NO

NAME OF SHIP

GRT/NRT

TYPE OF SHIP

RANK

FROM/TO

PERIOD

NAME OF COMPANY

1.

M.V.Ratna Kirti

11191/6987

Bulk Carrier

3/Off

10.12.82/21.01.83

1M 11D

Ratnakar Shipping

2.

M.V.Ratna Kirti

11191/6987

Bulk Carrier

2/Off

22.01.83/21.04.83

3M 00D

Ratnakar Shipping

3.

M.V.Ratna Kirti

11191/6987

Bulk Carrier

2/Off

22.04.83/24.03.84

11M 2D

Ratnakar Shipping

4.

M.V.Renu Sagar

16735/12076

Bulk Carrier

2/Off

27.03.84/17.7.84

3M 20D

Ratnakar Shipping

5.

M.V.Kota Fajar

12285/8116

General cargo

2/Off

20.12.85/15.09.86

8M 25D

P.I.L.Singapore

6.

M.V.Kota Fajar

12285/8116

General cargo

Ch/Off

15.09.86/25.01.88

16M 10D

P.I.L.Singapore

7.

M.V.Kota Bakti

11518/6438

General Cargo/Log Carrier

Ch/Off

23.09.88/12.12.88

2M 21D

P.I.L.Singapore

8.

M.V.Kota Wirama

11496/6472

General Cargo

Ch/Off

15.12.88/27.07.09

7M 12D

P.I.L.Singapore

9.

M.V.Kota Ratna

9623/5678

Bulk Carrier

Ch/Off

29.07.09/14.09.89

1M 15D

P.I.L.Singapore

10.

M.V.Indian Prosperity

12034/7139

Bulk Carrier

Ch/Off

05.07.90/15.11.90

4M 10D

India SteamShip Co.Ltd

11.

M.V.Kota Jaya

11181/6670

GC/Heavy Lift

Ch/Off

01.02.92/01.10.92

9M 00D

P.I.L.Singapore

12.

M.V.Hamlet Arabia

9878/6736

MP Ro-Ro

Ch/Off

04.05.93/26.02.94

9M 22D

Wallem Shipmanagement

13.

M.V.Longavi

12368/9114

Cellular Cont

Ch/Off

04.10.94/08.06.95

8M 04D

Wallem Shipmanagement

14.

M.V.Atlantic Challenger

18397/14552

Semi Container/Log Carrier

Ch.Off

12.12.95/14.06.96

6M 02D

Mitsui O.S.K.Line

15.

M.V.Galaxy  Ace

33788/11354

Pure Car Carrier

Ch.Off

09.09.96/27.02.97

5M 18D

Mitsui O.S.K.Line

16.

M.V.Sunshine La Plata

18936/7808

Geared w/Gantry

Ch.Off

04.05.97/16.11.97

6M 12D

Mitsui O.S.K.Line

17.

M.V.Sunshine La Plata

18936/7808

Geared w/Gantry

Master

08.03.98/24.08.98

5M 16D

Mitsui O.S.K.Line

18.

M.V,Harmony Ace

47519/14256

PCC

Master

16.11.98/31.07.99

8M 15D

Mitsui O.S.K.Line

19.

M.V.Bravery Ace

52276/15683

PCTC

Master

20.01.00/10.06.00

4M 20D

Mitsui O.S.K.Line(DELIVERY)

20.

M.V.Cosmos Ace

46246/14227

PCTC

Master

27.10.00/16.04.01

5M 19D

Mitsui O.S.K.Line

21.

M.V.MSC Denisse

28176/19701

Cell Container

Master

29.09.01/21.03.02

5M 22D

Univan Ship management

22.

M.V.California Jupiter

41668/13913

Cell Container

Master

09.06.02/09.11.02

5M 00D

NYK Ship Management

23.

M.V.Kamakura

50462/17988

Cell Container

Master

23.02.03/17.06.03

3M 24M

NYK Ship Management

24.

