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11-Mar-2015 Seafarer Profile Date :Last updated date : 11/03/2015 08:04 PM : Engineering Personal Details Name Gender Date of Birth Place of Birth Birth State Birth Country Nationality : : : : : : : ANTONY BOSCO QUINTEEN K. G. MALE 31/10/1962 ERNAKULAM KERALA INDIA INDIAN 01LL0993 KALATHIPARAMBIL HOUSE : City State City : Pin : : Pin Address : : Address : : : : Address Details Present Address Permanent Address EFFIL TOWER, ODONEL ROAD SOUTH CHITTOOR P.O. COCHIN 682027: KERALA :State EFFIL TOWER, ODONEL ROAD SOUTH CHITTOOR P.O. COCHIN 682027 KERALA KALATHIPARAMBIL HOUSE :Country :Telephone No. :Country Telephone No. : Mobile No. : Email Id : INDIA 04842432256 09388830420 quinteenbosco@yahoo.co.in INDIA 8086770120 Physical Details Hair Color Eye Color : Height (in Cms) : : Complexion : Identification : MOLE OVER LT TEMPLE 160 BLACK BLACK FAIR INDoS No. Discipline: Page 1 of 14Report generated on 11/03/2015 7.54 PM:
Education Details Name of Institution : : : : Main Subjects : Year of Passing : English Mark(%) : : Institute Address : Physics, Chemistry, Biology 1980 60 60 52 St.Alberts College Kerala University Ernakulam,Kerala, India. 1. 10+2 (HSC/Intermediate/equivalent) Certificate No. Education Level : Name of University PCM Mark(%) Result(%)/Grade Name of Institution : : : : Main Subjects : Year of Passing : English Mark(%) : : Institute Address : Equivalent of Graduation 3572 1995 Gradu Graduation for Ex servicemen Govt. of India gazzette Gazzette No. 9 dated 1st March 1986 2. Graduate (Bachelors Degree) Certificate No. Education Level : Name of University PCM Mark(%) Result(%)/Grade 2Total no of record in Education Details : Pre Sea Training Detail Attended From (Date) Certificate No. Pre Sea Tar Book No. Attended To (Date) Result : : : : : : : : INS VALSURA, INDIAN NAVY 01/01/1981 01/08/1990 Training Institute Training Institute (other) Course Name Marine Engineers - Alternate Tr Scheme Modular Course Details : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Advance Fire Fighting A-VI/3 30/09/1996 004023 05/10/1996 TS Rahaman (Mumbai) 05/10/1996 Advance Fire Fighting. Course Name1 Course Name Page 2 of 14Report generated on 11/03/2015 7.54 PM:
Modular Course Details : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Proficiency in Survival Craft & Rescue Boat A-VI/2-1 07/10/1996 2886 11/10/1996 TS Rahaman (Mumbai) 11/10/1996 Proficiency in Survival Craft & Rescue Boat. Course Name2 Course Name : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Upgradation of AFF 22/05/2013 REF/AFF/EMA/42-13/000341 22/05/2013 Euro Tech Maritime Academy (COCHIN) 22/05/2013 21/05/2018 Upgradation of AFF. Course Name3 Course Name : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Personal Safety & Social Responsibilities A-VI/1-4 30/05/2013 PSSR/EMA/821-13/013502 01/06/2013 Euro Tech Maritime Academy (COCHIN) 01/06/2013 Personal Safety & Social Responsibilities. Course Name4 Course Name : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Medical First Aid A-VI/4-1 03/06/2013 MFA/EMA/317-13/004721 06/06/2013 Euro Tech Maritime Academy (COCHIN) 06/06/2013 Medical First Aid. Course Name5 Course Name Total no of record in Modular Course 5 Sea Going Service Page 3 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. GOLD SPRING Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. GOLD SPRING Belize 1195356 Bulk Carrier 5714 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 24/11/1996 10/09/1997 9 17 5000 Motor Vessel 240 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. ORIENT PATRIOT Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. ORIENT PATRIOT India 2712 MUMBAI MUMBAI Container Ship 17702 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 08/01/1998 18/06/1998 5 12 15200 Motor Vessel 140 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :2 Nature of watch keeping Page 4 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. LADY HAMILTON Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LADY HAMILTON Hong Kong 8119285 Bulk Carrier 22388 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 26/10/1998 28/07/1999 9 4 15200 Motor Vessel 260 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :3 Nature of watch keeping . M.V. LAEMTHONG PRIDE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LAEMTHONG PRIDE Thailand 3810 01341 BANGKOK Bulk Carrier 9126 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 05/11/1999 10/09/2000 10 6 6000 Motor Vessel 280 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :4 Nature of watch keeping Page 5 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . MSC ARIANE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : MSC ARIANE Panama 19636 91 A Container Ship 10837 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 21/12/2000 03/08/2001 7 14 12250 Motor Vessel 198 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :5 Nature of watch keeping . MSC EMELIA Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : MSC EMELIA Panama 11631 82 D Container Ship 10932 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 16/03/2002 18/10/2002 7 4 12250 Motor Vessel 204 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :6 Nature of watch keeping Page 6 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. ALIYA Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. ALIYA Bahrain BN3027 Bulk Carrier 9814 