SEAFARER'S APPLICATION FORM

http://crewdata.com

Position:

THIRD OFFICER

Readiness:

28.10.2017

Citizenship:

India

Last name:

SOOD

Marital status

single

First name:

VAIBHAV

Children:

Middle name:

Nationality:

Indian

Birth date:

23.08.1990

Birth place:

India

Home address:

Pilibhit, UTTAR PRADESH, India, 262001

Phone mobile:

91(70170)38900

Phone home:

91(99170)65835

Email:

ac2x1d@r.postjobfree.com

English level:

Fluently

Salary

Minimum: 3000

Expected: 3500

Last: 2900

$/month

Passports, Licenses & Certificates

Title

Class

Number

Place of issue

Issued

Valid

Passports & Visas

Seaman's book

MUM162004

Mumbai, IND

12.08.2009

11.08.2019

Travel passport

H4243138

Bareilly, IND

17.06.2009

16.06.2019

USA Visa C1/D

201***********

Mumbai, IND

22.02.2010

18.02.2015

Certificates & Licenses

Advanced Fire Fighting (VI/3)

1409/095/015

Delhi, IND

31.10.2015

30.10.2020

Automatic Radar Plotting Aids (ARPA)

AR 12099

Delhi, IND

20.04.2012

01.01.2100

Basic Safety Training (VI/1.1-4)

PSR/16/0815

Delhi, IND

22.10.2016

01.01.2100

GMDSS General Operator Certificate

D3411

Delhi, IND

23.05.2012

22.05.2022

GMDSS General Operator Certificate

GMDSSDEL17004608

Delhi, IND

10.10.2017

22.05.2022

Medical First Aid (VI/4.1)

MA 12024

Delhi, IND

01.03.2012

01.01.2100

Proficiency in Fast Rescue Boats

4123/260/016

Delhi, IND

14.10.2016

13.10.2021

Proficiency in Survival Craft (VI/2)

4123/260/016

Delhi, IND

14.10.2016

13.10.2021

Radar Observation and Plotting Simulator (A-II)

RO 12060

Delhi, IND

13.04.2012

01.01.2100

Medical Certificates

Medical Fitness Certificate

Delhi, IND

27.03.2017

26.03.2018

Yellow Fever Vaccination

Mumbai, IND

06.10.2009

15.10.2019

Sea-going experience

Vessel’s

name

Flag

Type

Engine

Rank

From

Shipowner

Year

DWT

HP

Till

Crew Agency

1

YM UNITY

IND

Container Ship

Third Officer

15.12.2015

UNIVAN SHIP MANAGEMENT PVT LTD

101411

18.06.2016

General Physical State

Height (cm)

Weight (kg)

Shoes

Clothes

Hair color

Eye color

183

90

43

XL

black

brown

Date applied:

23.10.2017

Signature:

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