M.V.California Jupiter

41668/13913

Cell Container

Master

29.07.03/12.12.03

4M 14D

NYK Ship Management

25

M.V.Kaijin

41938/12580

PCTC

Master

09.02.04/17.05.04

3M 10D

NYK Ship Management

26

M.V.Aquarius Leader

57627/17257

PCTC

Master

28.07.04/01.01.05

5M 4D

NYK Ship Management

27

M.V.Provider

39575//22600

Cell Container

Master

22.03.05/01.07.05

3M 10D

NYK Ship Management

28

M.V.Provider

39575//22600

Cell Container

Master

22.12.05/03.04.06

3M 15D

NYK Ship Management

29

MV NYK STARLIGHT

43227/13357

Cell Container

Master

29.06.07/10.09.2006

2M 11D

NYK Ship Management

30

M.V.MAERSK MARYSTOWN

52191/25458

Cell Container

Master

 

23.03.07//24.06.07

3M 01D

SEASPAN

31

M.V.MAERSK MONCTON

52191/25458

Cell Container

Master

 

08.09.07//24.01.08

4M 16D

SEASPAN

32

M.V.MAERSK MATANE

52191/25458

Cell Container

Master

 

13.05.08/23.08.08

3M 15D

SEASPAN

33

M.V.FLORIDA HIGHWAY

55230/19216

CAR CARRIER

Master

09.04.2009/27.09.2009

05M18 D

WALLEM

34

M.V.CETUS LEADER

    62510/18753

CAR CARRIER

Master

16.07.2010/13.01.2011

05M 28D

WALLEM

35

M.V.ARTEMIS LEADER

    62571/18772

CAR CARRIER

Master

06.03.11/27.06.11

03M 20D

WALLEM

36

M.V.MSC ELENI

 54881/31783

Cell Container

Master

13.09.2011/26.02.212

05M12D

MSC Ship Management

37

M.V.SEROJA ENAM

86879/47980

Cell Container

Master

29.08.2012/08.01.2013

04M10d

SYNERGY SHIP MANAGEMENT

38

M.V APL POLAND

86879/47980

Cell Container

Master

08.01.2013/03.03.2013

01M25d

SYNERGY SHIP MANAGEMENT

39

M.V.OCCITAN STAR

17844/9697

BULK CARRIER

Master

14.06.2013/23.01.2014

07M09d

SYNERGY SHIP MANAGEMENT

40

M.V.PARADISE BAY

    26567/15698

BULK CARRIER

Master

26.05.2014/02.10.2014

04M 06D

SYNERGY SHIP MANAGEMENT

41

M.V.EMERALD BAY

 20242/10947

BULK CARRIER

Master

01.11.2014/03.02.2015

03M02D

SYNERGY SHIP MANAGEMENT

42

M.V.EQUATOR HARMONY

27992/17077

BULK CARRIER

Master

10.05.2015/17.08.2015

03M08d

SYNERGY SHIP MANAGEMENT

43

M.V.OCCITAN BAESAC

16418/9020

BULK/LOG CARRIER

Master

05.09.2015/08.02.2016

05M03d

SYNERGY SHIP MANAGEMENT

44

M.V.OCCITAN KEY

18419/9558

BULK/LOG CARRIER

Master

27.04.2016/08.09.2016

04M 12d

SYNERGY SHIP MANAGEMENT

45

M.V.OOCL KAOHSIUNG

56182/38451

Cell Container

Master

22.09.2016/03.12.2016

02M 11d

SYNERGY SHIP MANAGEMENT

46

M.V.NITON COBALT

30081/17927

BULK CARRIER

Master

22.12.2016/27.04.2017

04M 05d

SYNERGY SHIP MANAGEMENT

47

M V MANCHESTER BRIDGE

14000TEU

CONTAINER

Master

27.10.2017/03.05.2018

06M 07d

Fleet management

48

M V MILANO BRIDGE

14000TEU

CONTAINER

Master

26.05.2018/03.07.2018

01M 08d

Fleet management

49

M V EVER GOODS

20958TEU

CONTAINER

Master

07.11.2018/26.11.2018

00M 20d

Fleet management

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

                   

 

APPLICATION FORM

 

1

 

Position                                                                                                ID/PD No. (For Office Use Only) _______________________

 

 

Position applied for:  MASTER

 

 

 

 

 

 

Are you willing to accept any other positions? If YES, which positions would you consider?

