1. 15-Nov-2016
Seafarer Profile
Date :Last updated date : 15/11/2016 02:55 PM
: Nautical
Personal Details
Name
Gender
Date of Birth
Place of Birth Birth State
Birth Country Nationality
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CLYDE NORONHA
MALE
09/05/1992
MUMBAI MAHARASHTRA
INDIA INDIAN
16HL8332
B-10, PLOT 147,
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City
State
City
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Pin
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Pin
Address
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Address : :
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Address Details
Present Address Permanent Address
GITANJALI SOC. GORAI-II,
BORIVALI (W).
MUMBAI
400092:
MAHARASHTRA :State
GITANJALI SOC. GORAI-II,
BORIVALI (W).
MUMBAI
400092
MAHARASHTRA
B-10, PLOT 147,
:Country
:Telephone No.
:Country
Telephone No. :
Mobile No. :
Email Id :
INDIA
02228672685
9819245769
noronhaclyde5@gmail.com
INDIA
9819245769
Physical Details
Hair Color
Eye Color :
Height (in Cms) :
: Complexion
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Identification : chest
155
BLACK
BLACK
BROWN
INDoS No.
Discipline
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2. Education Details
Name of Institution
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Main Subjects :
Year of Passing :
English Mark(%) :
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Institute Address :
ENGLISH
11099 2010
41.80
NATIONAL INSTITUTE OF OPEN SCHOOL
NIOS DELHI BOARD
DON BOSCO BORIVALI WEST MUMBAI
1. 10TH (Matriculation/SSC)
Certificate No.
Education Level :
Name of University
PCM Mark(%)
Result(%)/Grade
Name of Institution
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Main Subjects :
Year of Passing :
English Mark(%) :
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Institute Address :
fire fighting
074 2013
74
alphainstitute
banglore
aimts banglore
3. Diploma
Certificate No.
Education Level :
Name of University
PCM Mark(%)
Result(%)/Grade
Name of Institution
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Main Subjects :
Year of Passing :
English Mark(%) :
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Institute Address :
ENGLISH
00751 2015
77 48
50.16
NATIONAL INSTITUTE OF OPEN SCHOOL
NIOS DELHI BOARD
DOMNIC SAVIO ANDHERI EAST MUMBAI
2. 10+2 (HSC/Intermediate/equivalent)
Certificate No.
Education Level :
Name of University
PCM Mark(%)
Result(%)/Grade
3Total no of record in Education Details :
Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Valid UptoDate of Issue
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Elementary First Aid
A-VI/1-3
27/10/2016
EFA/J-14563/2016
29/10/2016
ACE Maritime Institute (Mumbai)
29/10/2016
Elementary First Aid. Course Name1
Course Name
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3. Modular Course Details
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Valid UptoDate of Issue
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Personal Survival Techniques
A-VI/1-1
31/10/2016
PST/K-8824/2016
02/11/2016
ACE Maritime Institute (Mumbai)
02/11/2016
Personal Survival Techniques. Course Name2
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Valid UptoDate of Issue
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Personal Safety & Social Responsibilities
A-VI/1-4
03/11/2016
PSR/K-11465/2016
05/11/2016
ACE Maritime Institute (Mumbai)
05/11/2016
Personal Safety & Social Responsibilities. Course Name3
Course Name
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STCW Code
Training Institute
Attended From Attended To
Certificate No.
Valid UptoDate of Issue
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Fire Prevention & Fire Fighting
A-VI/1-2
07/11/2016
FPF/K-14865/2016
09/11/2016
ACE Maritime Institute (Mumbai)
09/11/2016
Fire Prevention & Fire Fighting. Course Name4
Course Name
Total no of record in Modular Course 4
Authorised Documents
. :1 INDoSDocument Type
INDoSDocument Type :
Document Number :
Valid Upto :
Issued Date :
Issued At :
16HL8332 09/11/2016
Total no of record in Authorised Documents : 1
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4. I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the
papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I
further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and
I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at
the time of taking oral examination or at an earlier time when asked by the department.
DECLARATION TO BE MADE BY CANDIDATE :
Date :
Signature of the candidate
This is an electronically generated document hence it does not require any signature of DGS Officials.
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