PHOTO

BIO-DATA

POST APPLIED FOR

WIPER

DATE AVAILABLE

ANYTIME

INDOS NUMBER

14GL0381

FULL NAME: - SAINUDDEEN HEUKA GOTHI ( D O B :-26-05-1994 )

PLACE OF BIIRTH:- MINICOY ISLAND

FATHER NAME :- HASSAN ALI H K

PPRESENT ADDRESS (IN MUMBAI)

PERMENENT ADDRESS

NEXT OF KIN

AL-KAREEM MANZIL

5TH FLOOR27/28,

15TH PALTON ROAD

MUMBAI

MOBILE:- +919*********

HEUKAGOTHI,BODUATHIRI,

MINICOY ISLAND P O, UT OF LAKSHADWEEP -682559

MOBILE:- 944-***-****

HASSAN ALI HK

FATHER

Mob:-828*******

PH: 022-********

PH:- 048**-******

PH:- 048**-******

DOCUMENTS

NUMBER

DATE OF ISSUE

DATE OF EXPIRY

PLACE OF ISSUE

PASSPORT

L6059979

28-11-2013

27-11-2023

COCHIN

CDC (INDIA)

MUM238737

02-07-2014

01-07-2024

MUMBAI

YELLOW FEVER

LOT-L5240-1

13-02-2017

02-02-2027

COCHIN

INDOS

14GL0381

10-02-2014

MUMBAI

DETAILS OF COURSE

COURSE

CERTIFICATE NUMBER

DATE OF ISSUED

PLACE OF ISSUED

DATE OF EXPIRE

P.S.T

R PST/EMA/67-16/001189

28-12-2016

EMA,COCHIN

27-12-2021

P.S.S.R

PSSR/PSGP/EMA/001535

19-02-2014

EMA,COCHIN

UNLIMITED

F.P.F.F

R FPFF/EMA/68-16/001213

28-12-2016

EMA,COCHIN

27-12-2021

E.F.A

EFA/EMA/II/40-16/000800

21-12-2016

EMA,COCHIN

UNLIMITED

MMD/WK

IMEI/KO/WKC/129

02-02-2017

IMEI, KOCHI

UNLIMITED

S.T.S.D.S.D

STS/PSGP/EMA/001535

04-03-2014

EMA,COCHIN

UNLIMITED

AUG

AFPFF/EMA/75-15/001166

09-02-2017

EMA,COCHIN

UNLIMITED

OCTCO

AMA2/OCTCO/B03/03/17

04-03-2017

AMA,MUMBAI

UNLIMITED

PSCRB

MOTA/PSCRB/08/0177/17

17-03-2017

PONDICHERRY

UNLIMITED

OIL DC

IMEI/KO/OT/1180

14-03-2017

IMEI, KOCHI

03-03-2022

CHE DC

IMEI/KO/CT/689

14-03-2017

IMEI, KOCHI

03-03-2022

SEA SERVICE

SHIPPING COMPANY

NAME OF SHIP

TYPE

GRT

BHP

RANK

SIGN ON

SIGN OFF

LDCL

KAVARATTI

PASENGER

8763

2x2950

TERR

08-06-2016

15-12-2016

DATE:-

PLACE:-MUMBAI SIGNATURE OF APPLICANT

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