Personal ID / Documents / Visa

Type of Document / ID

Country of Issue

Number

Date of Issue (DD / MM / YY)

Issued at (Place)

Valid Until (DD / MM / YY)

Seaman's Book (National)

INDIA

BY 53384

26/12/2014

MUMBAI

25/12/2024

Passport

INDIA

Z 1762535

18/02/2010

CHENNAI

17/02/2020

US Visa C1 / D

INDIA

20171011630001

13/4/2017

CHENNAI

10/4/2022

LIBERIAN CDC

U.S.A.

1300830

3/11/2016

VIRGINIA , U.S.A.

3/11/2021

PANAMA CDC

PANAMA

P0126610

14/12/2017

PANAMA

12/3/2020

MARSHALL ISLANDS CDC

MARSHALL ISLANDS

MH 218552

17/01/2011

MARSHALL ISLANDS

NO D.O.E.

PORTUGUESE CDC

PORTUGUESE REPUBLIC

96173932

22/06/2017

PORTUGUESE REPUBLIC

12/3/2020

4. STCW-1978 (ammended 1995) Compliant Certificates / Courses and Other Qualifications:-

(Add separate sheet if data exceeds space available)

Description of Cert / Course

Country of issue

Number

Date of issue (DD-MM-YY)

Date of Expiry (DD-MM-YY)

Place of issue

Issuing Authority / body

(A) Reg 1

Personal Training Record Reg 1/14

Medical Fitness Cert Reg 1/9

(B) Reg VI/1 - Basic Safety Training

Personal Survival Techniques

INDIA

3029

17/11/1990

N.A.

NHAVA SEVA

T.S. RAHAMAN

Elementry First Aid

Fire Fighting & Fire Prevention

Personal Safety & Social Resp.

INDIA

PSSR/21/390

11/11/1998

N.A.

CHENNAI

H.I.M.T.

(C) Reg VI/ 2-4 Additional Training

Proficiency in Survival Craft &Rescue Boat

Fast Rescue Boats

Advanced Fire Fighting

INDIA

8501

24/11/1990

N.A.

NHAVA SEVA

T.S. RAHAMAN

Medical First Aid

INDIA

RMFA C/B22/MFA C/B22/02

7/4/2014

6/4/2019

CHENNAI

H.I.M.T.

Medical Care (Master / C/O)

Advanced Fire Fighting & Fire Prevention and Fire Fighting

INDIA

R-AFF/B143/17

4/5/2015

3/5/2020

CHENNAI

H.I.M.T.

P.S.C.R.B. & P.S.T.

INDIA

RPSCRB/B155/17

2/5/2015

1/5/2020

CHENNAI

H.I.M.T.

SHIP SECURITY OFFICER

INDIA

RSSO/B68/SSO/B275/02

4/4/2014

NO D.O.E.

CHENNAI

H.I.M.T.

(D) ₄ Reg II / 1-4, III / 1-4 Others Certificate of Competency & Ratings Watch-keeping Certificate (Including flag state endorsements)

C.O.C. (NATIONAL) [INDIAN]

INDIA

95W-0975

10/11/2005

12/3/2020

MUMBAI

M.M.D. INDIA

C.O.C. (PANAMA)

REPUBLIC OF PANAMA

8324

14/12/2017

12/3/2020

REP. OF PANAMA

REP. OF PANAMA

C.O.C. (MARSHALL ISLANDS)

REP. OF MARSHALL ISLANDS

735344

17/01/2011

NO D.O.E.

REP. OF MARSHALL ISLANDS

REP. OF MARSHALL ISLANDS

C.O.C. (LIBERIAN)

REP. OF LIBERIA

1055608

7/2/2017

12/3/2020

REP. OF LIBERIA

REP. OF LIBERIA

C.O.C. (PORTUGUESE)

PORTUGUESE REP.

96173932

22/06/2017

12/3/2020

PORTUGUESE REP.

PORTUGUESE REP.

(E) Other mandatory/recommended Certificates / Courses - (as applicable)

ARPA (Reg II/1 + Solas)

Certificate of Proficiency for SSO

Radar Observer Course

Radar Simulator

Bridge Team Management

RANSCO

Shiphandling Manoeuviring Simulator

Large Vessel Handling Simulator

Bridge Resourse Management

Safety Officer Course

INDIA

RSSO/B68/SSO/B275/02

4/4/2014

UNLIMITED

CHENNAI

H.I.MT.

SPECIAL TRAINING FOR OIL TNKR

SPECIAL TRAINING FOR CHEMICAL TANKER

Energy Conservation

Environmental Awareness Course

MSI Management System

E.C.D.I.S

YELLOW FEVER

INDIA

-

10/4/2017

9/4/2027

CHENNAI

PORT HEALTH ORGANISATION

INDOS NO.

