Service C

CURRICULUM VITAE

POST APPLIED FOR : WIPER

NAME : LILADHAR CHINTAMAN WAGH

FATHER NAME : CHINTAMAN BABURAO WAGH

GENDER : MALE

MARITAL STATUS : UNMARRIED

DATE OF BIRTH : 13/09/1995

NATIONLITY : INDIAN

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

CONTACT NO : +91-917*******

QULIFICATION : SSC

DOCUMENT DETAILS :-

DOCUMENT NUMBER DATE OF

ISSUE

DATE OF EXP. PLACE OF

ISSUE

PASSPORT S4462030 21/06/2018 20/06/2028 MUMBAI

CDC (INDIAN) MUM298915 22/03/2018 21/03/2028 MUMBAI CDC(BELIZE) SB-29745 06/02/2014 05/02/2019 INDIA

INDOS 13HL6839 31/01/2018 LIFE-TIME MUMBAI

YELLOW FEVER 09550 06/09/2018 05/09/2028 MUMBAI

D.C(OTFC) IMEI/HO/OT/15035 29/08/2028 10/08/2023 MUMBAI D.C(CTFC) IMEI/HO/CT/8568 29/08/2028 10/08/2023 MUMBAI PRESENT ADDRESS

PERMANENT ADDRESS

149 & 150,AT POST:

JANORI,SANT SAVATA MALLI

LANE, TAL: DINDORI,

NASHIK,

MAHARASHTRA,PIN: 422206

149 & 150,AT POST: JANORI,SANT

SAVATA MALLI LANE, TAL:

DINDORI, NASHIK,

MAHARASHTRA,PIN: 422206

STCW (2010) COURES :-

COURES CERTIFICATE NO DATE OF

ISSUE

PLACE OF

ISSUE

P.S.T PST-(R)/031/16-17/07 03/09/2016 MUMBAI

F.P.F.F FPFF-(R)/029/16-17/12 01/09/2016 MUMBAI

E.F.A EFA/ 045/16-17/03 10/09/2016 MUMBAI

P.S.S.R PSSR/041/16-17/04 27/08/2016 MUMBAI

O.C.T.C.O OCTCO/017/18-19/17 11/08/2018 MUMBAI

S.T.S.D.S.D STSDSD/02/06/014/16-7/08 23/08/2016 MUMBAI P.S.C.R.B BPMA/PSCRB/2292/2018 25/08/2018 MUMBAI

A.F.P.F.F FPFF(A)/012/18-19/16 13/08/2018 MUMBAI

SEA SERVICE DETAILS :-

NAME OF

COMPANY

NAME OF

VESSEL

TYPE OF

VESSEL

RANK GRT/HP PERIOD OB(FM-

TO)

HIS GRACE

MANAGEMANT

PVT.LTD

M.V-

JADA

GENERAL

CARGO

WIPER 2200 15/11/2016

TO

25/06/2017

SM SHIPPING

MANAGEMANT

PVT.LTD

M.V

DANUM-159

CARGO SHIP WIPER 8724 15/02/2014

TO

02/03/2015

DECLARATION

I hereby declare that above particulars are true and I authorize you to contact the referees listed above.

I confirm that certificates/licenses are Authentic; sea- service record is accurate and true. Date : / /

Place : Nashik Signature

Contact this candidate