C Safety

SANKALP SING H

RANK APPL I E D FOR D ECK CADET

PERSONAL

NAT IO NAL I TY : Indian SEX: M ale

D.O.B: 10/09/1991

ADDRESS: *** ****** *********, *** * Shree Nagar main, Indore, (M.P)

T EL EP HONE: 073*-******* M OB I L E NO .: 099********

E D UCAT ION AND T RA I N I NG

D I P LO MA I N NAUT ICAL SCIENCE, Sailors Mari time Academy, Vizag

STCW 95, Sailors Mari time Academy, Vizag

O I L TANKER FAM I L IAR IZAT IO N : Sriram Institute of Marine Studies, New Delhi

STCW 95 ADVANCE COURSES: Naval Mari time Academy, Mumbai

CURRE N T ATTR IB U T ES

I N DOS NO .: 10NL2287

CONT I N UOUS D ISC HARGE CERT I F ICATE (CDC): M U M 188402

D ANGEROUS CARGO EN DORSE ME N T FOR O I L TANKERS : Valid up to

04.08.2016

YEL LOW FEVER: issued on 04 Aug 2011 (Validity 10 years)

PASSPORT NO.: H 8220206

US V ISA C1/D: issued on 27th Dec 2012

CERT I F ICATE D ETA I LS:

Course Cert. No Date of Date of Place of issue

issue E xpi ry

SMA/I MU/DNS/122 06.07.2011 NA SMA, VIZAG

Pre Sea

/11

T raining

1892/EFA/11 08.01.2011 NA SMA, VIZAG

E.F.A

1648/FPFF/11 12.01.2011 NA SMA, VIZAG

F.P.F.F

1906/PST/11 19.01.2011 NA SMA, VIZAG

P.S.T

1893/PSSR/11 05.01.2011 NA SMA, VIZAG

P.S.S.R

1212/104/011 05.08.2011 NA SIMS, NEW

O.T.F.C

D ELH I

D.C

M MD, NEW

E ndorsement D/O/1/D/11/10097 11.08.2011 04.08.2016

D ELH I

( Oil)

I N TERNAT IO

NAL SAFETY

ISM/005/2011/002 14.09.2011 NA DDI, MU MBAI

M ANAGEMEN

T

I N TERNAT IO

NAL SH IP &

P ORT ISPS/002/2011/013 19.09.2011 NA DDI, MU MBAI

FACIL I TY

S ECUR I TY

PORT STATE

PSC/002/2011/013 20.09.2011 NA DDI,MU MBAI

C ONTROL

SEP/002/2011/012 19.09.2011 NA DDI, MU MBAI

SAFETY &

E NV IRON ME

NT

P ROTECT ION

AWARENESS

NAVAL

ADVANCE

M ARITI ME

F I RE AFF/0037/003/13 25.01.2013 NA

ACADEMY,

F IG H T I NG

M U MBAI

NAVAL

M ED ICAL M ARITI ME

MFA/0016/002/13 17.01.2013 NA

ACADEMY,

F I RST AID

M U MBAI

PROF IC IENC

Y IN NAVAL

S URV IVAL M ARITI ME

PSCRB/0072/004/13 01.02.2013 NA

ACADEMY,

C RAFT AND

M U MBAI

R ESCUE

BOAT

SEA E XPER I E NCE

Ship Compan

Type Rank GRT BHP F rom To

N ame y

Doehle

M.T Eagle Product Deck

Danauti 20378 8900 10.04.12 06.11.12

Meerut Tanker Cadet

c

Doehle

Deck

M.V Indus Danauti RO-RO 111**-***** 19.12.11 24.01.12

Cadet

c

I hereby declare that the particulars given above are correct and t rue to the best of my

k nowledge and belief.

Date: Sankalp Singh

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