Educational Background

Qualification

School / College

From

To

Percentage/ Grade

12^th

SETH ANANDRAM JAIPURIA SCHOOL,KANPUR

APR 2002

APR 2003

62.8

10^th

SETH ANANDRAM JAIPURIA SCHOOL,KANPUR

APR 2000

APR 2001

76.3

Technical Background

Degree/ Diploma

Institute/ College

From

To

Percentage / Grade

B.TECH

(ELECTRICAL & ELECTRONICS)

SRMCEM,LUCKNOW

SEPT 2004

AUG 2008

62.7

Identity documents

DOCUMENT

COUNTRY

NUMBER

DATE OF ISSUE

PLACE OF ISSUE

DATE OF EXPIRY

Passport:

INDIAN

Z4057428

19/04/2017

LUCKNOW

18/04/2027

Seaman Book:

National

CHN 102782

14/07/2016

CHENNAI

13/07/2026

Panamanian

Liberian

Others

Do you hold a US Visa C1/D?

YES/NO

YES

Issue Date:

12.04.2017

Expiry Date: 09.04.2022

Do you hold a US Visa B1/B2?

YES/NO

NO

Issue Date:

Expiry Date:

Have you been rejected for any visa applied for?

YES/NO

NO

If YES, please state the country and reasons

INDOS No: (only for Indians) 16LL0144

YELLOW FEWER V/T

MUI NO : V/T

Certificates Of Competency issued by other countries (Issued by countries other than in Section 6)

Issuing Country

Certificate No.

Date Issued

Place Issued

Valid Until

Panama

Others

Details of Courses

Courses

Certificate No.

Issued By

Date Issued

Date Of Expiry

FPFF / AFF

RLINS/FPFF/2016/1793

RLINS,

MADURAI

25/04/2016

25/04/2021

EFA / MFA / MEDICARE

RLINS/EFA/2016/1816

RLINS,

MADURAI

28/04/2016

28/04/2021

PSCRB

PST

RLINS/PST/2016/1809

RLINS,

MADURAI

16/04/2016

16/04/2021

PSSR- Personal Safety & Social Responsibilities

RLINS/PSSR/2016/1818

RLINS,

MADURAI

20/04/2016

20/04/2021

SSO- Ship Security Officers Course

ISPS Course

ROSC - Radar OBS Simulator

ARPA - Automatic Radar Plotting Aid

RANSCO - Radar, Arpa & Navigation Simulator

BTM

SMS / SHS / ERS

ECDIS

Bridge / Engine Resources Management (BRM / ERM)

Ship Master Command and Control Course

GMDSS + endorsement

RUTC - Refresher & Up gradation Course

Container Operations Familiarization

Electrical Familiarization for Marine Engineers

Electronics for Marine Engineers

Instrumentation & Shipboard Control Systems

Automation and Controls

Container Refrigeration

Hydraulics for Engineers (Basic / Advance)

Hazmat (In compliance with STCW-95 Section-B -V/b & V/c & CFR - 49)

CFR-49

Hydraulics and Pneumatics Workshop

Watch Keeping Certificate Ratings (Deck/Engine)

Applied Electronics (AELC)

Practical Marine Electrical Workshop

Engine Equipment Maintenance Workshop

Basic Electrical and Fluid Technology

Reefer Container and Maintenance Course

MEPC

Operational competence enhancement course for deck officers

Safety, Environment Compliance & Pollution Prevention Training for Crew

Vessel Resource Management (VRM)

Electro Technical Officer/ Rating Certificate

Security Training For Seafarers With Designated Duties

RLINS/2016/038

RLINS,

MADURAI

11.04.2016

UNLIMITED

Record of previous service

(Please give a full record starting with the last vessel on which you served)

COMPANY

VESSEL NAME

VESSEL TYPE

D.W.T/

GRT

CONTS TEU’S

VSL AGE

TYPE OF ENGINES

(Please give full dtls)

B.H.P

RANK

SIGN ON dd/mm/yy

SIGN OFF dd/mm/yy

DURATION yy/mm/dd

REASONS FOR S/OFF

P.I.L,SINGAPORE

KOTA SALAM

CONTAINER

41567

3889

3 yrs

Maker -DOOSAN WARTSILA

Type - W6X72

Engine No.- DWL0105296

Specific F.O Cons at MCR/NOR - 171.24 g/KW h

Fuel V/V Nozzle Type/Specs-WNS3LN-BS2701.22.

Fuel P/P Pluger Dia-

40MM

21130KW @ 84RPM

ELECTRIC-AL CAD-ET

2.9.2016

17.1.17

5 Months

17 Days

Contract Over

P.I.L,SINGAPORE

KOTA SEMPENA

CONTAINER

41567

3889

2 yrs

Maker -DOOSAN WARTSILA

Type - W6X72

Engine No -DWL0105296

Specific F.O Cons at MCR/NOR - 171.24 g/KW h

Fuel V/V Nozzle Type/Specs-WNS3LN-BS2701.22.

Fuel P/P Pluger Dia-

40MM

21130KW @ 84RPM

ELECTRIC-AL CAD-ET

20.07.2017

31.12.17

5 Months

11 Days

Contract Over

For Engineers (Please provide details)

Generators

Maker - Taiyo Electric Co. Ltd.

Type - FE558C-10

Specs - 2250kVA,720RPM,450V,2887A

No. Of Sets - 4

Serial Nos. - 289646/47/48/49

Purifiers and Boilers

Heavy Oil Purifier

Maker - Mitsubishi Kakoki Kaisha Ltd.

Type - SJ50GH

Motor Maker - NIDEC

Type/KW/Voltage/Amps - FELF-5/11KW/440V/18.5A

Remarks - MFG NO. 6052284/5/6

Aux. Boiler

Maker-Kangrim Heavy Industries

Type- PA0101P12

Water Capacity- 5.63m³ @ normal

water level

Working Pressure- 0.7Mpa

F.O. Cons/Day- 219kg/hr

Type of Cranes / No of Reefer Containers

Cargo Cranes (4 Nos.)

Provision/Spares Lifting Crane (1 No.)

Engine Room Overhead Crane (1No.)

Reefer Containers - 500

Sailing Experience: (Please advise PRESENT RANK EXPERIENCE on each type of vessel)

Container

PCC

Reefer

Multi Purpose

Others

10 Months 28 Days

LAST SALARY DRAWN (PLEASE MENTION CURRENCY) $520

Medical history

Have you ever signed off a ship due to medical reasons?

YES/NO

NO

Have you undergone any operation in the past?

YES/NO

NO

Have you consulted a doctor during the last 12 months for an illness/accident?

YES/NO

NO

Do you have any health or disability problems now?

YES/NO

NO

General

Have you ever been the subject of a court of enquiry or involved in a maritime accident?

YES/NO

NO

Have you ever had a professional license suspended or revoked?

YES/NO

NO

Review

If immediate employment is not available do you wish to be considered for future vacancies?

YES/ NO

YES

If YES, please give any alternative contact details not shown in Section 2