-**** GOA

: SEA EXPIRIANCE :

SHIP NAME GRT/NRT/BHP TRADE FROM-TO WORK AS

M.V. SEA 1639M.T./1026M.T. F.G. 17-06-2010 TO T.R. SEAMAN

DOLPHIN 1 04-08-2011

DATE : / /2013

PLACE : VENGURLA

MHALUNGKAR HASIB HANIF

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