Seafarer Profile
Last updated date : 18/01/2018 10:49 AM Date :
: Nautical
Personal Details
Name
Gender
Date of Birth
Place of Birth Birth State
Birth Country Nationality
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RIYAS
MALE
08/12/1995
MINICOY, LAKSHADWEEP LAKSHADWEEP
INDIA INDIAN
16GL3190
KUDAGOYYAGOTHI
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City
State
City
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Pin
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Address
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Address Details
Present Address Permanent Address
AOUMAGU MINICOY LAKSHADWEEP
MINICOY
: 682559
LAKSHADWEEP State :
682559
LAKSHADWEEP
Country :
Telephone No. :
Country :
Telephone No. :
Mobile No. :
Email Id :
INDIA
**********@*****.***
LAKSHADWEEP
Physical Details
Hair Color
Eye Color :
Height (in Cms) :
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Identification : A BLACK MOLE ON RIGHT TUMB
162
BLACK
BLACK
FAIR
INDoS No.
Discipline
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Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Fire Prevention & Fire Fighting
A-VI/1-2
16/08/2016
FPFF/PSGP/EMA/001989
18/08/2016
Euro Tech Maritime Academy (COCHIN)
18/08/2016
1 . Course Name Fire Prevention & Fire Fighting
Course Name
Report generated on : 21/01/2018 10.40 PM Page 1 of 3 Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Personal Survival Techniques
A-VI/1-1
19/08/2016
PST/PSGP/EMA/001989
22/08/2016
Euro Tech Maritime Academy (COCHIN)
22/08/2016
2 . Course Name Personal Survival Techniques
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Personal Safety & Social Responsibilities
A-VI/1-4
23/08/2016
PSSR/PSGP/EMA/001989
25/08/2016
Euro Tech Maritime Academy (COCHIN)
25/08/2016
3 . Course Name Personal Safety & Social Responsibilities Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Elementary First Aid
A-VI/1-3
26/08/2016
EFA/PSGP/EMA/001989
29/08/2016
Euro Tech Maritime Academy (COCHIN)
29/08/2016
4 . Course Name Elementary First Aid
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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STSDSD Course
05/09/2016
STS/PSGP/EMA/001989
06/09/2016
Euro Tech Maritime Academy (COCHIN)
06/09/2016
5 . Course Name STSDSD Course
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Tanker Familiarization (OCTF)- Combined(Oli and Chemical) 19/09/2016
OCC/PSGP/EMA/001989
24/09/2016
Euro Tech Maritime Academy (COCHIN)
24/09/2016
6 . Course Name Tanker Familiarization (OCTF)- Combined(Oli and Chemical) Course Name
Report generated on : 21/01/2018 10.40 PM Page 2 of 3 Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Augmentation of FPFF (Practical Tanker Fire Fighting) 13/07/2017
AFPFF/EMA/95-17/001395
13/07/2017
Euro Tech Maritime Academy (COCHIN)
13/07/2017
7 . Course Name Augmentation of FPFF (Practical Tanker Fire Fighting) Course Name
Total no of record in Modular Course 7
Rating Certificate
Certificate No : Date of Issue :
COCHIN
17/12/2016
1 . Rating Certificate : PSGP/EMA/001
PSGP/EMA/001
Issued At :
Remarks :
Total no of record in Rating Certificate :1
Authorised Documents
1 . Document Type : CDC
Document Type : CDC
Document Number :
Valid Upto :
Issued Date :
Issued At :
MUM 271665 06/03/2017
05/03/2027 MUMBAI
Total no of record in Authorised Documents : 1
I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at the time of taking oral examination or at an earlier time when asked by the department. DECLARATION TO BE MADE BY CANDIDATE :
Date :
Signature of the candidate
This is an electronically generated document hence it does not require any signature of DGS Officials. Report generated on : 21/01/2018 10.40 PM Page 3 of 3