PERSONAL APPLICATION FORM
Position applied for: OS
Personal data
Name
SHYJU M THARAKAN
Date of birth
Place of birth
KUNDARA
Nationality
INDIAN
Marital status
Married
Tel
Next of kin
Address
Charuvila puthen veedu,hospital jn kundara po kollam
Pre-sea education
MARINE TRRAINING ACADEMY Mumbai (Gp rating)
Document Date and place of issue Expiry date
Seaman’s book
Mum 2114478
07.02.2013 mumbai
06.02.2023
Passport
J 3631556
19.04.2011 trivandrum
18.04.2021
Medical certificate
Medical test
Height, cm: 173
Weight, kg: 79
Colour of Eyes: brown
Colour of Hair: Black
Size: XL
Shoes: 42-43
STCW Certificates
Name of institude
Certif.
Date of issue
Expiry date
Pre-sea course
M T A mumbai
1389/2013
23.01.2013
Endorsement
Fire prevention and fire fighting
Euro tech
63-13/000812
10.08.2013
09.08.2018
GMDSS (endorsement)
P S T
Euro tech
63-13/000815
10.08.2013
09.08.2018
A.R.P.A.
PSSR
Euro tech
842-13/013906
16.08.2013
unlimited
Familiarization with ISPScode
M T A mumbai
1493/2012
31.12.2012
Medical first aid
Medical care
Prof. in survival craft
Ship Safety Officer
Ship Security Officer
Elementary first aid
M T A mumbai
1252/2012
17.10.2012
Training for seafarers with designated security duties
Euro tech
70-13/001502
10.10.2013
unlimited
Additional courses attended (STCW Certificates)
Chemichal tanker
familiarisation
M T A mumbai
7845/2013
Basic training for oil and chemical tanker cargo operations
M T A mumbai
3693/2012
SEA SERVICE
From
To
Ship’s name
vessel type
Type of engine/BHP
Flag
Company
08.12.2014
02.06.2015
M/V Sealion
Supply vessel
Diesel/catterpillar
kuwait
A G M S
17.08.2015
18.12.2015
Shark 54
A H T S V
Diesel/catterpillar
kuwait
A G M S