|
DATE AVAILABLE:IMMEDIATLY POSITION APPLIED FOR: 3/E |
|
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|
PERSONAL DETAILS |
|
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|
DATE OF BIRTH |
25.10.1971 |
PLACE OF BIRTH KRISHNANAGAR |
NATIONALITY INDIAN |
HEIGHT |
164CM |
|||||||||||
|
WEIGHT |
88KG |
HAIR COLOUR |
BLACK |
EYE COLOUR |
BLACK |
|||||||||||
|
MARITAL STATUS |
MARRIED |
SPOUSE’S NAME |
PRIYANKA SARKAR(PAUL) |
No. of Children |
NIL |
|||||||||||
|
FATHER’S NAME |
JOGENDRA NATH SARKAR |
MOTHER’S NAME |
DOYOMONTI SARKAR |
NEXT OF KIN |
PRIYANKA SARKAR(PAUL) |
|||||||||||
|
LICENCES / DOCUMENTS HELD |
||||||||||||||||
|
ITEM |
No. |
I S S U E D DATE PLACE BY |
EXPIRINGDATE |
GRADE |
||||||||||||
|
NATIONAL LICENCE |
95z-0570 |
19.07.2001 |
kolkata |
MMD |
11/12.2020 |
CLASS-IV |
||||||||||
|
STCW ENDORSEMENT |
|
|
|
|
|
|
||||||||||
|
LIBERIAN ENDORSEMENT |
978852 |
08.09.2014 |
|
RPBLK OFLIBERIA |
23.06.2016 |
CLASS-IV |
||||||||||
|
MARSHALLS ISL CDC |
MH338473 |
17.01.14 |
MUMBAI |
|
24.01.16 |
|
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|
MALTESE ENDORSEMENT |
|
|
|
|
|
|
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|
OTHER LICENCE |
|
|
|
|
|
|
||||||||||
|
PASSPORT |
L5350507 |
31.10.13 |
KOLKAA |
GOV OF INDIA |
30.10.2023 |
|
||||||||||
|
NATIONAL SEAMAN’S BOOK/CDC |
CL72842 |
14.06.1995 |
KOLKAA |
MMD |
30.03.2024 |
|
||||||||||
|
OTHER SEAMAN’S BOOK / CDC(Liberia) |
1175000 |
8.09.2014 |
Verinia usa |
Republikof liberia |
08.09.2019 |
|
||||||||||
|
U.S.VISA |
J5279898 |
15.07.2014 |
kolkata |
Govof USA |
13.07.2019 |
|
||||||||||
|
YELLOW FEVER VACCINATION |
|
27.05.2009 |
KOLKATA |
MMD |
26.05.2019 |
|
||||||||||
|
P.R.C. No. (Filipino Crew only) |
|
|
|
|
|
|
||||||||||
|
National data base of seafarers INDOS Certificate No. (Indian personnel only) |
|
|
|
|
|
|
||||||||||
CERTIFICATES HELD |
||||||||||||||||
|
ITEM |
No. |
ISSUED |
EXPIRING |
ISSUED BY |
||||||||||||
|
ENGINE ROOM SIMULATOR |
0P-0248 |
02/08/2017 |
|
MECT KOL |
||||||||||||
|
PERSONAL SAFETY & SOCIAL RESPONSIBILITIES* |
0261718543 |
05/07/2017 |
|
MMA KOL |
||||||||||||
|
STSDSD |
08-13/03 |
28/10/2013 |
|
SEI KOL |
||||||||||||
|
HIGH VOLTAGE SAFETY AND SWITCH GEAR COURSE |
025/17 |
16/10/2017 |
|
|
||||||||||||
|
MEDICAL FIRSTAID-REFRESHER |
0157 |
12.05.2015 |
25.12.2020 |
SEACOM ,KOL |
||||||||||||
|
PROFICIENCY IN SURV.CRAFT/ RESCUE BOAT (PSCRB) |
RF/6634/2015 |
25/10/2015 |
24/12/2020 |
BP MARINE |
||||||||||||
|
ADVANCED FIREFIGHTING |
