Last updated date : Date : **-Oct-****

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Seafarer Profile

Personal Details

INDoS No. Discipline

: 08NL0665 : Nautical

Name : MOHAMED RAFI MOHAMED MOOSA

Gender : MALE

Date of Birth Place of Birth

: 01/11/1987 : TIRUKKOYILUR

Birth State Birth Country

: TAMILNADU : INDIA

Nationality : Indian

Address Details

Present Address Permanent Address

Address Address

: DOOR NO:46/84,EAST STREET, :

: M.R.NOORJHAN COMPLEX, 1ST FLOOR, :

: TIRUKKOYILUR POST, THIRUKKOYILUR. :

City City

: VILLUPURAM :

Pin Pin

: 605757 : 605757

State State

: TAMILNADU : TAMILNADU

Country Country

: INDIA :

Telephone No. Telephone No.

: 041******** : 041**-******

Mobile No. : 919*********

Email Id : ut3p3y@r.postjobfree.com

Physical Details

Height (in Cms) Hair Color

: 179 : BLACK

Eye Color Complexion

: BLACK : FAIR

Identification : A MOLE ON THE RIGHT HAND WRIST

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Report generated on : 22/10/2012 7.25 PM

Education Details

1 . Education Level : 10TH (Matriculation/SSC)

: MATHEMATICS,PHYSICS,CHEMISTRY.

Main Subjects

: 847353 : 2004

Certificate No. Year of Passing

PCM Mark : English Mark :

: 77

Result /Grade

: MATRICULATION

Name of University

: KRISHNASAMY M H S SCHOOL

Name of Institution

: CUDDALORE MAIN ROAD, CUDDALORE-607001

Institute Address

2 . Education Level : 10+2 (HSC/Intermediate/equivalent)

: MATHEMATICS,PHYSICS,CHEMISTRY&COMPUTER SCIENCE

Main Subjects

: 481326 : 2006

Certificate No. Year of Passing

: 73 : 82

PCM Mark English Mark : 79

Result /Grade

: HIGHER SECONDARY

Name of University

: KRISHNASAMY M H S SCHOOL

Name of Institution

: CUDDALORE MAIN ROAD, CUUDALORE-607001

Institute Address

3 . Education Level : Graduate (Bachelors Degree)

: NAVIGATION

Main Subjects

: AMET/Bsc/392A : 2009

Certificate No. Year of Passing

PCM Mark : English Mark :

: 75

Result /Grade

: BIRLA INSTITUTE OF TECHNOLOGY MESRA RANCHI

Name of University

: AMET UNIVERSITY

Name of Institution

: 135,EAST COAST ROAD,KANATHUR-603112.CHENNAI

Institute Address

Total no of record in Education Details : 3

Pre Sea Training Detail

: AMET University (Chennai)

Training Institute

Training Institute (other) :

: Pre Sea 3 yr Nautical Degree Course(B.Sc)

Course Name

: 21/07/2006 : 23/07/2009

Attended From (Date) Attended To (Date)

: AMET/Bsc/392A : 75%

Certificate No. Result

Pre Sea Tar Book No. :

Modular Course Details

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Report generated on : 22/10/2012 7.25 PM

Modular Course Details

1 . Course Name : Personal Safety & Social Responsibilities

: Personal Safety & Social Responsibilities

Course Name

: AMET University (Chennai)

Training Institute

: A-VI/1-4

STCW Code

: 04/08/2008 : 06/08/2008

Attended From Attended To

: PSSR/6248/2008

Certificate No.

: 06/08/2008

Date of Issue Valid Upto :

2 . Course Name : Fire Prevention & Fire Fighting

: Fire Prevention & Fire Fighting

Course Name

: AMET University (Chennai)

Training Institute

: A-VI/1-2

STCW Code

: 11/08/2008 : 13/08/2008

Attended From Attended To

: FPFF/5701/2008

Certificate No.

: 13/08/2008

Date of Issue Valid Upto :

3 . Course Name : Personal Survival Techniques

: Personal Survival Techniques

Course Name

: AMET University (Chennai)

Training Institute

: A-VI/1-1

STCW Code

: 18/08/2008 : 20/08/2008

Attended From Attended To

: PST/6905/2008

Certificate No.

: 20/08/2008

Date of Issue Valid Upto :

4 . Course Name : Elementary First Aid

: Elementary First Aid

Course Name

: AMET University (Chennai)

Training Institute

: A-VI/1-3

STCW Code

: 21/08/2008 : 23/08/2008

Attended From Attended To

: EFA/5881/2008

Certificate No.

: 23/08/2008

Date of Issue Valid Upto :

5 . Course Name : Tanker Familiarization- Oil

: Tanker Familiarization- Oil

Course Name

: AMET University (Chennai)

Training Institute

STCW Code :

: 10/08/2009 : 14/08/2009

Attended From Attended To

: OTFC/2726/2009

Certificate No.

