**-***-****

Seafarer Profile

Last updated date : 24/03/2022 02:14 PM Date :

: Nautical

Personal Details

Surname / Last Name

Gender

Date of Birth

Place of Birth Birth State

Birth Country Nationality

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SEBASTIAN

MALE

03/01/2000

ALAPPUZHA KERALA

INDIA INDIAN

18GL0738

POONTHRASSERIL HOUSE

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City

State

City

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Pin

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Pin

Address

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Address : :

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Address Details

Present Address Permanent Address

PARAVOOR

PUNNAPRA P O

ALAPPUZHA

: 688004

KERALA State :

PARAVOOR

PUNNAPRA P O

PUNNAPRA

688004

Kerala

POONTHRASSERIL HOUSE

Country :

Telephone No. :

Country :

Telephone No. :

Mobile No. :

Email Id :

INDIA

954-***-****

adqz6z@r.postjobfree.com

INDIA

702-***-****

Physical Details

Hair Color

Eye Color :

Height (in Cms) :

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Identification Mark : BLACKMOLE ON THE RIGHT MIDLE FINGER 175

BLACK

BLACK

WHEATISH

INDoS No. : Discipline

Given Name : JOSEPH

Authorised Documents

1 . Document Type : Passport

Document Type : Passport

Document Number :

Valid Upto :

Issued Date :

Issued At :

R4909269 04/10/2017

03/10/2027 COCHIN

2 . Document Type : CDC

Document Type : CDC

Document Number :

Valid Upto :

Issued Date :

Issued At :

MUM 328412 30/08/2018

29/08/2028 MUMBAI

Total no of record in Authorised Documents : 2

Report generated on : 24/03/2022 8.58 PM Page 1 of 2 I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at the time of taking oral examination or at an earlier time when asked by the department. DECLARATION TO BE MADE BY CANDIDATE :

Date :

Signature of the candidate

This is an electronically generated document hence it does not require any signature of DGS Officials. Report generated on : 24/03/2022 8.58 PM Page 2 of 2

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