3399/2015 |
26/12/2015 |
25/12/2020 |
BP MARINE |
||||||||||||
|
AFF& FPF REFESHER. |
RF-/3399/2015 |
26.12.2015 |
25.12.2020 |
BPMARINE ,MUM |
||||||||||||
|
PETROLEUM TKR SAFETY – ADVANCED/SPECIALISED |
0120100098 |
22.09.2001 |
|
MMA, KOL |
||||||||||||
|
PSCRB&PST REFRESHER |
6634/2015 |
25.12.2015 |
25.12.2020 |
BP MARINE |
||||||||||||
|
DANGEROUS CARGO ENDORSEMENT – OIL LVL-2 |
16000969 |
8/11/2016 |
07/11/2021 |
MMD,KOL |
||||||||||||
|
CHEMICAL TANKER SAFETY |
CEMCO//203/15 |
29.05.2015 |
|
BP MARINE,MUM |
||||||||||||
|
LNG/LPG TANKER SAFETY |
|
|
|
|
||||||||||||
|
DCE -CHEMICAL LEVEL -2 |
16000934 |
28/10/2016 |
27/10/2021 |
MMD KOL |
||||||||||||
|
MEDICAL CARE |
|
|
|
|
||||||||||||
|
MEDICAL FIRST AID |
453 |
05.08.1999 |
|
SEI , KOL |
||||||||||||
|
UPGRADATION COURSE |
UP/OP-0170 |
12.12.2015 |
|
STCW2010 |
||||||||||||
|
ARPA |
|
|
|
|
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|
R.O.C. / RANSCO / RADAR SIMULATOR |
|
|
|
|
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|
SATCOM |
|
|
|
|
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\\\
APPLICANTS NAME: _________________________________________________________
CERTIFICATES HELD (CONTINUED) |
|||||
|
ITEM |
No. |
ISSUED |
EXPIRING |
ISSUED BY |
|
|
UPGRADATION COURSE |
UP/OP-0170 |
12.12.2015 |
|
STCW2010 |
|
|
ECDIS |
|
|
|
|
|
|
SHIP MANOEUVERING/SHIP HANDLING SIMULATOR |
|
|
|
|
|
|
STSDSD |
08-13/03 |
26.10.2013 |
|
SEI KOLKATA |
|
|
ISPS FAMILIARISATION |
|
|
|
|
|
|
SHIPBOARD SAFETY OFFICER |
|
|
|
|
|
|
ENGINE ROOM SIMULATOR |
ERS/M/980189 |
22.05.1999 |
|
LBS |
|
|
ENGINE ROOM RESOURCES MANAGEMENT |
|
|
|
|
|
|
HUMAN RELATIONS |
|
|
|
|
|
|
QUALITY AND SAFETY MANAGEMENT |
|
|
|
|
|
|
RISK ASSESSMENT / RISK MANAGEMENT |
|
|
|
|
|
|
MARINE ACCIDENT/INCIDENT INVESTIGATION |
|
|
|
|
|
|
MANAGEMENT OF CHANGE |
|
|
|
|
|
|
ENVIRONMENTAL COURSE / ISO 14001 |
|
|
|
|
|
|
MLC/LSC MARITIME LEADERSHIP COURSE |
|
|
|
|
|
|
MARPOL I |
|
|
|
|
|
|
MARPOL II |
|
|
|
|
|
|
MARPOL VI |
|
|
|
|
|
|
MARITIME ENGLISH |
|
|
|
|
|
|
MLC 2006 |
|
|
|
|
|
|
BRIDGE TEAM MANAGEMENT |
|
|
|
|
|
|
BRIDGE RESOURCES MANAGEMENT |
|
|
|
|
|
|
RECORD OF PREVIOUS SERVICE (VERIFIED AGAINST SEAMAN’S BOOK ENTRIES) |
|
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|
COMPANY |
VESSEL’S NAME |
TYPE/ BUILT |
DWT |
M/ENG’S BHP/ TYPE |
UMS( Y-N) |
RANK |
FROM |
TO |
MONTHS |
|
|||||||
|
VSHIP |
MANUELA BOTTIGLERI |
PRO/CHEM TANKER |
25063 |
11577 |
Y |
3/E |
9/1/2018 |
17/4/2018 |
3M 10D |
|
|||||||
|
VSHIP |
