Officer Medical

POST APPLIED FOR : CHIEF OFFICER (HONDURAS COC)

NAME : SHYAM DEW PASWAN

FATHER NAME : LET. RAM REKHA

DATE OF BIRTH : 10-03-1988

NATIONLITY : INDIAN

MARITAL STATUS : UNMARRIED, MALE

LANGUAGE KNOWN : ENGLISH, HINDI

RELIGION : HINDU

ADDRESS : VILL.VISHWNATHPUR,PO.SARAYA

TIWARI,DIST.GPRAKHPUR,U.P. 273406.

PHONE NO. : +91-951*******, +91-977*******,

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

DOCUMENT DETAILS:-

DOCUMENTS NUMBER DATE OF ISSUE VALID TILL PLACE OF ISSUE PASSPORT P6325205 24-11-2016 10 YEARS KUWAIT

CDC INDIAN MUM284256 25-10-2017 10 YEARS MUMBAI

CDC HONDURAS 037***-**-**-**** 4 YEARS HONDURAS

CERTIFICATE DETAILS :-

CERTIFICATE NUMBER DATE OF ISSUE VALID TILL PLACE OF ISSUE INDOS 13ZL8335 10-07-2013 LIFE TIME MUMBAI

ECDIS 0116\AD\025*-**-**-**** 10-03-2022 DELHI

GMDSS SP-3703-GO 06-06-2017 06-06-2022 HONDURAS

SSO SP-5040-SSO 06-06-2017 06-06-2022 HONDURAS

COC HONDURAS SP-4252-P 06-06-2017 06-06-2022 HONDURAS HONDURAS COURSE DETAILS :-

STCW JOIN 4 COURSE BST\0116\OS\078*-**-**-**** 11-01-2022 NOIDA AFFC AFF\0116\AD\051*-**-**-**** 19-01-2022 NOIDA

PSCRB PSCRB\0116\AD\051*-**-**-**** 26-01-2022 NOIDA MEDICAL CARE MC\0116\AD\023*-**-**-**** 01-02-2022 NOIDA SSO SSO\0116\AD\049*-**-**-**** 03-02-2022 NOIDA

ARPA ARPA\MG\0116\AD\17 13-02-2017 12-02-2022 NOIDA GMDS\SMSSM GMDSS\AD\027*-**-**-**** 27-02-2022 NOIDA BTM BTM\0116\AD\025*-**-**-**** 05-03-2022 NOIDA

INDIAN COURSE DETAILS:-

EFA EFA\B157\190*-**-**-**** 06-12-2021 MUMBAI

PSSR PSSR\B157\190*-**-**-**** UNLIMITED MUMBAI

PST PST\B167\190*-**-**-**** 20-12-2021 MUMBAI

FPFF FPFF\B156\190*-**-**-**** 21-12-2021 MUMBAI OTFC CAA\OTF\400\017-**-**-**** UNLIMITED MUMBAI STSDSD 01-03\019\201*-**-**-**** UNLIMITED MUMBAI SEA EXPERINCE:-

COMPANY VESSEL NAME TYPE OF

VESSEL

GRT RANK FROM TO

YAMAK SHIPPING

CO,

SIRIYA

M/V

BARHOMA

GENERAL

CARGO

2436 OS 20-03-200*-**-**-

2010

JAISHU SHIPPING

CO,

CHENNAI

M/V

KAMALAXXIX

DREDGER 2077 AB 12-07-201*-**-**-

2012

JAISHU SHIPPING

CO,

CHENNAI

M/V

KAMALAXXIX

DREDGER 2077 3rd OFFICER 07-04-201*-**-**-

2013

PERUSAHAN SINAR

JAYA,

MALAYSIA

ASIAJAYA 28

IMO.9517501

TOING TUG

BOAT

145 2nd OFFICER 07-08-201*-**-**-

2015

ARABIAN GULF

COMPANY,

KUWAIT

NAKILAT-4

IMO.9331983

SUPPLY VESSEL 377 CHIEF MATE 20-02-201*-**-**-

2017

HAYA

SHIPPING,LLC.,DUBAI

MT SHAMIM

IMO.7916686

OIL TANKER 1288 CHIEF MATE 06-12-201*-**-**-

2018

declaration :-

I, hereby declare that the information furnished above is true to the best of my knowledge. If given an opportunity to work in your esteemed organization, I can perform to the best of my capabilities in a way that satisfies the organization’s need. Date Signature

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