INDIA

00EL 1334

6/9/2001

-

MUMBAI

L.B.S. COLLEGE

Refresher & Updating Training

INDIA

CMC/REO/2015/B03/26

13/03/2015

12/3/2020

CHENNAI

C.M.C., CHENNAI

Revalidation course

INDIA

REO/B94/07

19/08/2010

-

CHENNAI

H.I.MT.

5. Sea Experience: (Last 10 years; Start the listing below with the most recent experience)

Company

Flag & Vessel Name

Type⁽¹⁾

GRT

DWT

Main Engine⁽²⁾

BHP

Rank

Date From dd.mm.yy

Date To dd.mm.yy

MSC SHIP MANAGEMENT

PANAMA / M.V. MSC MARIA LAURA

CON

36389

42435

SULZER 7RTA 84

28505

C/E

17.12.2017

20.02.2018

MSC SHIP MANAGEMENT

LIBERIA / M.V. MSC JENNY

CON

28397

32984

SULZER 6RTA 76

21807

C/E

28.04.2017

06.08.2017

MSC SHIP MANAGEMENT

LIBERIA / M.V. MSC RHIANNON

CON

23652

23150

SULZER 6RTA 72U

24375

C/E

01.11.2016

24.02.2017

Crowley Accord Mar. Mgmt

INDIAN / M.V. NAVDHENU SUN

B/C

27198

-

MAN B&W 6S50 MC

9227

C/E

28.12.2015

13.05.2016

MSI SHIPPING SVCS.

SINGAPORE / M.V. X-PRESS MAKALU

CON

32161

38616

MAN B&W 7S70 MCC

29197

C/E

04.06.2015

18.09.2015

MSI SHIPPING SVCS.

LIBERIA / M.V. ORE MUTUCA

B/C

77,096

-

MAN B&W 5L80 MCE

16,900

C/E

22.05.2014

26.11.2014

APEEJAY SHIPPING

INDIAN / M.V.APJ MAHAKALI

B/C

36,559

-

SULZER 7 RTA 52

10,200

C/E

22.11.2013

03.02.2014

ELEGANT MAR. SVCS.

HONG KONG / M.V. PROMISE 1

B/C

22,634

-

B&W 6S 50 MC

11,640

C/E

03.05.2013

23.07.2013

ELEGANT MAR. SVCS.

MALTA / M.V. OCEAN GARNET

B/C

51,209

-

B&W 6S 50 MC

16,610

C/E

22.07.2012

23.11.2012

ELEGANT MAR. SVCS.

BERGEN / M.V. SPAR VEGA

B/C

32,839

-

B&W 6S 50 MC

11,666

C/E

28.07.2011

25.02.2012

ELEGANT MAR. SVCS.

HONG KONG / M.V. MATUMBA

B/C

31,261

-

B&W 6S 50 MC

12,000

C/E

28.12.2010

12.03.2011

UNIVAN SHIP MGMT.

PANAMA / M.T. BAB ADEN

TNP

3,742

-

AKASAKA UEC 60 LS

3,297

C/E

08.03.2010

05.07.2010

UNIVAN SHIP MGMT.

PANAMA / M.T. GORGONILLA

CHM

4,959

8,192

B&W 5L 35 MC

4,418

C/E

06.10.2009

23.10.2010

ELEGANT MAR. SVCS.

BERGEN / M.V. RAINBOW

B/C

25,676

-

B&W 6S 50 MC

11,000

C/E

05.12.2008

29.05.2009

UNIVAN SHIP MGMT.

PANAMA / M.V. OOCL XIAMEN

CON

34,610

43,093

B&W 8K 80 MC

39,265

C/E

08.11.2007

09.06.2008

UNIVAN SHIP MGMT.

PANAMA/ M.V. COLUMBIAN EXPRESS

B/C

12,963

-

SULZER 6 RTA 60

7,050

C/E

28.10.2006

05.06.2007

UNIVAN SHIP MGMT.

HONG KONG / M.V. PATAGONIA

B/C

17,075

B&W 6S 50 MC

7,803

C/E

23.04.2006

11.07.2006

UNIVAN SHIP MGMT.

HONG KONG / M.V. OCEAN LOGGER

B/C

16,712

B&W 6S 50 MC

7,803

C/E

29.11.2005

19.04.2006

UNIVAN SHIP MGMT.

PANAMA/ M.V. MSC VALERIA

CON

12,255

MAN K7Z78

12,250

C/E

27.12.2004

16.08.2005

UNIVAN SHIP MGMT.

PANAMA/ M.V. MSC ILARIA

CON

20,408

SULZER 6RND 90

23,200

C/E

22.09.2004

13.11.2004

UNIVAN SHIP MGMT.

HONG KONG / M.V. SALOMA

B/C

9,529

B&W 6S 50 MC

5,633

C/E

03.10.2003

13.05.2004