SEMAN APPLICATION FORM
RASHAN NADILKA NUWAN
Personal details
Date available Date applied Position applied : os
Surname (as per the passport)
panchanadayalage
Other names (as per the passport)
rashan nadilka nuwan
Permanent address (with zip podtel code) :- mananamulla meewewa kalugamuwa 74/8
Home number :- +94-702-***-*** Mobile :- +94-741-***-*** e-mail :- *******.******@*****.***
Nationality : sri lanka Date of birth : 11/20/2003 place of birth: kurunegala Blood group: AB+ Weight kg: 55 Heigth cm : 180 Age : 20 Boiler suits size : med Safety shoes size : 45
Emergency contact
Home number : +94-702-***-*** Mobile no : +94-741-***-*** Academic qualification – PRE –SEA TRAINING
Type of degree Name of
institute
From To Place Remarks
Deck rating U.N.K global
maritime
institute
Palliya wattha
hendala
Maritime training fro 6th month, passed the ordinary level very well and has also passed the advanced level examination. I can speek two languages Sinhala and English. English can be somewhat deciphered and can be spoken qute well Language and knowledge
TRAVEL / IDENTITY DOCUMENTS
DOCUMENTS ISSUED COUNTRY NUMBER D.O.I
DD/MM/YYYY
D.OE
DD/MM/YYYY
Passport(all
country)
Sri lanka N10098219 25/11/2022 25/11/2035
Seaman book Sri lanka C059352 11/01/2024 10/01/2029 S I D CARD Sri lanka 3250N1HB6 08/02/2024 08/02/2029 Stcw course attended
& certificate
Certificate no D of issue Valid till P of issue
STCW
Proficiency in
Elementary First
Aid
(EFA
UNKGMI/EFA/2713 26/SEP/2023 UNK GLOBAL
MARITIME
Proficiency in Personal
Survival Techniques.
(PST)
UNKGMI/PST/2899 21/SEP/2023 UNK GLOBAL
MARITIME
Stcw course attended
& certificate
Certificate no D of issue Valid till P of issue
Proficiency in Personal
Safety & Social
Responsibility. (PSSR)
UNKGMI/PSSR/2727 13/SEP/2023 UNK GLOBAL
MARITIME
Proficiency in Fire
Prevention & Fighting
(FPFF
UNKGMI/FPPF/2876 18/SEP/2023 UNK GLOBAL
MARITIME
Proficiency in Medical
First Aid (MFA)
UNKGMI/EFA/2731 26/SEP/2023 UNK GLOBAL
MARITIME
MARITIME ENGLISH
LANGUAGE COURSE
UNKGMI/MESL/2356 05/OCT/2023 UNK GLOBAL
MARITIME
Proficiency in Ship
Security
Designated Security
Duties
(SDSD)
UNKGMI/SDSD/3508 03/OCT/2023 UNK GLOBAL
MARITIME
Stcw course attended
& certificate
Certificate no D of issue Valid till P of issue
PRE SEA TRANING
COURSE FRO DECK
RATING
UNKGMI/RATD/0513 16/MAY/2023 UNK GLOBAL
MARITIME
OIL AND CHEMICAL
TANCKER CARGO
OPERATIONS
UNKGMI/BT/OIL&CHE/
1356
21/NOV/2023 UNK GLOBAL
MARITIME