*. PERSONAL DETAILS
Surname : Katore First Name : Namdeo Middle Name : Dattatray
Nationality : Indian Date of Birth : 23/09/1992 Place of Birth : Ukkadgaon Weight (kg) : 82 Height (cm) : 180 BMI : 24.1
Post Applied for : THIRD ENGINEER
Permanent Address :Post Office- Ukkadgaon Present Address : Post Office- Ukkadgaon Tal- Shrigonda Tal- Shrigonda
District - Ahmednagar, State - Maharashtra District - Ahmednagar, State - Maharashtra PIN Code : 413702 Nearest Airport : Pune PIN Code : 413702 Tel No / Mobile No :976-***-**** Tel No / Mobile No :976-***-**** Email ID: ************@*****.***
2. PASSPORT DETAILS
Passport No.
Date of
Issue
Place of Issue Date of Exp. ECNR Blank Pages
P2252097 01/09/2016 Pune 31/08/2026 No 30
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Book
(CDC) Number Date of Issue Place of Issue Expiry Date Remark Indian MUM274565 13/05/2026 Mumbai 12/05/2031
INDOS 13EL1742 20/10/2013 Pune - -
4. CERTIFICATE OF COMPETENCEY(COC)
COC COC NO. PLACE OF
ISSUE
DATE OF
ISSUE
EXPIRY
DATE
REMARK
INDIAN 95Z-31946 MUMBAI 24/07/2025 23/07/2030
5. FAMILY INFORMATION
Full Name of Next of Kin : Mr. Dattatray Sambhaji Katore Relationship : Father Address of Next of Kin: At Post – Ukkadgaon Tal-Shrigonda, District
- Ahmednagar, State - Maharashtra Tel No. : 976-***-**** Family Data Name Occupation Contact Number/e-mail ID Father Mr. Katore Dattatray
Sambhaji
Farmer 976-***-****
Mother Mrs. Katore Shobha
Dattatray
Homemaker 839*******
Brother Mr. Katore Somnath
Dattatray
Student 968-***-****
Any Relatives in Marine Field - No
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF
PASSING
PERCENTAGE
BOARD / UNIVERSITY
B.TECH MARINE
201
6
63.78 Yashwantrao Chavan Maharashtra Open
University
DIPLOMA 2013 67.70 Maharashtra State Board of Technical Education S.S.C. 2008 64.30 Maharashtra State Board
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER
PERCENTAGE
AVERAGE %
SEMESTER 1 Diploma In Mechanical Engineering
63.78
SEMESTER 2 Diploma In Mechanical Engineering
SEMESTER 3 60
SEMESTER 4 67
SEMESTER 5 66.43
SEMESTER 6 56.57
SEMESTER 7 65
SEMESTER 8 67.71
7. STCW AND OTHER COURSES
Details of Courses &
Certificates
Number Dt. Of Issue
Dt. Of
Expiry
Pl. of
Issue
Issued by
Fire Prevention & Fire
Fighting
FPFF-R/4158/2016-17 24/09/2016
23/09/2021
Mumbai
OERC
Academy
Personal Survival
Techniques
PST-R/039/16-17/01 08/10/2016 07/10/2016 Mumbai UMA Elementary First Aid MANET/EFA/06/2014/0
