APPLICATION FORM

Rank Applied For :- CH. ENGINEER

Date Of Availability :- September 2017

PERSONAL DESCRIPTION AND INFORMATION

2 Name AMARJEET SINGH BAINS

3 Date of Birth 2-Nov-63

Place & Country: BHOWAL-INDIA Nationality: INDIAN

Passport No:Z3193345

Place of Issue CHANDIGARH

Date of Issue 19-May-15

Date of Expiry 19-May-15

U.S. Visa Type:- C1/D

Place of Issue NEW DELHI

Date of Issue 27-Jan-16

Date of Expiry 21-Jan-21

Licence Grade - [Description] :- MOT-CLASS-1 (MOTOR)

Number 95W-1661

Date of Issue 17-Jul-01

Date of Expiry 8-Aug-21

Country of Issue INDIA

Seaman Book [ C.D.C ] Number BY62339

Date of Issue 29-Apr-15

Date of Expiry 28-Apr-25

Country of Issue INDIA

COURSES AND CERTIFICATES

Name and Description Number Date of Issue Date of Expiry Place of Issue

1.Personal Survival Techniques

2.Proficiency in Survival Craft PSCRBR(P)/16/253 28-Jul-21 PUNCHKULA

& Rescue Boats

3. Fire Fighting – Basic/ Advanced AFFR(P)/16/305 4-Aug-16 3-Aug-21 PUNCHKULA

4. Elementary First Aid / MFAR(P)/16/094 22-Sep-16 PUNCHKULA

Medical First Aid / Ship Captain’s

Medicare / Medical Care

5.Personal Safety and Social PSSR(P)/16/156 27-Jul-16 PUNCHKULA

Responsibilites

6. Tanker Safety :-

PETROLEUM 9126001754041 27-Feb-09 MUMBAI

CHEMICAL PMTRI/CHEMCO/10/005/2014 2-Oct-14 MUMBAI

7. DCE :-

PETROLEUM DCE02MUM16001661 10-Aug-16 9-Aug-21 MUMBAI

CHEMICAL DCE02MUM16001662 10-Aug-16 9-Aug-21 MUMBAI

8. Security Officer [S.S.O.] - Reg VI/5 and A-VI/5) 104/2711/0329 9-Nov-13 DELHI

Vessel Name Flag Type Engine Bhp Manning Agts /Rank From To Total

LADY MARIA OCEAN SINGAPORE BULK 9427031 B&W 13680 SYNERGY C/E 22-Feb-17 9-Jul-17 4m 17d

MT MAY FAIR MAJURO P.Tnkr B&W 6000 MARINE SOLUTIONZ C/E 15-Nov-16 22-Jan-17 2m 7d

MT SAM PURPOSE MONROVIA P.Tnkr SULZER 10200 TRANSOCEAN C/E 6-Feb-16 4-Jul-16 4m 28d

PINK STARS MAJURO C,Tnk B&W 18420 ANDROMEDA C/E 13-Jun-15 14-Oct-15 4m 1d

DAWN MATURA MUMBAI P.Tnkr B&W 9910 ACCORD C/E 8-Feb-15 8-Apr-15 2m 0d

CT DUBLIN MALTA Chm.T B&W 8400 MARINE SOLUTIONZ C/E 4-Nov-14 21-Jan-15 2m 17d

MT JONI BREEZ SINGAPORE P.Tnkr B&W 3547 ESM C/E 6-Jan-14 4-May-14 3m 28d

MT SN OLIVA GENOVA P.Tnkr B&W 17990 SELINDA C/E 26-Apr-13 14-Sep-13 4m 18d

MT LOEGO MONROVIA P.Tnkr B&W 13670 V-SHIPS C/E 26-Sep-12 12-Jan-13 3m 16d

ROXEN STAR PANAMA C.Tnk B&W 18960 V-SHIPS C/E 4-Mar-12 11-Jul-12 4m 7d

EAGLE SUBARU SINGAPORE P.Tnkr B&W 12300 V-SHIPS C/E 5-Aug-11 29-Nov-11 3m 24d

MT D&K 1 DUBAI P.Tnkr B&W 10479 V-SHIPS C/E 27-Jan-11 19-May-11 3m 22d

PVT DOLPIN VIETNAM P.Tnkr B&W 12427 V-SHIPS C/E 3-Dec-10 27-Dec-10 0m 24d

MT FEDERAL II MONROVIA C.Tnk SULZER 8260 V-SHIPS C/E 7-Apr-10 8-Sep-10 5m 1d

MT PRATIBA WARNA MUMBAI P.Tnkr B&W 8260 PRATIBA SHIPPING C/E 6-Sep-09 12-Dec-09 3m 6d

MT PRATIBA KOYNA MUMBAI P.Tnkr B&W 10150 PRATIBA SHIPPING 3/E 30-Apr-09 7-Aug-09 3m 7d

MELBORNE MAJETY PANAMA BULK B&W ACME SHIPPING C/E 20-Aug-08 16-Jan-09 4m 26d

APJ SURYA VIR KOLKATA BULK B&W 10200 APEEJAY C/E 18-Jan-08 19-May-08 4m 1d

APJ SURYA VIR KOLKATA BULK B&W 10200 APEEJAY C/E 16-Apr-07 1-Dec-07 7m 15d

M.V.BUCCLEUCH BERMUDA BULK B&W ZODIAC MARITIME C/E 20-Jun-06 18-Dec-06 5m 28d

MV IRFON BERMUDA BULK B&W ZODIAC MARITIME C/E 28-Aug-05 15-Mar-06 6m 17d

MVPYTCLEY BERMUDA BULK B&W ZODIAC MARITIME C/E 30-Nov-04 16-Mar-05 3m 16d

MV IRFON BERMUDA BULK B&W ZODIAC MARITIME C/E 8-Nov-03 23-Apr-04 5m 15d

MV RUTLAND BERMUDA BULK B&W ZODIAC MARITIME C/E 13-Nov-02 15-Apr-03 5m 2d

MV RUTLAND BERMUDAB BULK B&W ZODIAC MARITIME 2/E 19-Apr-02 6-Oct-02 5m 17d

MV NEW FOREST BERMUDA BULK B&W ZODIAC MARITIME 2/E 4-Aug-01 15-Dec-01 4m 11d

MV ISPAT KIRTI MONROVIA BULK B&W 9900 ANGLO EASTER 2/E 29-Dec-00 24-May-01 4m 25d

MV WARALEE NAREE BANGKOK BULK SULZER 9450 GEEPEE SHIPPING 2/E 19-Jan-00 28-Aug-00 7m 9d

M.V.RAMITA NAREE BANGKOK BULK MITSUSI 6000 GEEPEE SHIPPING 2/E 4-May-98 18-Dec-98 7m 14d

MV NIRA NAREE BANGKOK BULK SULZER 10650 GEEPEE SHIPPING 2/E 25-Sep-96 1-Jun-97 8m 6d