C Data

BIO - DATA

RANK : O.S.

NAME : TANDEL

HITENDRAKUMAR VITTHALBHAI

FATHER'S NAME : TANDEL VITTHALBHAI DURLABHBHAI

PERMANENT ADDRESS : AT & POST KOSAMBA PRITAM NAGAR

TA & DIST VALSAD 396001

GUJARAT

INDIAN

CONTACT NO. : (MO) 096********

NATIONALITY : INDIAN

DATE OF BIRTH & PLACE : 10-08-1988, KOSAMBA VALSAD GUJARAT

EDUCATIONAL QUALIFICATION : S.S.C. PASSED

NEXT OF KIN & RELATION : TANDEL VITTHALBHAI DURLABHBHAI

(FATHER)

DOCUMENTS DETAILS :

DOCUMENTS NUMBER DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE

PASSPORT H 638****-**-**-**** 30-09-2019 SURAT

PANAMA C.D.C. CTB 615***-**-**-**** 11-10-2017 MANILA

INDOS NO. 07 GL 163*-**-**-**** - MUMBAI

YELLOW FEVER 111**-**-**-**** 10 YEARS MUMBAI

PASSPORT IMMIGRATION : ECNR

DETAILS OF COURSES :

STCW COURSE CERTIFICATE NO. DATE OF ISSUE PLACE OF ISSUE

E.F.A. SGA/EFA/2012.1078.14075 04-10-2012 MUMBAI

F.P.F.F. FPFF-R/083/2012-13 06-10-2012 MUMBAI

P.S.S.R. SGA/PSSR/2012.1004.1308 26-09-2012 MUMBAI

5

P.S.T. SGA/RT-PST/2012.1078.14 15-09-2012 MUMBAI

075

DATE :

SIGNATURE

PLACE :

(TANDEL HITENDRAKUMAR VITTHALBHAI)

PHOTO

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