*. PERSONAL DETAILS
Surname:Colaso
First Name :Clinton
Middle Name :Melvin
Nationality :Indian
Date of Birth :18/10/1993
Place of Birth :Mumbai
Weight (kg) :70
Height (cm) :173
Post Applied for :
Trainee Marine Engineer
Permanent Address :Uttan Karaipada,
Present Address : Uttan Karaipada,
Mira-Bhayandar West, Near Gothani Bridge,
Mira-Bhayandar West, Near Gothani Bridge,
Uttan, Thane
Uttan, Thane
PIN Code:401106
Nearest Airport: Mumbai
PIN Code:401106
Tel No / Mobile No:983-***-****
Tel No / Mobile No:989-***-****
Email ID:**************@*****.***
2. PASSPORT DETAILS
Passport No.
Date of Issue
Place of Issue
Date of Exp.
ECNR
Blank Pages
Z2396557
29/08/2013
Mumbai
28/08/2023
62
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s Book (CDC)
Number
Date of Issue
Place of Issue
Expiry Date
Remark
INDOS
11EL2182
25/07/2011
Mumbai
CDC
MUM 248377
07/05/2015
Mumbai
06/05/2025
4. FAMILY INFORMATION
Full Name of Next of Kin :Melvin Elias Colaso
Relationship :Father
Address of Next of Kin: Uttan Karaipada, Mira-Bhayandar West, Near Gothani Bridge, Thane
Tel No. :983-***-****
Family Data
Name
Contact Number/e-mail ID
Father
Melvin Colaso
Mother
Anita Colaso
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF PASSING
PERCENTAGE
BOARD/UNIVERSITY
B.TECH MARINE
2015
74.00
Y.C.M.O.U
H.S.C.
2011
70.17
MAHARASHTRA
S.S.C.
2009
86.61
MAHARASHTRA
6. DETAILS OF B.TECH (MARINE) COURSE:
PERCENTAGE
AVERAGE %
SEMESTER
SEMESTER 1
69.00
SEMESTER 2
66.66
SEMESTER 3
70.66
SEMESTER 4
70.50
SEMESTER 5
68.33
70.79
SEMESTER 6
73.16
SEMESTER 7
70.16
SEMESTER 8
77.83
7. STCW AND OTHER COURSES
Details of Courses & Certificates
Number
Dt. Of Issue
Dt. Of Expiry
Pl. of Issue
Issued by
Advanced / Basic Fire Fighting
10/07/2015
Mumbai
SCI
Proficiency in Survival Craft / Rescue Boat / PST / PSC RB Up gradation
10/07/2015
Mumbai
SCI
Elementary / Medical First Aid / Medicare
C881C2568AC1BC36
26/07/2014
Mumbai
NAMAC
Personal Safety & Social Responsibility (PSSR)
EC6488F0305B55B1
02/07/2014
Mumbai
NAMAC
Proficiency in Security Training for Seafarers with Designated Security Duties
MANET/STSDSD/122/2015
29/08/2015
Unlimited
Pune
MANET
Petroleum Tanker Familiarization
MMTI/OTF/11326/2015
11/09/2015
Unlimited
Mumbai
MMTI
Chemical Tanker Familiarization
MMTI/CTF/9180/2015
25/09/2015
Unlimited
Mumbai
MMTI
HOBBBIES AND INTRESTS
Swimming, Boxing, Collecting various Currencies, Bicycling, Listening Music, Trying various Cuisines
8. OTHER CERTIFICATES
Sr.No.
Details of the Certificates
01
Participation in Boxing (LT Welter)
02
Participation in Chess
9. DECLARATION
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.
Date / / Name CLINTON MELVIN COLASO Signature