RANK : G.S.
NAME : KOLAKKAR VINAYKUMARHARISHBHAI
PERMANENT ADDRESS : AT&POST: KOLAK, (PIRFALIA)
TA – PARDI, DIST – VALSAD,
GUJARAT - 396115
CONTACT NUMBER : 743-***-****, EMAIL ID : *************@*****.***
NATIONALITY : INDIAN
DATE OF BIRTH : 30 / 11 /1993 PLACE OF BIRTH : RENTLAV
NEXT OF KIN : KOLAKKAR HARISHBHAI JIVANBHAI RELATION : FATHER
EDUCATION : 12th PASSED
QUALIFICATION
PASSPORT,C.D.C& OTHER DETAILS :
DOCUMENT
NUMBER
DATE OF ISSUE
EXPIRY DATE
PLACE OF ISSUE
PASSPORT
K - 3714598
31 – 08 – 2012
30 – 08 – 2022
SURAT
CDC INDIAN
MUM – 213679
08 – 04 – 2013
07 – 04 – 2023
MUMBAI
LIBERIA CDC
1337797
07-06-2017
07-06-2022
U.S.A
ST KITTS&NEVIS
CDC107191
01-04-2015
01-04-2020
SKN
COURSE DETAILS:
COURS
CER.NO
DATE OF ISSUE
PLACE OF ISSUE
PRE SEA RATING
C1212B02019/DEC12/4940
22–01–2013
NAVI MUMBAI
E.F.A.
EFAU/A-2938/2016
16-01-2016
UDVADA
P.S.S.R
PSRU/D-3060/2018
11-04-2018
UDVADA
F.P.F.F
RF-FPFU/L-1529/2015
16-12-2015
UDVADA
P.S.T.
RF-PSTU/L-1430/2015
16-12-2015
UDVADA
INDOS NO
12 CL 0803
23–08–2012
MUMBAI
YELLOW FEVER
B 009241
06–06–2013
MUMBAI
STSDSD
STSU/D-2952/2018
07-04-2018
UDVADA
O.T.F
RAM/OTFC/0127
15-04-2016
NAVI MUMBAI
C.T.F
RAM/CTFC/3014
08-04-2016
NAVI MUMBAI
PSCRB
BPMA/PSCRB/784/2018
30-03-2018
NAVI MUMBA
B.F.H
BFH/01/03/04/05/17
16-05-2017
NAVI MUMBAI
DETAILS OF SEA SERVICES:
NAME OF VESSEL
COMPANY
TYPE OF VESSEL
G R T
RANK
DATE
FROM
TO
M V MANGALAM
TIME LINE
MBC
1874
G.S
05-10-13
09-07-14
M.V.PORTLAND II
VERNEL SHIPPING
BULK
24639
G.S.
11-02-15
06-11-15
M.V.PORTLAND II
VERNEL SHIPPING
BULK
24639
G.S
29-07-16
12-04-17
M.V.MSC CLEMENTINA F
M.S.C
CONTAINER
9956
G.S.
02-06-17
04-03-18
PLACE :
DATE ; SIGNATURE: