Manager Medical
Resume:
PHOTO
Application form for Ratings
***,******** ******, *** : +91-22-275*****
Sector-11,CBD Belapur,, Fax : +91-22-275*****
Navi Mumbai-400614, Maharashtra, India. E mail: **@***********.***.
Brukaan ID No:
Position Applied for : MOTORMAN
Are you willing to accept a lower rank ? NO YES / NO
Date of Availability: / / 2014-06-20
PERSONAL DETAILS
1. GENERAL
Name: (Last Name) (First Name) PRAVEEN
RANJAN
Date of Place of Birth: Nationality: Indian
Birth:12-01- KANPUR
Permanent VILL-PURI. POST-PAWAPURI. HOUSENO-262. DISTT-NALANDA.BIHAR.
address:
Post code: 801115 093********
No.:
E-Mail address: *****************@*****.*** 088********
Present
address:
Post code: No.:
Civil Status : Single / Married / Separated / Divorced / Widowed
Height : in cm179 Weight :74 Waist Size: 3
Boiler Suit Size Shoe Size 43 Food: ANY Veg./ Non Veg
: xlFAMILY DETAILS.
2.
Full Name of PRITEE Relationship : WIFE
Next of Kin : SHARMA
Post code:
Contact 093********
No.: No.:
telephone Date of
Family Data Name Last Name D.O.B
Anniversary
Wife SHARMA 06-02-2011 03-11-1988
PRITEE
Child (F)) SHARMA 18-10-1998
RYTHEM
Child (M/F)
Child (M/F)
3. MEDICAL HISTORY
(a).Have you ever signed off from a ship due to Medical reasons,(If Yes give details) / No
Name of the Vessel : Date of Occurrence :
Brief description of Illness / Injury / Accident :
(b). Did you suffer or Are you Presently suffering from any disease likely to render you unfit
No
for service at sea or likely to endanger the Health of others on board.
(c). Are you addicted to alcohol or drugs of any kind? No
(d).Have You suffered from Following?
Malaria Diabetes Epilepsy Nervous Disability Hepatitis of any kind
No No No No No
(e) Did You ever undergo psychiatric treatment? No
FPD 02 Rev No 1 Date: 01 Jan 2013 Page 1 of
4
TRAVEL DOCUMENTS & VISA
Place of Date of
Passport No: Date of Issue ECNR Blank Pages
Issue Expiry
-
LUCKNOW 7-8
20/09/07 19/09/17
G5314091
Union Membership No. D.O.E.
U.S.VISA MUMBAI
C8570391 24/04/16
Any Other VISA
ACADEMICS & PROFESSIONAL QUALIFICATIONS
1. EDUCATIONAL BACKGROUND.
School / College
From
To
Highest Qualification attained.
H.S.C.
2005
2006
54
2. PRE SEA TRAINING / APPRENTICE SHIP.
Name of Institute / College
From
To
Grade / Marks
SRI CHAKRA MARITIME
01-06-2007
30-06-2007
CERTIFICATIONS & COURSES
1. CDC DETAILS.
Seaman’s Book Number Date of Issue Place of Issue Date of Expiry
Indian CH106787 CHENNAI LIFE
25/10/07
Liberian
Panamanian CTB461497
Marshall Islands
Bahamas
IOM
Others CY154049
2. INDOS DETAILS.
3. DETAILS OF COURSES & CERTIFICATES.
NUMBERS DATE OF DATE OF ISSUED BY
Course Type
ISSUE EXPIRY
FPFF/26/300/07- 30/06/07 SAMS
LIFE
Fire Prevention & Fire Fighting(FPFF)
Proficiency in Survival Craft & Rescue Boat
PST/26/311/07 27/06/07 LIFE SAMS
Proficiency in Survival Technique(PST)
EFA/26/300/07 06/07/07 LIFE SAMS
Elementary First Aid (EFA)
PSSR/26/312/07 04/07/07 LIFE SAMS
Personal Survival & Social Responsibility
OTFC/26/94/07 12/07/07 LIFE SAMS
Oil Tanker Familiarisation (OTFC)
CTF/H5141/09 01/08/09 LIFE MUMBAI
Chemical Tanker Familiarisation (CTFC)
Gas Familiarisation (GTFC)
ER/MMD/MUM/7929 01/05/09 LIFE MMD MUMBAI
Watch Keeping Certificate as Rating.
Cookery Certificate
AB / Motorman Course
Elementary English
B.NO.1929 07/01/08 06/01/17 CHENNAI
Yellow Fever
Others
4. DANGEROUS CARGO ENDORSEMENTS
LEVEL NUMBER DATE OF ISSUE PLACE OF ISSUE
Types D.O.E
OPREATION
Oil
M/C/1/E/09/4796 04/08/09
OPREATION MUMAI
Chemical
Liquified Gas
FPD 02 Rev No 1 Date: 01 Jan 2013 Page 2
of 4
Support
PREVIOUS SEA SERVICE
(Date commencing from Last Vessel)
S.No.
Name of Owners / Manager
Name of Vessel
Built Year
Type
DWT
Or
GRT
BHP
Rank
From
To
Total
MM/DD
Reason for S/Off
1.
ASM
M.V.ISABELLA
1982
bulk
41162
9900
WPR
17-01-2008
01-01-2009
EOC
2.
BERNARD SHULTE-BSM
M.T.HATEF
2009
ULCC
163650
29340
WPR
05-01-2010
14-10-2010
EOC
3.
BERNARD SHULTE-BSM
M.V. Y.M. MARCH
2006
CONT.
66332
57200
WPR
01-05-2011
01-01-2012
EOC
4.
BERNARD SHULTE-BSM
M.T. SAKURA
2006
PRO.TNKR
27994
8580
OILER
09-06-2012
12-03-2013
EOC
5.
TEEKAY TANKERS
M.T. SPT NAVIGATOR
2008
TANKER SEWZMAX
57657
13560
28-06-2013
02-04-2014
EOC
6.
7.
8.
9.
10.
11.
Expected Salary : 1500
Last Wages Drawnthis information provided by me in this application is true and correct to the best of my
I hereby affirm that all : 1460
knowledge and belief; further, that no Certificate of competency or License issued to me has ever been Revoked or
suspended. I also certify that my medical history contained above is True and any false statement or undisclosed
material information about past illness or injury will disqualify me from any employment benefits and claims.
Date Rank__ Signature of Seaman
This Is Computer Generated CV, Doesn’t Require Signature
FPD 02 Rev No 1 Date: 01 Jan 2013 Page 4 of 4
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