Academy Maritime

PRESENT RANK: ORDINARY SEAMAN

Name : MUJEEB RAHMAN SAHIB BANDER

Father Name :Kunhikoya Haji.KPB

Email Id :************@*****.***

Date of Birth :02.11.1990

Gender : Male

Nationality & Religion : Indian, Muslim

Language Known :English,Malayalam&Tamil

PERMENENT ADDRESS PRESENT ADDRESS

BANDER HOUSE

AGATTI ISLAND, LAKSHADWEEP

LAKSHADWEEP INDIA

PIN :682553

MOB: 949-***-****

BANDER HOUSE

AGATTI ISLAND, LAKSHADWEEP

LAKSHADWEEP INDIA

PIN :682553

MOB: 949-***-****

DOCUMENT DETAILS

Documents Number Place of issue Date of issue Date of Expiry Passport V1854673 Cochin 25.06.2021 24.06.2031

Indian CDC MUM192930 Mumbai 31.03.2021 30.03.2031

Indos No 11GL1832 Mumbai 17.02.2011 Unlimited

SID C32424217 Chennai 27.06.2022 26.06.2032

TECHNICAL QUALIFICATION

Certificate Name Certificate No Date of Issue Issue Authority COP ABN23007884 06.03.2023 DG Shipping

Watching Keeping CMMI/WK/NAV/CHN/014/118 19.09.2014 Chennai GP Rating G1106C02054/JUN11/26568 29-JUN-2011 Board of Examinations for Seafarers Trust

Certificate Name Certificate Number Institute &

Place of Issue

Date of Issue Date of Expiry

Pre Sea-Training PSGP/EMA/1098 Euro Tech

Maritime

Academy

25.06.2011 -NA-

PSF 4030215211220059 Pondicherry

Maritime

Academy

22.03.2022 -NA-

FPFF 4030216122220087 Pondicherry

Maritime

Academy

01.02.2023 18.03.2027

PST 4030216112220088 Pondicherry

Maritime

Academy

01.02.2023 20.03.2027

PSSR PMA/PSSR/07.18.2017 Pondicherry

Maritime

Academy

03.05.2017 Unlimited

STSDS 4030216621220072 Pondicherry

Maritime

Academy

22.03.2022 -NA-

DECLARATION

I hereby declare that all information provided above is true and correct to the best of my knowledge and belief.

Place: Agatti Island, Lakshadweep India

Date: 13.08.2023 Mujeeb Rahman Sahib Bander

EFA PMA/

EFA/06.19.2017

Pondicherry

Maritime

Academy

13.05.2017 Unlimited

PSCRB 4030216211230024 Pondicherry

Maritime

Academy

28.01.2023 27.01.2027

HSC HSC-C/010/17 Sea Skills

Maritime

Academy

01.06.2015 -NA-

RECORD OF SEA SERVICE

Name of Vessel Off. No Type of

Vessel

GRT Rank From To

MV.BHARAT

SEEMA

1931 Passenger

Cum Cargo

3670 TSM 26.10.2013 13.06.2014

MV.BHARAT

SEEMA

1931 Passenger

Cum Cargo

3670 TSM 14.06.2014 12.09.2014

HSC.CHERIYAPANI 3197 Passenger 396 OS 28.10.2017 11.03.2017 HSC.SKIP JACK 3192 Passenger 164 OS 04.06.2018 26.10.2018 HSC.SKIP JACK 3192 Passenger 164 OS 21.02.2019 22.06.2019 HSC.CHERIYAPANI 3197 Passenger 396 OS 29.10.2019 01.02.2020 MINICOY 2930 Passenger

Cum Cargo

982 OS 05.02.2020 06.07.2020

KAVARATTI 3011 Passenger

Cum Cargo

8763 OS 24.11.2020 21.05.2021

MV.KODITHALA 3891 Oil 498 OS 14.08.2021 24.11,2021 MV.KODITHALA 3891 Oil 498 OS 04.12.2022 14.02.2022 HSC.SKIP JACK 3192 Passenger 164 OS 07.06.2022 05.01.2023 HSC.CHERIYAPANI 3197 Passenger 396 OS 12.05.2023 31.07.2023

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