MARIELA BOTTIGLIERI |
PRO/CHEM TANKER |
25063 |
11577 |
Y |
3/E |
23/11/2016 |
12/04/2017 |
4M11D |
|
|||||||
|
VSHIP |
TRADE WIND UNION |
PRO/CHEM TANKER |
5000 |
|
Y |
3/E |
15/02/2016 |
30/07/2016 |
|
|
|||||||
|
UNIVAN
|
MT FPMC -18 |
PRO/CHEM TANKER/2007 |
44998 |
12708/MAN B&W |
Y |
3/E |
2.9.14 |
9.2.15 |
5M 7D |
|
|||||||
|
WALLEM |
MT MORGANE |
PRO/CHEM/2008 |
36660 |
11665/STXMAN ,B&W |
Y |
3/E |
23.12.13 |
23.2.14 |
2M |
|
|||||||
|
WALLEM |
MT BALTIC ALAXY |
CRUDET/ANKER/2002 |
59408 |
13650/Mitsuimanb&w |
y |
3/E |
28.12.12 |
28.7.13 |
7M |
|
|||||||
|
FLEETMANAEMENT
|
MV FILLIPO LIMBO |
BULK/1995 |
39385 |
13500/KWASAKIMANB&W |
Y |
3/E |
21.3.12 |
4/7/12 |
3M 13D |
|
|||||||
|
FLEETMANAEMENT
|
MT GLOBAL SPIRIT |
PRO/TANKER/2006 |
27950 |
13500/MITSUI MANB&W |
Y |
3/E |
11.11.10 |
16.5.11 |
6M 5D |
|
|||||||
|
ANGLO EASTERN |
MT BM EUN |
PRO/TANKER/2004 |
11571 |
8361/Mitsuimanb&w |
Y |
3/E |
18/08/09 |
8/04/10 |
6M20D |
|
|||||||
|
ANGLO EASTERN |
MV CMB FLORENTINA |
BULK/2005 |
40060 |
12670/Mitsuimanb&w |
Y |
3/E |
16/11/03 |
12/5/07 |
6M3D |
|
|||||||
|
ANGLO EASTERN |
MVEDERAL KUMANO |
BULK/2007 |
20901 |
10710KAWASAKI MAN B&W |
Y |
3/E |
18.3.08 |
5.11.08 |
7M17D |
|
|||||||
|
ANGLO EASTERN |
MV PREM PURVA
|
BULK/1995 |
36708 |
11330/MAN B&W |
Y |
3/E |
20.7.7 |
29.9.07 |
2M9D |
|
|||||||
|
ANLO EASTERN
|
FEDERL NAKAGWA |
BULK/2004 |
20661 |
7877/.KAWASAKI MAN B&W |
Y |
3/E |
2.10.05 |
7.6.06 |
8M5D |
|
|||||||
|
PELICAN
|
AL MAJIDAH |
LPG/2003 |
17470 |
12900/Mitsuimanb&w |
Y |
3/E |
31.7.05 |
26.8.05 |
28D |
|
|||||||
|
PELICAN
|
MT ALNOMAN |
PRO/CHEM 2000 |
25408 |
11640/HSD MAN B&W |
Y |
4/E |
19.9.04 |
13.3.05 |
5M24D |
|
|||||||
|
PELICAN
|
MT LOULAT QATAR |
CRUDE TANKER1990 |
52086 |
SULZAR 6RTA/14200 |
N |
4/E |
28.7.03 |
8.1.04 |
6M10D |
||||||||
|
D,AMICO
|
MTCIELO DI NAPOLI |
CEM/TANK2002 |
25400 |
HUNDAI MANB&W 8558 |
Y |
3/AE |
27.9.02 |
1.11.02 |
1M4D |
||||||||
|
D,AMICO
|
MT CIELODISALERNO |
CEMTANKR2001 |
11583 |
HUNDAI MANB&W 10700 |
Y |
3/A/E |
14.4.02 |
28/7/02 |
3M14D |
||||||||
|
WORLD TNKR
|
MT ZEAL
|
PROD TNKR1988 |
10757 |
MANB&w11640 |
N |
4/E |
13.9.99 |
21.3.00 |
6M8D |
||||||||
|
WORLD TNKR
|
MT EMINANCE |
PROD TANKR/1985 |
27771 |
B&W/13100 |
N |
4/E |
7.7.98 |
10.1.99 |
6M3D |
||||||||
|
WORLD TNKR
|
MT COUNT |
PRODTANKR1980 |
23801 |
MAN/10840 |
N |
4/E |
10.4.97 |
11.11.97 |
8M 1D |
||||||||
|
SCI |
MV LOKPRITI |
BULK1971 |
15638 |
MAN/10500 |
N |
5/E |
21.6.91 |
4.8.96 |
13M13D |
||||||||

Date: 24/06/2018 Signature