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BIODATA FOR EMPLOYMENT
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE
BIODATA
Ran
k
FOURTH
ENGINEER
First Name PARTH
Last
Name
KHER
Nationalit
y
INDIAN
Date & Place
of Birth:
10/11/1988 PUNE Marital Status: SINGLE
Present
Address:
B-23 NILKANTH SHIVSHAKTI SOCIETY
AR NO 135 OFF PAUD ROAD
KOTHRUD, PUNE 411038
Next of Kin: AMRUTA A KHER
Home Phone: 02025461413 Name / Relationship: MOTHER
Cell Phone: +917276300295, +918552836345
Address: SAME AS ABOVE
OBJECTIVE
An Experienced Fourth Engineer seeking a
JOB in Marine Industry cum Global
Shipping Organization.
Email:
Parth88kp@gmail.com,
parth.navigator@gmail.com
Next of kin Cell Phone : +919860252458
Father’s name ABHIJIT N KHER Mother’s name: AMRUTA A KHER
Nearest
Airport:
MUMBAI
Km from
Airport:
Present
Employer:
TAG OFFSHORE LTD
Languages: ENGLISH ,HINDI AND MARATHI Tel + email: 02267887800
Medical Certificate
issued:
Expired:
Previous
Employer:
EXECUTIVE SHIP MANAGEMENT
Any visa issued: U.S.VISA Expired: NO Tel + email: 02266895555
Weight(kg
)
64 Height(cm) 178 Coverall Size: XL Shoes Size: 9
Hair
:
BLACK
Eye
s:
BROWN
Position Applied:
FOURTH ENGINEER,JUNIOR
ENGINEER
Date of availability: IMMEDIATE
Education: high/secondary school (4 years) ,
college (2-3 years) ; university (4-5 years):
B.E.MECHANICAL
Last wage (inclusive of leave pay): RS.27,00
0/-
License (Certificate of Competency)
Licence Country Grade of Licence Number Place & Date Issued Date Expired
INDIAN COC MEO CLASS IV COC 95Z-20663 MUMBAI 10/9/2015 4/8/2020
Passport –
Number Place Issued Date Issued Date Expired
G-6184840 PUNE 7/12/2007 6/12/2017
Seaman’s Book -
Country Place Issued Date Issued Number Date Expired
INDIA MUMBAI 29/8/2012 MUM204956 29/8/2022
PANAMA
DP Log Book
Country Place Issued Date Issued Number Date Expired
BIODATA Page 1 of 5
.01
BIODATA FOR EMPLOYMENT
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE
DP Certificates
Certificates Place Issued Date Issued Number Date Expired
DP Basic (induction)
DP Advanced
DP Limited
DP unlimited
Certificates Issued
Certificates STCW 2010 REFRESHER Date Issued Place Issued Expiration date License Number
Yellow Fever Certificate 12/9/2012 MUMBAI 12/9/2022 06282
ENGINE ROOM SIMULATOR 12/2/2014 MUMBAI UNLIMITED ERS/07/14/051
H2S AND BA FAMILIARISATION CERTIFICATE MUMBAI UNLIMITED
MEDICAL (First Aid) VI/4 26/12/2014 MUMBAI 27/12/2019 MFA RUT/14/042
Advanced Fire Fighting VI/3 2 JAN 2020 MUMBAI 1 JAN 2020 AFF(R)/15/001
PSCRB (proficiency in survival craft) VI/2 7/1/2015 MUMBAI 6/1/2020 PSCRB(R)/15/002
Advanced Training Program on Oil Tanker
Cargo Operations
12/12/2015 LONAVALA UNLIMITED SIMS/LNV/TASCO/001/2015
Specialized Training Program on Gas Tanker
Cargo Operations
22/9/2015 MUMBAI UNLIMITED STPLGT/1309/2015-16
Advanced Training Program on Chemical
Tanker Cargo Operations
29/12/2015 MUMBAI UNLIMITED
SIMS/MUM/CHEMCO/0815/
136
REFRESHER Safety Training Certificate (or Items
from 1 to 4 below MANDATORY) VI/1
1 - Personal Security and Social Responsibilities 24/1/2015 MUMBAI 23/1/2020 PSSR/15/007
2 – Certificate of Proficiency in Personal Survival
Technique
26/2/2016 MUMBAI 27/2/2021 RF-PST/D-3140/2016
3 – Elementary First Aid 23/2/2012 LONAVALA UNLIMITED
4 –Certificate of Proficiency in Fire Prevention
and Fire Fighting
26/2/2016 MUMBAI 27/2/2021 RF-FPF/D-3870/2016
Oil Tanker Familiarization Certificate 25/9/2012 LONAVALA UNLIMITED
SIMS/LNV/OTFC/XVI/2012/1
2
Liquefied Gas Tanker Familiarization Certificate 1/2/2013 MUMBAI UNLIMITED MMTI/LGTFC/5266/2013
Chemical Tanker Familiarization Certificate 18/9/2012 LONAVALA UNLIMITED SIMS/LNV/CTFC/XV/2012/12