: 14/08/2009

Date of Issue Valid Upto :

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Report generated on : 22/10/2012 7.25 PM

Modular Course Details

6 . Course Name : Medical First Aid

: Medical First Aid

Course Name

: HIMT COLLEGE (TAMILNADU)

Training Institute

: A-VI/4-1

STCW Code

: 23/05/2012 : 26/05/2012

Attended From Attended To

: MFA/B709/02

Certificate No.

: 26/05/2012

Date of Issue Valid Upto :

7 . Course Name : Advance Fire Fighting

: Advance Fire Fighting

Course Name

: HIMT COLLEGE (TAMILNADU)

Training Institute

: A-VI/3

STCW Code

: 25/06/2012 : 30/06/2012

Attended From Attended To

: AFF/B384/10

Certificate No.

: 30/06/2012

Date of Issue Valid Upto :

8 . Course Name : Proficiency in Survival Craft & Rescue Boat

: Proficiency in Survival Craft & Rescue Boat

Course Name

: HIMT COLLEGE (TAMILNADU)

Training Institute

: A-VI/2-1

STCW Code

: 02/07/2012 : 06/07/2012

Attended From Attended To

: PSCRB/B379/11

Certificate No.

: 06/07/2012

Date of Issue Valid Upto :

9 . Course Name : GMDSS (GOC)

: GMDSS (GOC)

Course Name

: Indian Maritime College (Chennai)

Training Institute

STCW Code :

: 13/08/2012 : 25/08/2012

Attended From Attended To

: GMDSS(GOC)/CHN/R/512

Certificate No.

: 30/08/2012

Date of Issue Valid Upto :

10 . Course Name : Radar Observer Simulator Course

: Radar Observer Simulator Course

Course Name

: Indian Maritime College (Chennai)

Training Institute

: A-II/1

STCW Code

: 10/09/2012 : 20/09/2012

Attended From Attended To

: 1802

Certificate No.

: 20/09/2012

Date of Issue Valid Upto :

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Report generated on : 22/10/2012 7.25 PM

Modular Course Details

11 . Course Name : Automatic Radar Plotting Aids

: Automatic Radar Plotting Aids

Course Name

: Indian Maritime College (Chennai)

Training Institute

: A-II/1

STCW Code

: 21/09/2012 : 26/09/2012

Attended From Attended To

: 2046

Certificate No.

: 26/09/2012

Date of Issue Valid Upto :

Total no of record in Modular Course 11

Sea Going Service

1 . Ship Name : MORNING MIRACLE

: MORNING MIRACLE : United Kingdom

Ship Name Flag

: 911092 : LONDON

Official No. Port of Registry

: 9289908 : Car Carrier

IMO Number Ship Type

: 46800 : Foreign Going

GT Trade Area

: Deck Cadet

Rank

: Assistant Officer of Navigational Watch

Nature of watch keeping

: 17/11/2010 : 25/05/2011

Service From (Date) Service To (Date)

:6 :9

Article of Months Article Days

Propulsion power(KW) : Propulsion Type :

Propelling days :

: Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch,

Remarks

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Report generated on : 22/10/2012 7.25 PM

Sea Going Service

2 . Ship Name : CSAV RIO AYSEN

: CSAV RIO AYSEN : United Kingdom

Ship Name Flag

: 912971 : LONDON

Official No. Port of Registry

: Car Carrier

IMO Number : Ship Type

: 46800 : Foreign Going

GT Trade Area

: Deck Cadet

Rank

: Assistant Officer of Navigational Watch

Nature of watch keeping

: 14/10/2011 : 10/04/2012

Service From (Date) Service To (Date)

:5 : 28

Article of Months Article Days

Propulsion power(KW) : Propulsion Type :

Propelling days :

: Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch,

Remarks

Total no of record in Sea Going Service : 2

Authorised Documents

1 . Document Type : Passport

: Passport

Document Type

: G0050850 : 10/10/2006

Document Number Issued Date

: 09/10/2016 : CHENNAI

Valid Upto Issued At

2 . Document Type : CDC

: CDC

Document Type

: MUM 159566 : 05/06/2009

Document Number Issued Date

: 04/06/2019 : MUMBAI

Valid Upto Issued At

3 . Document Type : INDoS

: INDoS

Document Type

: 08NL0665 : 31/08/2009

Document Number Issued Date

: INDIA

Valid Upto : Issued At

Total no of record in Authorised Documents : 3

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Report generated on : 22/10/2012 7.25 PM

DECLARATION TO BE MADE BY CANDIDATE :

I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the

papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I

further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and

I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at

the time of taking oral examination or at an earlier time when asked by the department.

Signature of the candidate

Date :

This is an electronically generated document hence it does not require any signature of DGS Officials.

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Report generated on : 22/10/2012 7.25 PM

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