Electrical Engineer Supervisor
Resume:
SEASTAR SHIP MANAGEMENT PRIVATE LIMITED
APPLICATION / PERSONAL DATA FORM FOR OFFICER’S & RATINGS
1
1
Position ID/PD No. (For Office Use Only)
Position applied for:
Are you willing to accept any other positions? If YES, which positions would you consider? NO
YES/NO
Are you responding to a media advertisement? If YES, please state which publication NO
YES/NO
From what date will you be available? Negotiable
2
Personal details
Name:
(First Name) ANUMAY
(Middle Name)
(Last Name) RAYCHAUDHURI
Date / Place of Birth:
05.01.1966/HOWRAH
Nationality:
INDIAN
Permanent address:
13B,BADAL BOSE SARANI,HOWRAH.WEST BENGAL.’LEMON TREE’FLAT4B,BLOCK-B
Pin Code:
E-Mail:
********@*****..***
(Tel No. :
Mobile
Local address:
Same as above
Pin Code:
E-Mail:
(Tel No.
Mobile
3a
Educational Background
Qualification
Higher Secondary Science
School / College
From
To
Percentage/ Grade
3b
Technical Background
Degree/ Diploma
Institute/ College
From
To
Percentage / Grade
4
Identity documents
DOCUMENT
COUNTRY
NUMBER
DATE OF ISSUE
PLACE OF ISSUE
DATE OF EXPIRY
Passport:
INDIA
T2220902
19.03.2019
KOLKATA
18.03.2029
Seaman Book:
INDIA
CL45646
14.11.1994
KOLKATA
27.05.2014
Other SBK
Do you hold a US Visa ‘C1/D’?
YES/NO
NO
Issue Date:
Expiry Date:
Do you hold a US Visa ‘B1/B2’?
YES/NO
NO
Issue Date:
Expiry Date:
Have you been rejected for any visa applied for?
YES/NO
NO
If YES, please state the country and reasons
INDOS No: (only for Indians)01XL0406
YELLOW FEWER V/T:02.09.2020
MUI NO : V/T
5
Family Details: (If Unmarried kindly give details of Father / Mother)
NAME
Relation
DOB
POB
PASSPORT NO.
PLACE OF ISSUE
DATE OF ISSUE
DATE OF EXPIRY
ECNR
SOMA RAYCHAUDHURI
WIFE
10.09.1973
HOWRAH
T1068216
KOLKATA
28.02.2019
27.02.2029
6
Certificates (Highest certificate of competency held)
Grade/Class Of COC Country
Issuing Country
Date of Passing Exam
Certificate No.
Date Issued
Place Issued
Valid Until
REETO
INDIA
06.02.2007
SMC/REETO/030
06.02.2007
KOLKATA
NA
7
Dangerous Cargo Endorsements Details
Type
Certificate No.
Date Issued
Place Issued
Valid Until
OIL
CHEMICAL
GAS
8
Certificates Of Competency issued by other countries (Issued by countries other than in Section 6)
Issuing Country
Certificate No.
Date Issued
Place Issued
Valid Until
9
Details of Courses
Courses
Certificate No.
Issued By
Date Issued
Date Of Expiry
FPFF / AFF
002999
IIPM
19.05.2000
NA
EFA / MFA / MEDICARE
MFA0140000307
MMA
04.05.2000
NA
PSCRB
00382
MMA
16.06.2000
NA
PST
PSSR – Personal Safety & Social Responsibilities
SCMS/PSR/192/98
SCMS
30.09.1998
NA
SSO – Ship Security Officers Course
00838
IIPM
24.08.2005
NA
ISPS Course
ROSC – Radar OBS Simulator
ARPA – Automatic Radar Plotting Aid
RANSCO – Radar, Arpa & Navigation Simulator
BTM
SMS / SHS / ERS
Bridge & Engine Resources Management
GMDSS
GG10510
MCA
05.08.1997
28.10.2015
GMDSS Endorsement
Refresher & Upgradation Course
Container Operations / Hazmat
Electrical Familiarization for Marine Engineers
Electronics for Marine Engineers
Instrumentation & Shipboard Control Systems
Automation and Controls
Container Refrigeration
Hydraulics for Engineers (Basic / Advance)
Hydraulics and Pneumatics Workshop
Applied Electronics (AELC)
Practical Marine Electrical Workshop
Engine Equipment Maintenance Workshop
Basic Electrical and Fluid Technology
Reefer Container and Maintenance Course
Watch Keeping Certificate Ratings (Deck/Engine)
Oil Tanker Safety Course
Chemical Tanker Safety Course
Gas Tanker Safety Course
10
9
Record of previous service
(Please give a full record starting with the last vessel on which you served)
COMPANY
VESSEL NAME
VESSEL TYPE
D.W.T
GRT
VSL AGE
TYPE OF ENGINES
(Please give full dtls)
B.H.P
RANK
SIGN ON dd/mm/yy
SIGN OFF dd/mm/yy
DURATION yy/mm/dd
REASONS FOR S/OFF
Thome
M.T.Riverside
TNC
62856
2
BNW
19380
E/O
11.02.11
17.09.11
7M10D
Thome
M.T.Hero 1
TNC
169187
10
BNW
36927
E/O
19.12.10
15.01.11
26D
Great Eastern
M.V.Jag Vikram
BC
16910
30
SULZER
11550
E/O
04.04.10
19.06.10
2M18D
Torm
M.T.Torm TTThames
TNC
29214
4
MANBNW
15820
E/O
04.06.09
07.08.09
2M3D
Torm
M.T.Torm Garone
TNC
23246
4
MANBNW
15050
E/O
25.10.08
04.03.09
.
