Last updated date : Date : **-Sep-****
**/**/**** **:48 PM
Seafarer Profile
Personal Details
INDoS No. Discipline
: 10GL2075 : Nautical
Name : ANAND KUMAR SHAW
Gender : MALE
Date of Birth Place of Birth
: 17/06/1992 : KHARAG PUR
Birth State Birth Country
: WEST BENGAL : INDIA
Nationality : INDIAN
Address Details
Present Address Permanent Address
19/A PRASANNA KUMAR TAGORE STREET 19/A PRASANNA KUMAR TAGORE STREET
Address Address
: :
: P.O BEADON STREET : P.O BEADON STREET
: P.S JORABAGAN, DIST-KOLKATA : P.S JORABAGAN, DIST-KOLKATA
City City
: KOLKATA :
Pin Pin
: 700006 : 700006
State State
: WEST BENGAL : WEST BENGAL
Country Country
: INDIA :
Telephone No. Telephone No.
: 923******* :
Mobile No. : 896*******
Email Id : ************@*****.***
Physical Details
Height (in Cms) Hair Color
: 166 : BLACK
Eye Color Complexion
: BLACK : NONE
Identification : CUT MARK ON FORE HEAD
Pre Sea Training Detail
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Pre Sea Training Detail
: Maritime Academy of India (Kolkata)
Training Institute
Training Institute (other) :
: PRE SEA RATING (GP)
Course Name
: 01/01/2010 : 30/06/2010
Attended From (Date) Attended To (Date)
: 011******* : PASSED
Certificate No. Result
Pre Sea Tar Book No. :
Modular Course Details
1 . Course Name : Personal Safety & Social Responsibilities
: Personal Safety & Social Responsibilities
Course Name
: Maritime Academy of India (Kolkata)
Training Institute
: A-VI/1-4
STCW Code
: 19/04/2010 : 21/04/2010
Attended From Attended To
: 021018105
Certificate No.
: 21/04/2010
Date of Issue Valid Upto :
2 . Course Name : Personal Survival Techniques
: Personal Survival Techniques
Course Name
: Maritime Academy of India (Kolkata)
Training Institute
: A-VI/1-1
STCW Code
: 28/04/2010 : 30/04/2010
Attended From Attended To
: 031020105
Certificate No.
: 30/04/2010
Date of Issue Valid Upto :
3 . Course Name : Elementary First Aid
: Elementary First Aid
Course Name
: Maritime Academy of India (Kolkata)
Training Institute
: A-VI/1-3
STCW Code
: 03/06/2010 : 04/06/2010
Attended From Attended To
: 051016505
Certificate No.
: 04/06/2010
Date of Issue Valid Upto :
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Modular Course Details
4 . Course Name : Fire Prevention & Fire Fighting
: Fire Prevention & Fire Fighting
Course Name
: Maritime Academy of India (Kolkata)
Training Institute
: A-VI/1-2
STCW Code
: 21/06/2010 : 23/06/2010
Attended From Attended To
: 041017303
Certificate No.
: 23/06/2010
Date of Issue Valid Upto :
5 . Course Name : Tanker Familiarization- Oil
: Tanker Familiarization- Oil
Course Name
: Sensea Maritime Academy (Kolkata)
Training Institute
STCW Code :
: 16/08/2010 : 20/08/2010
Attended From Attended To
: D/199/17
Certificate No.
: 20/08/2010
Date of Issue Valid Upto :
6 . Course Name : Tanker Familiarization- Chemical
: Tanker Familiarization- Chemical
Course Name
: BP Marine Academy (Navi Mumbai)
Training Institute
STCW Code :
: 27/01/2014 : 31/01/2014
Attended From Attended To
: BPMA/CTFC/76/2014
Certificate No.
: 31/01/2014
Date of Issue Valid Upto :
Total no of record in Modular Course 6
Certificate of Endorsement
1 . Endorsement : DC ENDORSEMENT NAUTICAL
: DC ENDORSEMENT NAUTICAL
Endorsement Type
: Support : DC/D/KOL/07582
Level Certificate No.
: KOLKATA
Issued At
: 27/07/2011 : 26/07/2016
Date of Issue Valid Upto (Date)
Remarks :
Total no of record in Certificate of Endorsement : 1
Authorised Documents
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Authorised Documents
1 . Document Type : Passport
: Passport
Document Type
: H8592183 : 06/01/2010
Document Number Issued Date
: 05/01/2020 : KOLKATA
Valid Upto Issued At
2 . Document Type : INDoS
: INDoS
Document Type
: 10GL2075 : 17/03/2010
Document Number Issued Date
: MUMBAI
Valid Upto : Issued At
3 . Document Type : CDC
: CDC
Document Type
: MUM 181745 : 10/01/2011
Document Number Issued Date
: 09/01/2021 : MUMBAI
Valid Upto Issued At
Total no of record in Authorised Documents : 3
DECLARATION TO BE MADE BY CANDIDATE :
I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the
papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I
further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and
I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at
the time of taking oral examination or at an earlier time when asked by the department.
Signature of the candidate
Date :
This is an electronically generated document hence it does not require any signature of DGS Officials.
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