POSTAPPLIED FOR

FULL NAME

FATHER'S NAME

ADDRESS

PASSPORT & C.D,C. DETAILS

BIO DATA

TANDEL NILESHKUIV]AR HASMUKHBHAI

TANDEL HASIVlUKHBHAI MANUBHAI

. AT & PO I,IEDHAR. VACHLA FALIA

TA GANDEVI DIST:NAVSARI 396 310

STATE GUJARAT IND]A

tu'lo No +91-912*******

rr .shkll 996ro!tel.oft

. 05/05/1996

[IALE

N DIAN

ENGLISH GUJARAT. H]ND]

UNJVIARR ED

S S C PASSED

T I PASSED

CCNTACT NO.

EIiIAIL ID

DATE OF.BIRTH

GENDER

NATIONALITY

LA']6UAGE KNOWN

Ii]ARITAL STATES

QUALIFICATION

STCW COURSE DETAILS

PLACE:

DATE:

OOCUI!1ENTS NUIVlBER DATE lSSUE DATE EXPIRY PLACE OF ISSi] PASSPORT N 8863877 17/4612416 16/06i2026 SURAT

CDCiNDIAN) tuIuM 382516 30i 05/2019 29t45t2029 t41l [.4 Bl\ NDOC NO 19G19903 uia1t2a19 [/iU [,,IBA

YELLO\,V FLEVER sR NO 01348 21t48i2419 lv1ll tu1BA COURSES NAME CERTIFICATE NOI DATE OF ISSUE PLACE OF ISSUF G P RA']'ING 2070411001190229 03/00/2019 fu]AHES/\NA P S.T. 2070463071913S 13/04i2019 fu]AH:SAi!A

207*********** 13t44/2019 AHES/iNA

EFA 207*********** 13144t2019 I\i]AiIESANA

PSSR 2070463071913e 13t44t2019 IVIAHESA\,.

SISDSD 247t46148191114 16t44t2419 l\4AHESANA

RECOED PREVIOUS SERVICE:

DATE FROI\)] TO

iTANDEL NILESHKUIV]AR HASMUKHBHAI j