Seafarer Profile
Last updated date : 18/07/2018 09:15 PM Date :
: Nautical
Personal Details
Name
Gender
Date of Birth
Place of Birth Birth State
Birth Country Nationality
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SUROJIT SAHA
MALE
02/08/1996
KANDRA BPHC WB
INDIA INDIAN
17GL5566
VILL&PO-KOMARPUR,PS-
KETUGRAM,DIST-BARDHAMAN
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City
State
City
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Pin
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Pin
Address
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Address : :
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Address Details
Present Address Permanent Address
BARDHAMAN
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WEST BENGAL State :
KOMARPUR
713129
West Bengal
VILL&PO-KOMARPUR,PS-
KETUGRAM,DIST-BARDHAMAN
Country :
Telephone No. :
Country :
Telephone No. :
Mobile No. :
Email Id :
INDIA
***************@**********.***
INDIA
Physical Details
Hair Color
Eye Color :
Height (in Cms) :
: Complexion
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Identification : A SMALL CUT MARK ON FOREHEAD
175
BROWN
BLACK
FAIR
INDoS No.
Discipline
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Report generated on : 18/07/2018 9.19 PM Page 1 of 5 Education Details
Name of Institution
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Main Subjects :
Year of Passing :
English Mark :
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Institute Address :
BENG,ENG,MATH,PHYSICAL SC,LIFE SC,HIST,GEO
50.07
KANDRA JNANDAS MEMORIAL HIGH SCHOOL
WBBSE
VILL+PO-,KANDRA,PS-KETUGRAM,DIST- BARDHAMAN
1 . 10TH (Matriculation/SSC)
Certificate No.
Education Level :
Name of University
PCM Mark Result /Grade
Name of Institution
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Main Subjects :
Year of Passing :
English Mark :
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Institute Address :
BEN,ENG,MVM1,MVM2,MATH,CHEM,PHYS
RE013060 2017
56.6 60.00
63.00
BENGALNSTITUTEOFTECHNOLOGY
WBSCTVESD
KATWA,BARDHAMAN,WEST BENGAL
2 . 10+2 (HSC/Intermediate/equivalent)
Certificate No.
Education Level :
Name of University
PCM Mark Result /Grade
Total no of record in Education Details : 2
Pre Sea Training Detail
Attended From (Date)
Certificate No.
Pre Sea Tar Book No.
Attended To (Date)
Result
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01/07/2017 31/12/2017
TCMTGP132594 PASS
Training Institute
Training Institute (other)
Trident College Of Marine Technology (24 Pargnas(S)) Course Name Training for General Purpose Ratings
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
10/07/2017
TCMTPST176791
12/07/2017
Trident College Of Marine Technology (24 Pargnas(S)) 12/07/2017
1 . Course Name Personal Survival Techniques
Course Name
Report generated on : 18/07/2018 9.19 PM Page 2 of 5 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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Elementary First Aid
A-VI/1-3
17/07/2017
TCMTEFA176791
19/07/2017
Trident College Of Marine Technology (24 Pargnas(S)) 19/07/2017
2 . 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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Security Trng. for Seafarer with Designated Security Duties 24/07/2017
TCMTSTSDSD176791
25/07/2017
Trident College Of Marine Technology (24 Pargnas(S)) 25/07/2017
3 . Course Name Security Trng. for Seafarer with Designated Security Duties 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
07/08/2017
TCMTPSSR176791
09/08/2017
Trident College Of Marine Technology (24 Pargnas(S)) 09/08/2017
4 . 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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Fire Prevention & Fire Fighting
A-VI/1-2
19/03/2018
FPFF/023/18
21/03/2018
Mercantile Marine Academy Foundation (Kolkata)
21/03/2018
5 . Course Name Fire Prevention & Fire Fighting
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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Basic Training for Oil and Chemical Tanker Cargo Operations 16/04/2018
OCTC0051800280
21/04/2018
Mercantile Marine Academy Foundation (Kolkata)
21/04/2018
6 . Course Name Basic Training for Oil and Chemical Tanker Cargo Operations Course Name
Report generated on : 18/07/2018 9.19 PM Page 3 of 5 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) 20/06/2018
AUGMTN/062/18
20/06/2018
Mercantile Marine Academy Foundation (Kolkata)
20/06/2018
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 :
MUMBAI
08/02/2018
1 . Rating Certificate : G1712K05113
G1712K05113
Issued At :
Remarks :
Certificate No : Date of Issue :
KOLKATA
31/12/2017
2 . Rating Certificate : TCMTGP132594
TCMTGP132594
Issued At :
Remarks :
Total no of record in Rating Certificate :2
Authorised Documents
1 . Document Type : Passport
Document Type : Passport
Document Number :
Valid Upto :
Issued Date :
Issued At :
P6096657 25/11/2016
24/11/2026 KOLKATA
2 . Document Type : INDoS
Document Type : INDoS
Document Number :
Valid Upto :
Issued Date :
Issued At :
17GL5566 21/09/2017
MUMBAI
Report generated on : 18/07/2018 9.19 PM Page 4 of 5 Authorised Documents
3 . Document Type : CDC
Document Type : CDC
Document Number :
Valid Upto :
Issued Date :
Issued At :
KOL 108333 03/07/2018
02/07/2028 KOLKATA
Total no of record in Authorised Documents : 3
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 : 18/07/2018 9.19 PM Page 5 of 5