Security Training for Standards of Seafarers 31/07/2012 LONAVLA UNLIMITED SIMS/LNV/G12/2012/62
DANGEROUS CARGO ENDORSEMENTS DATE OF ISSUE PLACE ISSUED EXPIRY DATE LICENSE NUMBER
OIL TANKER D.C.E 8/12/2012 MUMBAI 8/12/2017 M/O/1/E/12/20850
CHEMICAL TANKER D.C.E 12/11/2012 MUMBAI 12/11/2017 M/C/1/E/12/20960
GAS TANKER D.C.E 12/2/2013 GOA 12/2/2018 G/G/1/E/13/10
BIODATA Page 2 of 5
.01
BIODATA FOR EMPLOYMENT
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE
Previous Sea Experience
Vessel’s Name Flag GRT
Vessel
Type
Eng Type &
KW
Company Name Rank
Period:
From
Period:
To
For Offshore Ships: Type of Job Performed (supply,
anchor handling, towing…), Water Depth, Type of Rig or
Barge Work With, Area of Operation, Charterer-Client
M.V.LPG/C
ASTRID
PANAM
A
4310 GAS
CARRIER
MAN B&W
3250 KW
EXECUTIVE SHIP
MANAGEMENT
JUNIOR
ENGINEER
TRAINEE
15/3/2013 27/12/2013
M.V.ERIA
COLOSSUS
PANAM
A
30811 BULK
CARRIER
MAN B&W
8230KW
EXECUTIVE SHIP
MANAGEMENT
JUNIOR
ENGINEER
9/5/2016 1/7/2016
M.V.NAND PANNA INDIAN 1313 ANCHOR
HANDLING
TOWING
BERGEN
DIESEL
5200 KW
TAG OFFSHORE
LTD
FOURTH
ENGINEER
20/7/2016 CHARTERER- INDIAN NAVY
BIODATA Page 3 of 5
.01
BIODATA FOR EMPLOYMENT
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE
ANY ADDITIONNAL INFORMATIONS OR JOB DESCRIPTIONS /EXPERIENCES YOU WANT TO DETAIL IN PARTICULAR. WRITE HERE:
Details of the work you have done onboard previous vessels and your previous experience
• Attended DRYDOCK of the vessel M.V. NAND PANNA at LAVGAN PORT RATNAGIRI for about 11 days.
JOBS PERFORMED:
 BOW THRUSTER seal was leaking. Same replaced with a new one.

BIODATA Page 4 of 5
.01
BIODATA FOR EMPLOYMENT
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE
BIODATA Page 5 of 5
.01
BIODATA FOR EMPLOYMENT
RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE
BIODATA Page 5 of 5

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SEAFARER'S APPLICATION FORM

  • 1. .01 BIODATA FOR EMPLOYMENT RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE BIODATA Ran k FOURTH ENGINEER First Name PARTH Last Name KHER Nationalit y INDIAN Date & Place of Birth: 10/11/1988 PUNE Marital Status: SINGLE Present Address: B-23 NILKANTH SHIVSHAKTI SOCIETY AR NO 135 OFF PAUD ROAD KOTHRUD, PUNE 411038 Next of Kin: AMRUTA A KHER Home Phone: 02025461413 Name / Relationship: MOTHER Cell Phone: +917276300295, +918552836345 Address: SAME AS ABOVE OBJECTIVE An Experienced Fourth Engineer seeking a JOB in Marine Industry cum Global Shipping Organization. Email: Parth88kp@gmail.com, parth.navigator@gmail.com Next of kin Cell Phone : +919860252458 Father’s name ABHIJIT N KHER Mother’s name: AMRUTA A KHER Nearest Airport: MUMBAI Km from Airport: Present Employer: TAG OFFSHORE LTD Languages: ENGLISH ,HINDI AND MARATHI Tel + email: 02267887800 Medical Certificate issued: Expired: Previous Employer: EXECUTIVE SHIP MANAGEMENT Any visa issued: U.S.VISA Expired: NO Tel + email: 02266895555 Weight(kg ) 64 Height(cm) 178 Coverall Size: XL Shoes Size: 9 Hair : BLACK Eye s: BROWN Position Applied: FOURTH ENGINEER,JUNIOR ENGINEER Date of availability: IMMEDIATE Education: high/secondary school (4 years) , college (2-3 years) ; university (4-5 years): B.E.MECHANICAL Last wage (inclusive of leave pay): RS.27,00 0/- License (Certificate of Competency) Licence Country Grade of Licence Number Place & Date Issued Date Expired INDIAN COC MEO CLASS IV COC 95Z-20663 MUMBAI 10/9/2015 4/8/2020 Passport – Number Place Issued Date Issued Date Expired G-6184840 PUNE 7/12/2007 6/12/2017 Seaman’s Book - Country Place Issued Date Issued Number Date Expired INDIA MUMBAI 29/8/2012 MUM204956 29/8/2022 PANAMA DP Log Book Country Place Issued Date Issued Number Date Expired BIODATA Page 1 of 5
