C Time

POST;WIPER DATE ANY TIME

NAME; ARIF MIDDLE NAME; SUR NAME;

PARMANENT ADDRESS

BUMARUGE FALLESSERY VILLAGE MINICOY

ISLAND U T OF LAKSHADWEEP INDIA PIN;682559

MOBILE; 085********

PHONE; 048********

LOCAL ADDRESS

PALLESSERY KENDIPARTY WELFAR SOCITY 160/162 SAMUEL STREE KOJA GALLY 3rd FLOOR MUMBAI-400 009

MOBILE; 088********

DATE OF BIRTH; 12/07/1992 PLACE OF BIRTH; MINICOY

NATIONALITY; INDIA

NAME OF THE NEXT OF KIND ADDRESS RELATIONSHIP MOTHER

AMINA BUMARUGE,FALLESSERY VILLAGE,MINICOY ISLAND, U.T. OF LAKSHADWEEP,INDIA PIN;682559

DOCUMENT

NUMBER

DATE OF ISSUE

PLACE OF ISSUE

VALIDITY

PASSPORT

L4879393

30/09/2013

COCHIN

29/09/2023

INDIAN.C.D.C

MUM 231282

12/09/2013

MUMBAI

11/09/2023

YELLOW FER

367

21/09/2015

COCHIN

10/09/2025

INDOS

13HL6194

MUMBAI

DC INDOSMENT

D.C.NAMES

NUMBER

DATE OF ISSUE

PLACE OF ISSUE

VALIDITY

CHEMICAL

IMEI/KO/CT/913

19/12/2017

COCHIN

08/12/2022

OIL

IMEI/KO/OT/1473

19/12/2017

COCHIN

08/12/2022

DETAILS OF FOLL0WING COURES

COURSE

NUMBER

DATE OF ISSUE

PLACE OF ISSUE

VALIDITY

P.S.T

REF-PST/J-2502/2015

05/10/2015

MUMBAI

04/10/2020

P.S.S.R

009732

19/10/2013

COCHIN

UNLIMITED

E.F.A

EFA/1300/2015-16

03/10/2015

MUMBAI

ULIMITIED

F.P.F.F

REF-FPF/J-30792015

05/10/2015

MUMBAI

04/10/2020

S.T.S.D.S.D

ISTA/STSDSD/B25/590/2014

04/06/2014

CHENNAI

UNLIMITED

O.T.C

OCC/EMA/50-17/001046

09/12/2017

COCHIN

UNLIMITED

A.F.P

AFPFF/EMA/116-17/001615

13/12/2017

COCHIN

UNLIMITED

RECORD OF PREVIOUS SEA SERVICES

NAME OF COMPANY

NAME OF SHIP

TYEP OF SHIP

GRT

BHP

RANK

FROM

TO

TOTAL

COSTAL SHIPPING

M.V.SHEKAR

RORO

5841

3520

WIPER

03/09/2014

01/02/2015

148

PLACE ; MUMBAI

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