C Course

B IO-DATA

POST APPLIED FOR :TRAINEE SEAMEN

NAME : S HUK LA PRADU MAN K U MAR

V.P.

FATHER NAME : V IJAY PRATAP SHUK LA.

Th

DATE OF BIRTH : 08 A UGUST 1988.

MARITAL STATUS : UN MARRIED.

NATIONAL ITY : I ND IAN

EDUCATIONAL QUAL IF ICATION : 12Th PASSOUT.

LANGUAGES KNOW : H I ND I, ENGLISH, & MARATH I.

COMMUN ICATION ADDRESS : ROOM NO. 301 ASHWIN KRTI APT,

N EAR TV TOWER,

K ATRAP, BADLAPUR. {E} 421

503.Dist.Thane.

CONTACT NO : 738-***-****

: 865-***-****

EMAI L ID : p *************@*****.***

I NDOS NO : 09GL7045

PARTICU LAR NU MBER ISSUED ON EXPIRE ON PLACE OF

S I SSUE

C.D.C. MU M181407 28/12/2010 27/12/2020 MU MBAI

PASSPORT H8834649 06/03/2010 05/03/2020 THANE

D ETAI LS

OR ISSA MAR I T I M E CERT I F ICAT IO N D ETA I LS:

CERTIFICATE NO DATE OF ISSUE PLACE OF ISSUE

836. 91/12/2009 ORISSA

BOARD OF EXA M I NAT ION FOR SEAFAREE T U RST

M M D CERT I F ICAT ION D ETA I LS:

CERTIFICATE NO DATE OF ISSUE PLACE OF ISSUE

G0912K04030/DEC/09/201 29/JAN/2010 MU MBAI

34

S TCW Certificate I nformation

S.T.C.W. COURSE CERTIFICATE NO DATE OF ISSUE PLACE OF ISSUE

P.S.T. OMA/PST/026 27/08/2009 ORISSA

P.S.S.R. OMA/PSSR/026 24/08/2009 ORISSA

F.P.F.F. OMA/FPFF/026 19/08/2009 ORISSA

E.F.A. OMA/EFA/026 21/08/2009 ORISSA

O.T.F.C. OMA/OTFC/026 06/09/2009 ORISSA

P LACE: BAD LAPUR

YOURS SINCERELY.

DATE: 03/03/2014

{SHUK LA PRAD U MAN K U MAR V.P.}

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