YES/NO

 

 

 

 

 

 

 

Are you responding to a media advertisement? If YES, please state which publication

YES/NO

 

 

 

 

 

 

 

From what date will you be available?

 

 

2

 

Personal details

 

 

 

 

 

Name:

(Surname)  CHATTERJEE  

 

 

 

(First Names)  PRADEEP

 

 

 

(Middle Name)  

 

 

Date/Place of Birth:

 KOLKATA

Nationality:

 INDIAN

 

 

Permanent address:

 FLAT NO-3M,BLOCK-WALES,MERLIN RESIDENCY

 

 

 

 26 ORINCE ANWAR SHAH ROAD,KOLKATA

Pin Code: 70003

 

 

 

E-Mail:

 

(Tel No. :

Mobile

9831754935

 

 

Local address:

SAME AS ABOVE

 

 

 

 

Pin Code:

 

 

 

E-Mail:

 

(Tel No.

Mobile

 

 

 

 

 

 

 

 

3a

 

Educational Background

 

 

 

 

 

 

 

 

 

Qualification

School / College

From

To

Percentage/ Grade

 

 

 

 

 

 

 

 

 

              

   

   

       

 

                             

 

3b

 

Technical Background

 

 

 

 

 

 

 

 

 

Degree/ Diploma

Institute/ College

From

To

Percentage / Grade

 

 

 Pre-Sea Training

 T S RAJENDRA

 SEPT 1978

 JULY 1979

 

 

 

              

 

   

        

 

 

4

 

Identity documents

 

 

 

 

 

DOCUMENT

COUNTRY

NUMBER

DATE OF ISSUE

PLACE OF ISSUE

DATE OF EXPIRY

 

 

 

Passport:

INDIAN

 H9373208

14.01.2010

 KOLKATA

 13.01.2020

 

 

 

Seaman Book:

National

  CL45108

29.08.2017

 KOLKATA

28.08.2027

 

 

 

 

Panamanian

 P0012219

 24.10.2017

 

 06.03.2020

 

 

 

 

Liberian

 

 

 

 

 

 

 

 

Others

 

 

 

 

 

 

 

Do you hold a US Visa ‘C1/D’?

 

YES/NO

YES

Issue Date:

23.04.2014

Expiry Date: 21.04.2019

 

 

 

Do you hold a US Visa ‘B1/B2’?

 

YES/NO

YES

Issue Date:

26.09.2017

Expiry Date: 20.09.2027

 

 

 

Have you been rejected for any visa applied for? NO

YES/NO

 

 

 

 

If YES, please state the country and reasons

 

 

 

 

INDOS No: (only for Indians)  00NL 3893

YELLOW FEWER      V/T; NEEDS TO BE TAKEN

 

 

 

 

MUI NO :                                  V/T

 

 

 

 

 

 

 

 

 

5

 

Family Details:  (If Unmarried kindly give details of Father / Mother)    

 

 

 

 

 

 

 

 

 

 

NAME

 

Relation

DOB

POB

PASSPORT NO.

PLACE OF ISSUE

DATE OF ISSUE

DATE OF EXPIRY

ECNR

 

 

ANURADHA CHATTERJEE

WIFE

26.08.18

JAMSHEDPUR

 

 

 

 

 

 

 

SOURADEEP CHATTERJEE

SON

04.10.1993

KOLKATA

 

 

 

 

 

6

 

Certificates (Highest certificate of competency held)

 

 

 

Grade/Class Of COC Country

Issuing Country

Date of Passing Exam

Certificate No.

Date Issued

Place Issued

Valid Until

 

    

MASTER(FG)

MMD INDIA

 

IF00-4832

21.04.2015

MUMBAI

06.03.2020

 

 

 

 

 

 

 

 

 

7

 

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

CT-115490/17 - LOI

24.10.2017

 

06.03.2020

 

 

Others