4M8D
Ocean Tanker
M.T.Ocean Vela
TNC
37708
28
SULZER
11179
E/O
20.02.08
06.08.08
.
5M17D
Grand Seatrade
M.V.Grand Clipper
BC
85286
12
BNW
16858
E/O
27.04.07
08.09.07
4M11D
Anglo Eastern
M.T.Heidmar Brazos
TNC
44871
25
BNW
2x6700max
Tr.Prsr
23.11.05
27.04.06
5M6D
K-Line
M.T.Grace River
LPG
44673
2
BNW
20630
CLRK
26.06.04
21.12.04
5M26D
APJ Line
M.V.APJ Akhil
BC
27997
6
BNW
11700
R/O
25.08.01
16.02.02
5M22D
Tradeline
M.V.Accord 1
GC
12278
27
DOXFORD
12000
R/O
04.12.00
08.05.01
5M6D
Douss
M.V.Nita1
BC
10572
27
BNW
7420
R/O
26.04.99
14.10.99
5M19D
SCI
M.T.L.M.Tilak
TNC
47690
23
BNW
20300
R/O
05.03.98
12.06.98
3M8D
SCI
M.T.R.Prasad
TNC
59652
24
BNW
20300
R/O
30.01.97
16.10.97
8M17D
APJ Line
M.V.APJ Priti
BC
10371
23
MITSHUBISHI
8000
R/O
08.10.96
18.01.97
3M11D
SCI
M.V.Nicobar
PAX
14195
11
SULZER
2x2607
R/O
21.02.96
19.08.96
5M10D
APJ Line
M.V.APJ Priti
BC
10371
23
MITSHUBISHI
8000
TR/O
20.11.94
14.07.95
8M24D
11
For Engineers (Please provide details)
Generators
Purifiers and Boilers
Type of Cranes / No of Reefer Containers
12
Sailing Experience: (Please advise PRESENT RANK EXPERIENCE on each type of vessel)
BULK / M P V
Reefer / Container / PCC
Oil / Chemical
VLCC / Crude
Others
LAST SALARY DRAWN (PLEASE MENTION CURRENCY)
13
Medical history
Have you ever signed off a ship due to medical reasons?
YES/NO
Have you undergone any operation in the past?
YES/NO
Have you consulted a doctor during the last 12 months for an illness/accident?
YES/NO
Do you have any health or disability problems now?
YES/NO
(If the answer is YES to any of the above, please give full details and attach a separate page if necessary)
14
General
Have you ever been the subject of a court of enquiry or involved in a maritime accident?
YES/NO
Have you ever had a professional license suspended or revoked?
YES/NO
(If YES, please give full details and attach a separate page if necessary)
15
References (Please give the name and address of your current or immediate past employer)
Name of company
1.
2.
Name of person to contact
Address
( No.
16
Review
If immediate employment is not available do you wish to be considered for future vacancies?
YES/ NO
If YES, please give any alternative contact details not shown in Section 2
17
Declaration
I hereby declare that the above particulars are true and authorise you to contact the referees listed above.
Date:
Signature
18
BOILER SUIT SIZE: SAFETY SHOE SIZE: HEIGHT: WEIGHT:
PHOTO
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