PERSONAL DATA
First Name - PANKAJ
Middle Name
Surname - SINGH
Nationality-INDIAN Date of Birth – 12 MARCH 1989
Place of Birth
MAU(U.P.)
Post Applied For- 2ND OFF
Willing to Accept Lower Rank? No Available From:
08 / 11 /2017
Permanent Address:
PANKAJ SINGH S/O SHRI ADALAT SINGH, Present Address:
PANKAJ SINGH S/O SHRI ADALAT SINGH,
538K/554 , SHRI PURAM, TRIVENI NAGAR – III, 538K/554 , SHRI PURAM, TRIVENI NAGAR – III,
SITAPUR ROAD, LUCKNOW SITAPUR ROAD, LUCKNOW
PIN Code:226020 PIN Code:226020
STD Code: 0091 Phone Number:9453847879 STD Code: 0091 Phone Number:9453847879
Email:pankajsingh.ps817@gmail.com Mobile No:0919453847879,0917021487269
Passport No: Date of Issue Place of Issue Date of Expiry ECNR Minimum 4
Blank Pages
R4927369 01-11-2017 LUCKNOW 31-10-2027 Yes/No Yes/No
G9883541 28-07-2008 LUCKNOW 27-07-2018 Yes/No Yes/No
U.S. VISA
C1/D : E4810951 11-03-2013 MUMBAI 10-03-2018 MUI No: N036551 Membership
Yes
Seaman’s Book (CDC) Number Date of Issue Place of Issue Expiry Date Remark
Indian MUM151276 21-08-2017 MUMBAI 20-08-2027 RENEWED
Others(ST KITTS & NEVIS) CDC111585 13-02-2022 SKN 13-02-2022
License Grade Number Date of Issue Place of Issue Date of Expiry
Indian 2ND MATE FG IF-26068 05-12-2011 DELHI 20-10-2021
GMDSS 2ND MATE FG D-2646 15-03-2011 DELHI 14-03-2021
GMDSS Endorsement 2ND MATE FG GMDSSMUM16003876 03-10-2016 MUMBAI 14-03-2021
Civil Status: Single/ Married/ Separated/ Divorced/ Widowed - MARRIED
Full Name of Next of Kin: SHIVANI SINGH Relationship: WIFE
Address of Next of Kin: SAME AS ABOVE
Phone-STD Code: Phone No.:
Height : 172 Cm Weight : 86Kg :
Boiler Suit Size ( S , M , L , XL , XXL) : XL Shoe Size (6, 7, 8, 9, 10, 11) : 11
Family Data Name D.O.B PPT.No. D.O.I Place of Issue D.O.E ECNR
Wife SHIVANI SINGH
19-07-1991 - - - - -
Details of Courses & Certificates Number Date of Issue Date of Expiry Issued by
STCW Courses:
A.R.P.A. NATCOM/ARPA/010/2010 31-12-10 GURGAON
Radar Observer NATCOM/ARPA/010/2010 24-12-2010 GURGAON
G.O.C. (GMDSS) D-2646 15-03-11 14-03-21 DELHI
Endorsement to Certificate - G.O.C. (GMDSS) GMDSSMUM16003876 03-10-16 14-03-21 MUMBAI
Bridge Team Management CMETL/BTM5/032/057 03-04-15 LUCKNOW
ECDIS CMETL/ECDIS/097/465 27-03-15 LUCKNOW
STCW - Medical First Aid CMET/MFA/251/740 06-05-10 LUCKNOW
STCW 2010 – Advanced Fire Fighting & FPFF AIIMT/MUM/REF/AFF/B114/2014 13-10-16 12-10-21 MUMBAI
STCW 2010 – PST & PSCRB AIIMT/MUM/REF/PSCRB/B249/5333 10-10-16 09-10-21 MUMBAI
