BIO-DATA
First Name: Middle Name: Last Name:
Name (as in
Passport)
ABDUL SHAREEF Blood Group O+VE
Position Applied For ORDINARY SEAMAN Sex MALE Marital Status Date of Birth 26/07/1984 Height Date of Marriage
Age 35 Weight No. of Children
Nationality INDIAN Education Hair Color & Eye Color Place of Birth MINICOY,LAKSHADWEEP Religion ISLAM Birth Mark Name of Spouse SADAF KHAN Nearest Intl. Airport MUMBAI Name of Father ALI MEDUMAUGE Languages Known
Permanent Address Present Address
GANDEEGE FATHIMAGE (H),
KENDIPARTY VILLAGE
MINICOY,
LAKSHADWEEP-682559
E-Mail Address *********@*****.*** Home Telephone 048******** Mobile Phone +917********* Training and Apprenticeship Bank Account No: 995*********** Previous Employer Address of
The Bank
SYNDICATE BANK MINICOY
FUNHILOL VILLAGE
MINICOY
Yellow Fever Vaccination
Validity
Type Number Date of Issue Date of Expiry Place of Issue CDC INDIAN KOL102096 22/07/2014 21/07/2024 KOLKATA Passport INDIAN T962963 04/11/2019 03/11/2029 COCHIN U.S.A. Visa Details
Other Country Visa (Please
Specify)
Panama CDC
Liberia CDC
STCW & Other Certificates/
Endorsements
Place of Issue Date of Issue Date of Expiry Issued By Number E.F.A KANCHEEPURAM 23/02/2017 23/02/2022 COSMOPOLITAN TECHNOLOGY OF MARITIME
EFA/ C172/2122
P.S.T KANCHEEPURAM 01/03/2017 28/02/2022 COSMOPOLITAN TECHNOLOGY OF MARITIME
PST/B184/2212
P.S.S.R KANCHEEPURAM 27/02/2017 UNLIMITED COSMOPOLITAN TECHNOLOGY OF MARITIME
PSSR/B172/2212
F.P.F.F KANCHEEPURAM 28/02/2017 27/022028 COSMOPOLITAN TECHNOLOGY OF MARITIME
FPFF/B172/2212
P.S.C.R.B
M.M.D
I.S.P.S.(CODE)
INDOS.NO INDIA 10/12/2010 UNLIMITED C/O LAL BAHADUR SHASTRI COLLEGE OF ADVANCED
MARITIME STUDIES &
RESEARCH
10HL1592
YELLOW FEVER
STSDSD KANCHEEPURAM 23/02/2017 UNLIMITED COSMOPOLITAN TECHNOLOGY OF MARITIME
CTM/STSDSDFEB7/16
PSF KANCHEEPURAM 15/02/2017 COSMOPOLITAN
TECHNOLOGY OF MARITIME
PSF/FEB4/07
Sea Service Career.
NAME OF VESSEL NAME OF
COMPANY
ONBOARD PERIOD TOTAL
M/D
RANK GRT VESSEL
TYPE
MAIN ENGINE
MAKE
TYPE/BHP
FROM TO
M. V KAVARATTI LDCL 02/05/2019 01/11/2019 6/0 DUH 8763 PASSENGER 2*2950KW M. V CORALS LDCL 14/03/2020 20/12/2020 9/0 DUH 5939 PASSENGER 2X1920KW Date : Signature :