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:
***********@*****.***
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
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: