Last updated date : Date : **-Oct-****
**/**/**** **:56 AM
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.
Mobile No. : 919*********
Email Id : ****************@*****.***
Physical Details
Height (in Cms) Hair Color
: 179 : BLACK
Eye Color Complexion
: BLACK : FAIR
Identification : A MOLE ON THE RIGHT HAND WRIST
Page 1 of 7
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
Page 2 of 7
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 :
Page 3 of 7
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 :
Page 4 of 7
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
Page 5 of 7
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
Page 6 of 7
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.
Page 7 of 7
Report generated on : 22/10/2012 7.25 PM