Course Post

E MAI L ID : d **************@*****.***

FATHER’S NAME : RAJARAM YADAV

DATE OF BIRTH : 13/02/1985

NATIONAL I TY : I ND IAN

EDUCATIONAL QUALIFICATION: SSC

CONTACT NO. : 996-***-****/998-***-****

ADDRESS:

PRESENT ADDRESS PER MANENT ADDRESS

1,FAIZUL LA COMPOUND,FARID VI L LAGE : M USTAFABAD

N AGAR,J. N. ROAD, POST : UMARI

BHANDUP(W),MUMBAI-400078 DISTRICT : AL LAHABAD(UP)

PIN CODE: 221507

MOB.: 996-***-****/998-***-****

DOCUMENTS:

DOCU MENT NO. DATE OF EXP IRY PLACE OF

I SSUE I SSUE

PASSPORT F7330077 25/05/2006 24/05/2016 LUCKNOW

I ND IAN CDC MU M-134083 24/04/2005 25/05/2015 MU MBAI

PANAMA CDC CTB633602 25/04/2012 25/04/2017 MAN I LA

I NDOS 04CL1408 23/12/2004 MU MBAI

YELLOW 00335 26/11/2006 20/11/2016 MU MBAI

F EVER

COURSE DETA I L:

COURSE CERT I F ICATE NO DATE OF ISSUE PLACE OF ISSUE

PRE-SEA SALOON PSRS/104 25/02/2005 M U MBAI

E.F.A. 1075 25/12/2004 M U MBAI

P.S.T. 02 05/01/2005 M U MBAI

E.P.F.F. 986 01/01/2005 M U MBAI

P.S.S.R. 966 29/12/2004 M U MBAI

L.G.T. 409 14/07/2006 M U MBAI

T.F.C. 484 07/07/2006 M U MBAI

I.S.M. 69/303 28/02/2007 M U MBAI

I.S.P.S. 169/648 01/03/2007 M U MBAI

S.S.D. STR/OO1364 02.07.2013 M U MBAI

SEA EXPER IENCE:

COMPAN VESSEL TYPE GRT RANK FROM TO

Y

FIVE JAG VIDYA BULK 16926 G.S. 28/03/2007 04/11/2007

STAR

FIVE JAG VI KRAM BULK 16910 G.S. 04/11/2008 05/03/2009

STAR

FIVE JAG RAVI BULK 26322 G.S. 19/03/2009 27/07/2009

STAR

GESCO JAG RAVI BULK 26322 G.S. 03/04/2010 22/12/2010

GESCO JAG AARTI BULK 43790 G.S. 19/02/2011 07/12/2011

FIVE MA HA BULK 25905 G.S. 29/04/2012 18/12/2012

STAR AVANTI

PLACE: M U MBAI

DATE:

APPLICANT SIGNATURE

D

I LBAHADUR YADAV

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