Seafarer Profile
Last updated date : 15/02/2022 11:47 AM Date :
: Nautical
Personal Details
Surname / Last Name
Gender
Date of Birth
Place of Birth Birth State
Birth Country Nationality
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YADAV
MALE
22/03/1994
MUMBAI MAHARASHTRA
INDIA INDIAN
18BL5171
ROOM NO.- 7, C.T.S- 760, 1st FLOOR,
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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
DURGA MATA RAH SAN, MADH ISLAND,
MALAD (WEST)
MUMBAI
: 400061
MAHARASHTRA State :
DURGA MATA RAH SAN, MADH ISLAND,
MALAD (WEST)
DURGA MATA RAH SAN, MADH ISLAND,
400061
Maharashtra
ROOM NO.- 7, C.T.S- 760, 1st FLOOR,
Country :
Telephone No. :
Country :
Telephone No. :
Mobile No. :
Email Id :
INDIA
*****.********@*****.***
INDIA
Physical Details
Hair Color
Eye Color :
Height (in Cms) :
: Complexion
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Identification Mark : MARKS ON MY FACE
168
BLACK
BLACK
DARK
INDoS No. : Discipline
Given Name : ARMUGAM SANTHANAM
Report generated on : 07/08/2022 12.19 PM Page 1 of 4 Education Details
Name of Institution
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Main Subjects :
Year of Passing :
English Mark :
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Institute Address :
Mathematics
50
StBonaventureSchool
MaharashtraBoard
St.Bonaventure high school madh island malad west
2 . 10TH (Matriculation/SSC)
Certificate No.
Education Level :
Name of University
PCM Mark Result /Grade
Name of Institution
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Main Subjects :
Year of Passing :
English Mark :
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Institute Address :
Information technology
100 54
46
Prakashdegreecollege
MaharashtraBoard
prakash college kandivali west
1 . 10+2 (HSC/Intermediate/equivalent)
Certificate No.
Education Level :
Name of University
PCM Mark Result /Grade
Total no of record in Education Details : 2
Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Basic Safety Training
10/12/2018
22/12/2018
Naval Maritime Academy West (Mumbai)
22/12/2018
21/12/2023
1 . Course Name Basic Safety Training
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Date of Issue Valid Upto
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Security Trng. for Seafarer with Designated Security Duties 27/12/2018
28/12/2018
Naval Maritime Academy West (Mumbai)
28/12/2018
27/12/2023
2 . Course Name Security Trng. for Seafarer with Designated Security Duties Course Name
Total no of record in Modular Course 2
Sea Going Service
Report generated on : 07/08/2022 12.19 PM Page 2 of 4 Sea Going Service
. AZAMARA PURSUIT
Official No.
IMO Number
GT
Rank
Service From (Date)
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Article of Months
Propulsion power(KW)
Propelling days
Remarks
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Port of Registry :
Ship Type :
Trade Area :
Service To (Date) :
Article Days :
Propulsion Type :
AZAMARA PURSUIT Malta
9210220 Passenger Ship
30277 Foreign Going
Hospitality Staff
Assistant Officer of Navigational Watch
13/04/2019 12/10/2019
6 0
Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch, Ship Name
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1 Ship Name :
Nature of watch keeping
. Azamara Journey
Official No.
IMO Number
GT
Rank
Service From (Date)
: Flag
Article of Months
Propulsion power(KW)
Propelling days
Remarks
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Port of Registry :
Ship Type :
Trade Area :
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Article Days :
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Azamara Journey Malta
9200940 Passenger Ship
30277 Foreign Going
Hospitality Staff
Assistant Officer of Navigational Watch
19/12/2019 12/03/2020
2 25
Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch, Ship Name
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2 Ship Name :
Nature of watch keeping
Total no of record in Sea Going Service : 2
Authorised Documents
1 . Document Type : Passport
Document Type : Passport
Document Number :
Valid Upto :
Issued Date :
Issued At :
S8277510 18/09/2018
17/09/2028 MUMBAI
Report generated on : 07/08/2022 12.19 PM Page 3 of 4 Authorised Documents
2 . Document Type : INDoS
Document Type : INDoS
Document Number :
Valid Upto :
Issued Date :
Issued At :
18BL5171 28/11/2018
27/11/2030 MUMBAI
3 . Document Type : CDC
Document Type : CDC
Document Number :
Valid Upto :
Issued Date :
Issued At :
MUM 358501 09/01/2019
08/01/2029 MUMBAI
Total no of record in Authorised Documents : 3
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 : 07/08/2022 12.19 PM Page 4 of 4