PERSONAL DETAILS
LAST NAME/SURNAME
Palekar
FIRST NAME
Ajay
POSITION APPLIED FOR
Deck hand
SECOND CHOICE
Able bodied seaman
DATE OF BIRTH
30th March 1992
PLACE OF BIRTH
Pune
DATE OF AVAILABILITY
11/07/2020
NATIONALITY
Indian
ENGLISH’S LEVEL
Fluent
COMPLETE HOME ADDRESS
Flat no.17,Issar Apt, Jambhulkar Chowk,Wanawri,Pune-411 040
PHONE NUMBER
DOCUMENTS DETAILS
NAME OF THE DOCUMENT
NUMBER
PLACE OF ISSUE
DATE OF ISSUE
DATE OF EXPIRY
CDC
MUM192437
MUMBAI
22/09/2011
21/09/2021
PASSPORT
U4834332
PUNE
14/09/2020
13/09/2030
INDOS NO.
11GL0451
MUMBAI
18/01/2011
UNLIMITED
YELLOW FEVER VACCINATION
14287
MUMBAI
31/12/2011
30/12/2013
WATCHKEPPING CERTIFICATE
INSA/M/WKD/0429
MUMBAI
29/05/2015
UNLIMITED
STCW CERTIFICATE DETAILS
NAME OF THE DOCUMENT
DOCUMENT NUMBER
PLACE OF ISSUE
DATE OF ISSUE
EFA
SGA/EFA/201*-****-*****
MUMBAI
29/06/2015
PST
SGA/RT-PST/201*-***-****
MUMBAI
13/06/2015
PSSR
SGA/PSSR/201*-****-*****
MUMBAI
17/06/2015
FPFF
MA/OTF/5717/2011
MUMBAI
10/06/2015
SHIP SECURITY COURSE
SGA/STSDSD/201*-***-****
MUMBAI
22/03/2014
PSCRB
AIIMT/MUM/PSCRB/83/1958
MUMBAI
02/12/2016
SER SERVICE EXPERIENCES
RANK
COMPANY
NAME OF VESSEL
VESSEL’S TYPE
GRT
FROM
TO
Tr. OS
GLARE SHIPPING PVT.LTD
M.V.RAMEY TIDE
SUPPLY
851
25/04/2013
18/12/2013
Tr. OS
MERCATOR
M.V. TRIDEVI PREM
HOPPER
DREDGER
4992
30/05/2014
09/03/2015
OS
MERCATOR
M.V.VEERA PREM
HOPPER
DREDGER
9640
14/07/2015
17/10/2015
AB
MERCATOR
M.V.OMKARA PREM
HOPPER
DREDGER
4990
17/12/2015
22/09/2016
AB
INTERNATIONAL SEAPORT DREDGING PVT.LTD
M.V.ANTIGOON
HOPPER
DREDGER
7905
11/01/2017
30/06/2017
AB
INTERNATIONAL SEAPORT DREDGING PVT.LTD
M.V.ANTIGOON
HOPPER
DREDGER
7905
22/08/2017
24/10/2017
AB
NMDC
ARZANA
HOPPER
DREDGER
7708
17/03/2018
10/06/2018
AB
NMDC
ARZANA
HOPPER
DREDGER
7708
12/07/2018
24/11/2018
AB
NMDC
ARZANA
HOPPER
DREDGER
7708
30/01/2019
12/07/2019
AB
NMDC
ARZANA
HOPPER
DREDGER
7708
21/07/2019
01/08/2019
DATE:- SIGNATURE:-