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APPLICATION FORM
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Post Applied For Trainee Os (Fresher)
Name Vijay Kumar
Next of Kin/Relation Ganesh Lal/Father
Date Of Birth 25/04/1998
Nationality/Religion : Indian Hindu
Education Qualification : HSC
Technical Qualification None
CDC No. MUM423852
Email ***************@*****.***
Contact No. 730*******
Permanent Address
Vill-Chaiser, Po-Bin, Pithoragarh Uttarakhand 262501
Document Details:-
DOCUMENT NUMBER DATE OF ISSUE EXPIRY DATE PLACE OF ISSUE
PASSPORT __ S4644212 07/08/2018 06/08/2028 DEHRADUN
CDC MUM423852__ 11/01/2021 10/01/2031 MUMBAI
INDIAN
INDOS 18SL6322 03/07/2018 : MUMBAI
Courses Details:-
COURSE CERTIFICATE NO. DATE OF EXPIRY PLACE OF
NAME ISSUE DATE ISSUE
PSSR BST/AMITA/0035/2018 18/07/2018 18/07/2023 KANPUR
PST BST/AMITA/0035/2018 18/07/2018 18/07/2023 KANPUR
FPFF BST/AMITA/0035/2018 18/07/2018 18/07/2023 KANPUR
EFA BST/AMITA/0035/2018 18/07/2018 18/07/2023 KANPUR
STSDSD STSDSD/AMTA/1068/2018 20/07/2018 20/07/2023 KANPUR
SEA EXPERIENCE:
NAME OF TYPEOF DWTOR
COMPANY vessEL_ RANK vesser crt FROM TO
MACARONI SHIP
DACK LANDING
peal PVT. HALEENA etic CRAFT 1198 25.09.2021 29.05.2022
PALCE: MUMBAI
VIJAY KUMAR