*.PERSONAL DATA.
POST APPLIED FOR
ORDINARY SEAMAN
NAME
SURENDRA SINGH
FATHER’S NAME
SHRI DHYAN SINGH
DATE/ PLACE OF BIRTH
MARITAL STATUS
MARRIED
RELIGION
HINDU
NATIONALITY
INDIAN
QUALIFICATION
HSC PASSED
LANGUAGES KNOWN
ENGLISH, HINDI
EMAIL ID
***************@*****.***
CONTACT NO.
2. PERMANENT ADDRESS
VILLAGE - SETENGAL, POST OFFICE- ANAND CHOWK, PATTI SAKLANA, TEHRI GARHWAL, UTTRAKHAND, PIN - 249145
3. DOCUMENTS DETAILS
DOCUMENT
NUMBER
PLACE OF ISSUE
DATE OF ISSUE
VALIDITY
PASPORT
U4022142
DEHRADUN
11/09/2020
10/09/2030
INDIAN CDC
MUM 308815
MUMBAI
11/05/2018
10/05/2028
INDOS
11ZL1750
MUMBAI
01/02/2011
LIFETIME
YELLOW FEVER
COVID 19. Vaccination COVISHIELD
08576
1dose-4121P159
2Dose-4121Z012M
3 Dose-4122AA003M
MUMBAI
INDIA
INDIA
INDIA
13/05/2014
06/09/2021
09/12/2021
12/08/2022
LIFETIME
…..
…..
…….
S. I. D. CARD NO
M33523665
MUMBAI
26/05/2023
25/05/2033
4. STCW COURCES
COURSE NAME
CERTIFICATE NO.
PLACE OF ISSUE
DATE OF ISSUE
E.F.A
20100161012307911
MUMBAI
23/05/2023
F.P.F.F.
20100161012307911
MUMBAI
23/05/2023
P.S.T
20100161012307911
MUMBAI
23/05/2023
P.S.S.R
20100161012307911
MUMBAI
23/05/2023
S.T.S.D.S.D
PMAC/STSDSD/21/28/2016
CHENNAI
02/08/2016
5. CERTIFICATE OF PROFICIENCY
Sr. No
Grade
Certificate No.
Issue Date
1
Rating Forming Part of a Navigational Watch
WATCHKEEPING
MTI-OERC-WD-CERT-264
05/09/2016
6. SEA WORKING EXPERIENCE
Sr No
Rank
Name of Vessel
Flag of Vessel
Date of Sign on
Date of Sign off
Type Of Vessel
GRT
1
ORDINARY SEAMAN
MV. SURYA BARU
Malaysia
20/10/2011
09/10/2012
G. CARGO
1462
2
A/B
MV. NAUTICA TRADER
BELIZE
09/07/2013
06/03/2014
SUPPLY VESSEL
726
3
A/B
M.V MARINA 1
PANAMA
19/02/2015
30/05/2015
AHTS
1061
4
A/B
STAR GLOBAL
MALAKAL HARBOR
25/10/2015
08/02/2016
SUPPLY VESSEL
1203
5
A/B
MARINA 1
PANAMA
24/02/2017
20/12/2017
AHTS
1061
6
A/B
HADI 27
BAHRAIN
25/09/2018
28/05/2019
DP2
1722
7
A/B
HADI 26
BAHRAIN
04/08/2019
10/01/2020
DP2
1596
8
A/B
HADI 26
BAHRAIN
03/12/2020
04/08/2021
DP2
1596
SURENDRA SING