Seaman
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PRESENT ADDRESS PERMANENT
WARD – NO 2 TAKRA PURA
HANUKHEDI, PAGRAWADKALA
DIST – SHAJAPUR, M.P - 465116
WARD – NO 2 TAKRA PURA
HANUKHEDI, PAGRAWADKALA
DIST – SHAJAPUR, M.P - 465116
DOCUMENT DETAILS
DOCUMENT NUMBER DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE PASSPORT W3437512 05/09/2022 04/09/2032 BHOPAL
C.D.C. (Indian) MUM490321 07/12/2022 06/12/2032 MUMBAI INDOS 22ZQ0810 26/10/2022 LIFE TIME MUMBAI
S.T.C.W. COURSE DETAILS
COURSE CET NO. DATE OF ISSUE DATE OF EXPIRY PLACE OF ISSUE P.S.T 2030156101220327 14/11/2022 LIFE TIME MUMBAI F.P.F.F 2030156101220327 14/11/2022 LIFE TIME MUMBAI E.F.A 2030156101220327 14/11/2022 LIFE TIME MUMBAI P.S.S.R 2030156101220327 14/11/2022 LITE TIME MUMBAI S.T.S.D.S.D 2030156621220425 15/11/2022 N.A MUMBAI SEW EXPRINCE
COMPANY NAME SHIP NAME RANK SING IN SING OFF
NILI OCEAN ALIS CARGO O.S 01/03/2023 09/05/2023
DATE : SIGNATURE
PLACE : MOHAN KELIYA
A.B
MOHAN KELIYA
MR. RAM SINGH KELIYA
05/05/2002
UNMARRIED
HINDU
MALE
INDIAN
ENGLISH, HINDI
10TH PASSED
POST OF APPLIED FOR
NAME OF APPLIACANT
FATHERS NAME
DATE OF BIRTH
MARITAL STATUS
RELIGION
GENDER
NATIONALITY
LANGUAGES KNOWN
EDUCATIONAL QUALIFICATION
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