12
19/07/2014 18/07/2019 Pune MANET
Personal Safety &
Social
Responsibility
MANET/PSSR/05/2014
/012
16/07/2014
15/07/2019
Pune MANET
Security Training For
Seafarers With
Designated
Security Duties
BPMA/STS/2167/2015 10/11/2015 09/11/2020 Mumbai BPMA Petroleum Tanker
Familiarization
AIIMT/OTFC/MUM/B20
/434
07/10/2016
06/10/2021
Mumbai AIIMT
Chemical Tanker
Familiarization
AIIMT/CTF/MUM/B20/4
17
30/09/2016 29/09/2021 Mumbai AIIMT
Gas Tanker
Familiarization
BPMA/LGT/74/2016 15/10/2016 14/10/2021 Mumbai BPMA Basic Training in
Oil and Chemical
Tanker Cargo
Operation
2070435111220033 30/03/2022 29/03/2027 Mumbai NAMAC Advance
Chemical Tanker
Cargo
Operation
1050165113220026 19/03/2022 18/03/2027 Dehrad
un
ZASHA
Advanced
Training in Crude
Oil Tanker Cargo
Operation
2070435112200047 16/07/2021 15/07/2026 Mumbai NAMAC Refresher Training In
Advanced Fire
Fighting
2040716312230204 30/06/2023 29/06/2028 Mumbai ANVAY MARITIME
INSTITUTE
Refresher Training In
Proficiency In Survival
Craft And Rescue
boat
20407162122302611
1/07/2023 30/06/2028 Mumbai ANVAY
MARITIME
INSTITUTE
Refresher And
Updating Training
Course In Medical
First Aid
2040716412230213 29/06/2023 28/06/2028 Mumbai ANVAY MARITIME
INSTITUTE
8. SEA SERVICE-
Name of
The Ship
IMO
Numb
er
Ship
Type
GRT
Engi n
e Kw
RAN
K
Joining
Date Sign
Off
Date
Name Of
Compan
y
Sea
Time
M. V.
Mana
93934
2
PSV 2193 5450 TME 14/10/2017 08/05/20
1
8
GLOBAL
OFFSHORE
MUMBAI
6
4
Months
24 days
M.T 92150
3
OIL 788**-***** TME 13/10/2019 03/07/20
2
0
AZA
SHIPPING
MUMBAI
8
CHAFA 6 TANKER Months
M.T 91917
2
OIL 788**-***** FOUR 24/11/2020 21/05/20
2
1
AZA
SHIPPING
MUMBAI
5
MOGRA 3 TANKER TH
Month
s
ENG
G
28
Days
M.T
CHA
FA
921503
6
OIL
TANKER
78845
16460 FOUR
TH
ENGG
20/07/2021
17/01/202
2
AZA
SHIPPING
5
Months
MUMBAI 27
Days
M.T
CAPTAIN
A.STELLA
TOS
9439670
OIL
TANKER
FOUR
TH
ENGG
1/09/2022 13/06/202
3
CENMAR
INDAIN PVT
9
MONT
H
LTD. 13
DAYS
MTCE-
HAMILTIO
N
9411238 OIL
TANKER
813**-***** FOUR
TH
ENGG
04/10/2023 09/05/202
4
CENMAR
INDAIN PVT
6
MONT
H
LTD. 25
DAYS
MT-
MERBABU
9388364 OIL
TANKER
571**-***** FOUR
TH
ENGG
28/10/2024 17/05/202
5
CENMAR
INDAIN PVT
6
MONT
H
LTD. 19
DAYS
MT
AGIOSNIK
OLAOS
9820283
PRODUC
T
TANKER
30006
10860
THIRD
ENGG.
20/11/2025
23/04/202
6
CENMAR
INDAIN PVT
5
MONT
H
3 DAYS
9. DANGEROUS CARGO ENDORSEMENT.
TYPE OF
TANKER
CERTIFICATE
NUMBER
DATE OF ISSUE DATE OF
EXPIRY
PLACE OF
ISSUE
Oil Tanker IMEI/HO/OT/18132 26/07/2019 06/10/2021 Mumbai OIL AND
CHEMICAL
TANKER
COPDGSOAC2269
014
04/04/2022 03/04/2027 Mumbai
CHEMICAL
TANKER
(ADVANCED)
DCE02MUM26022374 04/03/2026 03/03/2031 Mumbai
OLI TANKER
(ADVANCED)
DCE02MUM26023192 29/04/2026 28/04/2031 Mumbai
9. HOBBBIES AND
INTRESTS-
10. OTHER CERTIFICATES-
Sr.No.
Details of the Certificates
1 Maharashtra State Certificate in Information and Technology (Gov. of Maharashtra) 2
11. DELCERATION-
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended. Name : Namdeo Dattatray Katore
Listening to the Music
Fitness Enthusiast