NAME : JITENDRA NANDLAL GUPTA
FATHER NAME : NANDLAL GUPTA
MOTHER NAME : DURGVATI GUPTA
DATE OF BIRTH : 13/01/1989
NATIONALITY : INDIAN
MARITAL STATUS : MARRIED
EDUCATIONAL QUALIFICATION : 12th (PASSED)
LANGUAGES KNOWN : HINDI, ENGLISH & MARATHI
E-MAIL ID : *************@*****.***
CONTACT NO. : 917-***-**** / 997-***-****
PRESENT ADDRESS
PERMANENT ADDRESS
203 LQMA VILLA, TALKHAL, MANIKPUR
BEHIND UNION BANK,VASAI ROAD (W)
PALGHAR PIN- 401202 MAHARASTRA
203 LQMA VILLA, TALKHAL, MANIKPUR
BEHIND UNION BANK,VASAI ROAD (W)
PALGHAR PIN- 401202 MAHARASTRA
DOCUMENTS HELD :
DOCUMENTS NUMBER DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE PASSPORT S0149723 27/02/2018 13/01/1928 MUMBAI
CDC INDIAN MUM4673 07/06/2022 06/06/2032 MUMBAI
INDOS NO. 22ZNO715 28/04/2022 - MUMBAI
YELLOW
FEAVER
16794 22/06/2022 - MUMBAI
DC OIL &
CHEMICAL
COPDGSOAC22
74976
24/06/2022 UNLIMITED MUMBAI
COURSE DETAILS STCW
Sr.
No.
Courses Certification No. DATE OF
ISSUE
DATE OF
EXPIRE
PLACE OF
ISSUE
1 P.S.S.R. 21005561012203710
01/06/2022 UNLIMITED MUMBAI
2 E.F.A. 21005561012203710 01/06/2022 UNLIMITED MUMBAI 3 P.S.T. 21005561012203710 01/06/2022 - MUMBAI
4 F.P.F.F. 21005561012203710 01/06/2022 - MUMBAI
5 S.T.S.D.S.D 2100556621220333 02/05/2022 UNLIMITED MUMBAI 7 BASIC TRAINING
FOR OIL AND
CHEMICAL
TANKER CARGO
OPERATIONS
2100555111220073 16/06/2022 UNLIMITED MUMBAI