STCW – Personal Safety & Social Responsibility 0100440142007 14-07-07 MUMBAI
STCW – EFA 0080430132007 18-07-2007 MUMBAI
STCW – (S.S.O.) SSO/11/012/03/15 11-11-15 MUMBAI
STCW – (STSDSD) DSD/0017/007/13 22-02-13 MUMBAI
STCW – Oil Tanker Familiarization course OTF/01/08/005 05-01-08 MUMBAI
Specialised Training on Oil Tankers (TASCO) CMET/STPOTO/128/759 23-12-11 LUCKNOW
Specialised Training on Chem. Tankers (CHEMCO) PMTRI/CHEMCO/07/013/2015 09-07-15 MUMBAI
ECDIS TYPE SPECIFIC ON FURUNO (NAVSKILLS CAT) TE14840 01-12-15 MUMBAI
ECDIS TYPE SPECIFIC ON CONSILIUM ECDIS G2 B1/ECDIS/04/10/16 15-10-16 MUMBAI
Yellow Fever Vaccination YF-19/08 26-10-17 25-10-27 MUMBAI
MATES PHASE -1 FM1/02/16/052 14-09-16 MUMBAI
MATES PHASE - 2 CMETL/PHASE-II/019/117 14-10-17 LUCKNOW
RUT FOR 2ND MATE COC AIIMT/MUM/RUT-DK /B11/324 21-10-16 MUMBAI
Dangerous Cargo Endorsements Nationality Grade/ Level Number D.O.I Place of Issue D.O.E
Oil INDIAN I DCN01MUM16001856 17-10-2016 MUMBAI 16-10-2021
Chemical INDIAN I M/C/1/N/15/29105 14-08-15 MUMBAI 13-08-2020
Pre Sea Training / Apprentice ship/ {Please mention the Institute name}
Name of Institute / College From To Type of Degree
THE GEIMS JAN-2007 DEC-2007 DIPLONA IN BSC N. SCIENCE
S.S.C (10th) Marks : 65 %
H.S.C. (12th ) Marks : 62 % H.S.C. (PCM) 70 %
Previous Sea Service (Commencing from Last Vessel)
Sr.No. Name of Company Name of Vessel Type GRT KW Engine type/ UMS / Y / N Trading Area Port of
Registry Rank From To Total MM/DD Reason for S/OFF
1 ADMIRAL MARINE SERVICES PVT. LTD BONITA QUEEN TANKER 52067 Y FG ST KITTS & NEVIS 2ND OFF 27-01-17 17-06-17
2
ELEKTRANS SHIPPING COMPANY M.T. DISTYA AKULA TANKER 79979 Y FG MUMBAI 2ND OFF 12-12-15 28-05-16 CONTRACT COMPLETION
3
FSMHK M.T. ANMOL TANKER 20200 Y FG PANAMA 2ND OFF 24-04-14 22-11-14 CONTRACT COMPLETION
4 GESCO
M.T. JAG LOK TANKER 81396 Y FG MUMBAI 2ND OFF 24-03-13 14-10-13 CONTRACT COMPLETION
5 GESCO M.T. JAG PARWAR TANKER 19925 N FG MUMBAI 2ND OFF 20-06-12 12-09-12 CONTRACT COMPLETION
6 GESCO M.T. JAG PARWAR TANKER 19925 N FG MUMBAI 3RD OFF 08-01-12 19-06-12 ONBOARD PROMOTION
7 GESCO M.T. JAG PRAGATI TANKER 18542 N FG MUMBAI DK CDT 24-12-09 18-04-10 CONTRACT COMPLETION
8 GESCO M.T.JAG PRAGATI TANKER 18542 N FG MUMBAI DK CDT 19-08-08 07-11-09 CONTRACT COMPLETION
Reference
Sr. No Name of the company
PIC Designation Phone No
1 ADMIRAL MARINE SERVICES PVT. LTD VETRI SENIOR EXICUTIVE 0919840454510
2 ELEKTRANS MR ASHISH GUPTA SENIOR EXICUTIVE 0919619149182