  • 2. .01 BIODATA FOR EMPLOYMENT RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE DP Certificates Certificates Place Issued Date Issued Number Date Expired DP Basic (induction) DP Advanced DP Limited DP unlimited Certificates Issued Certificates STCW 2010 REFRESHER Date Issued Place Issued Expiration date License Number Yellow Fever Certificate 12/9/2012 MUMBAI 12/9/2022 06282 ENGINE ROOM SIMULATOR 12/2/2014 MUMBAI UNLIMITED ERS/07/14/051 H2S AND BA FAMILIARISATION CERTIFICATE MUMBAI UNLIMITED MEDICAL (First Aid) VI/4 26/12/2014 MUMBAI 27/12/2019 MFA RUT/14/042 Advanced Fire Fighting VI/3 2 JAN 2020 MUMBAI 1 JAN 2020 AFF(R)/15/001 PSCRB (proficiency in survival craft) VI/2 7/1/2015 MUMBAI 6/1/2020 PSCRB(R)/15/002 Advanced Training Program on Oil Tanker Cargo Operations 12/12/2015 LONAVALA UNLIMITED SIMS/LNV/TASCO/001/2015 Specialized Training Program on Gas Tanker Cargo Operations 22/9/2015 MUMBAI UNLIMITED STPLGT/1309/2015-16 Advanced Training Program on Chemical Tanker Cargo Operations 29/12/2015 MUMBAI UNLIMITED SIMS/MUM/CHEMCO/0815/ 136 REFRESHER Safety Training Certificate (or Items from 1 to 4 below MANDATORY) VI/1 1 - Personal Security and Social Responsibilities 24/1/2015 MUMBAI 23/1/2020 PSSR/15/007 2 – Certificate of Proficiency in Personal Survival Technique 26/2/2016 MUMBAI 27/2/2021 RF-PST/D-3140/2016 3 – Elementary First Aid 23/2/2012 LONAVALA UNLIMITED 4 –Certificate of Proficiency in Fire Prevention and Fire Fighting 26/2/2016 MUMBAI 27/2/2021 RF-FPF/D-3870/2016 Oil Tanker Familiarization Certificate 25/9/2012 LONAVALA UNLIMITED SIMS/LNV/OTFC/XVI/2012/1 2 Liquefied Gas Tanker Familiarization Certificate 1/2/2013 MUMBAI UNLIMITED MMTI/LGTFC/5266/2013 Chemical Tanker Familiarization Certificate 18/9/2012 LONAVALA UNLIMITED SIMS/LNV/CTFC/XV/2012/12 Security Training for Standards of Seafarers 31/07/2012 LONAVLA UNLIMITED SIMS/LNV/G12/2012/62 DANGEROUS CARGO ENDORSEMENTS DATE OF ISSUE PLACE ISSUED EXPIRY DATE LICENSE NUMBER OIL TANKER D.C.E 8/12/2012 MUMBAI 8/12/2017 M/O/1/E/12/20850 CHEMICAL TANKER D.C.E 12/11/2012 MUMBAI 12/11/2017 M/C/1/E/12/20960 GAS TANKER D.C.E 12/2/2013 GOA 12/2/2018 G/G/1/E/13/10 BIODATA Page 2 of 5
  • 3. .01 BIODATA FOR EMPLOYMENT RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE Previous Sea Experience Vessel’s Name Flag GRT Vessel Type Eng Type & KW Company Name Rank Period: From Period: To For Offshore Ships: Type of Job Performed (supply, anchor handling, towing…), Water Depth, Type of Rig or Barge Work With, Area of Operation, Charterer-Client M.V.LPG/C ASTRID PANAM A 4310 GAS CARRIER MAN B&W 3250 KW EXECUTIVE SHIP MANAGEMENT JUNIOR ENGINEER TRAINEE 15/3/2013 27/12/2013 M.V.ERIA COLOSSUS PANAM A 30811 BULK CARRIER MAN B&W 8230KW EXECUTIVE SHIP MANAGEMENT JUNIOR ENGINEER 9/5/2016 1/7/2016 M.V.NAND PANNA INDIAN 1313 ANCHOR HANDLING TOWING BERGEN DIESEL 5200 KW TAG OFFSHORE LTD FOURTH ENGINEER 20/7/2016 CHARTERER- INDIAN NAVY BIODATA Page 3 of 5
  • 4. .01 BIODATA FOR EMPLOYMENT RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE ANY ADDITIONNAL INFORMATIONS OR JOB DESCRIPTIONS /EXPERIENCES YOU WANT TO DETAIL IN PARTICULAR. WRITE HERE: Details of the work you have done onboard previous vessels and your previous experience • Attended DRYDOCK of the vessel M.V. NAND PANNA at LAVGAN PORT RATNAGIRI for about 11 days. JOBS PERFORMED:  BOW THRUSTER seal was leaking. Same replaced with a new one.  BIODATA Page 4 of 5
  • 5. .01 BIODATA FOR EMPLOYMENT RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE BIODATA Page 5 of 5
  • 6. .01 BIODATA FOR EMPLOYMENT RECORD OF PERSONAL INFORMATION AND PAST EXPERIENCE BIODATA Page 5 of 5