O.s trainee

PERSONAL DATA :-

Surname : KUMAR

Middle Name :

First Name :SANJEEV

Nationality :INDIAN

Date of Birth :05.03.1997

Place of Birth :JEHANABAD

Post Applied for:

RATING TRAINEE

Available From :

TODAY

Permanent Address :

LATE BAIKUNTH PRASAD SINGH,MOHALLA-THAKURWARI,P.S&P.O-JEHANABAD

Present Address :

C-603,MAHAVIRDRISHTI,SEC:12,

PLT NO:04,KHARGHAR,NAVI MUMBAI

BIHAR

MAHARASHTRA

PIN Code :804408

PIN CODE:410210

Mobile No:+918*********

MOBILE NO. - 748-***-****

Email ID : ****************@*****.***

Passport no.

Date of Issue

Place of Issue

Date of Exp.

ECNR

Blank Pages

P2765763

26/12/2016

PATNA

25/12/2026

YES

YELLOW

FEVER

08/09/2017

MUMBAI

07/09/2027

Seamen’s

Book (CDC)

Number

Date of Issue

Place of Issue

Expiry Date

Remark

INDIAN CDC

MUM 279324

12/08/2017

MUMBAI

11/08/2027

INDOS

17GL0919

MUMBAI

Civil Status : UNMARRIED

Full Name of Next of Kin :Mr. ANJAN KUMAR

Relationship :FATHER

Address of Next of Kin: SAME AS ABOVEMOBILE NO. 957-***-**** :

Details of Courses & Certificates

Number

Dt. Of Issue

Dt. Of Expiry

Pl. of Issue

Issued by

EFA

008**********

01/02/2017

MUMBAI

T.S. RAHAMAN

FPFF

001**********

04/02/2017

MUMBAI

T.S. RAHAMAN

PSSR

010**********

08/02/2017

MUMBAI

T.S. RAHAMAN

PST

007**********

11/02/2017

MUMBAI

T.S. RAHAMAN

BASIC STEERING COURSE

068**********

24/06/2017

MUMBAI

T.S. RAHAMAN

AUGMTN

056**********

04/02/2017

MUMBAI

T.S. RAHAMAN

STSDSD

061**********

11/03/2017

MUMBAI

T.S. RAHAMAN

OCTCO

BPMA/OILCHEM/2625/2017

26/08/2017

MUMBAI

B.P. MARINE ACADEMY

DANGEROUS CARGO ENDORSEMENT

GRADE/LEVEL

NUMBER

DATE OF ISSUE

DATE OF EXPIRY

PLACE OF ISSUE

OIL TANKER ENDORSEMENT

BASIC

NMMI NM/OIL/18/01302

05/01/2018

04/01/2023

MUMBAI

CHEMICAL TANKER ENDORSEMENT

BASIC

NMMI NM/CHEM/18/01301

05/01/2018

04/01/2023

MUMBAI

PRE/POST SEA TRAINING DETAILS:-

NAME OF TRAINING/COURSE

From

To

NAME OF COLLEGE

GENERAL PURPOSE RATING

JAN-2017

JUN-2017

T.S. RAHAMAN

I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no Certificate of competency or License issued to me has ever been Revoked or Suspended.

DATE :

PLACE: MUMBAI

NAME:- SANJEEV KUMAR

RANK:- RATING TRAINEE

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