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 05/02/2003 18/06/2003 4 12 7200 Motor Vessel 116 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :7 Nature of watch keeping . M.V. FEDERAL HUDSON Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. FEDERAL HUDSON Hong Kong HK 0569 9205902 Bulk Carrier 20659 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 19/12/2003 23/09/2004 9 6 7800 Motor Vessel 256 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :8 Nature of watch keeping Page 7 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. LIBERTY SEA Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LIBERTY SEA Bahamas NASSAU 8300901 Bulk Carrier 36254 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 07/02/2005 23/08/2005 6 15 12300 Motor Vessel 184 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :9 Nature of watch keeping . M.V. CP HERO Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. CP HERO Canada 727435 HAMILTON 8609254 Container Ship 41023 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 28/01/2006 27/08/2006 7 1 23896 Motor Vessel 192 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 8 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. LOWLANDS BRILLIANCE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LOWLANDS BRILLIANCE Belgium 01 00551 2004 1002 ANTWERPEN Bulk Carrier 85906 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 11/02/2007 30/07/2007 5 18 22920 Motor Vessel 154 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. RUBIN GRACE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. RUBIN GRACE Hong Kong HK 0635 9081150 Bulk Carrier 72550 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 13/09/2007 23/02/2008 5 11 13220 Motor Vessel 152 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 9 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. HELEN B Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. HELEN B Panama 22459 95 Bulk Carrier 41644 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 30/05/2008 15/11/2008 5 17 20107 Motor Vessel 155 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. ARTHUR N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. ARTHUR N Panama 29836 PEXT 2 Bulk Carrier 131479 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 06/02/2009 20/08/2009 6 13 19894 Motor Vessel 183 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 10 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. BING N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. BING N Liberia 13945 MONROVIA 9002776 Bulk Carrier 154030 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 01/02/2010 19/08/2010 6 17 31920 Motor Vessel 190 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. FAITH N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. FAITH N Panama 28318 02A Bulk Carrier 131479 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 25/10/2010 07/06/2011 7 14 19894 Motor Vessel 215 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 11 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. PHYLLIS N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. PHYLLIS N Liberia MONROVIA 8800274 Bulk Carrier 154058 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 03/11/2011 06/05/2012 6 4 24620 Motor Vessel 180 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. HUGO N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. HUGO N Liberia 14330 MONROVIA Bulk Carrier 151448 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 19/08/2012 26/03/2013 7 9 22700 Motor Vessel 210 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 12 of 14Report generated on 11/03/2015 7.54 PM:
Sea Going Service . M.V. MARGOT N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. MARGOT N Liberia 13412 MONROVIA Bulk Carrier 144759 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 19/07/2013 12/03/2014 7 25 24280 Motor Vessel 210 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. BING N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. BING N Liberia 13945 Monrovia 9002776 Bulk Carrier 154030 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 30/06/2014 19/12/2014 5 20 31920 Motor Vessel 155 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :2 Nature of watch keeping Total no of record in Sea Going Service : 20 Authorised Documents . :1 CDCDocument Type CDCDocument Type : Document Number : Valid Upto : Issued Date : Issued At : MUM 73500 22/10/1996 Mumbai Page 13 of 14Report generated on 11/03/2015 7.54 PM:
Authorised Documents . :2 PassportDocument Type PassportDocument Type : Document Number : Valid Upto : Issued Date : Issued At : L 9118125 30/04/2014 29/04/2024 COCHIN Total no of record in Authorised Documents : 2 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. Page 14 of 14Report generated on 11/03/2015 7.54 PM:

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Profile

  • 1. 11-Mar-2015 Seafarer Profile Date :Last updated date : 11/03/2015 08:04 PM : Engineering Personal Details Name Gender Date of Birth Place of Birth Birth State Birth Country Nationality : : : : : : : ANTONY BOSCO QUINTEEN K. G. MALE 31/10/1962 ERNAKULAM KERALA INDIA INDIAN 01LL0993 KALATHIPARAMBIL HOUSE : City State City : Pin : : Pin Address : : Address : : : : Address Details Present Address Permanent Address EFFIL TOWER, ODONEL ROAD SOUTH CHITTOOR P.O. COCHIN 682027: KERALA :State EFFIL TOWER, ODONEL ROAD SOUTH CHITTOOR P.O. COCHIN 682027 KERALA KALATHIPARAMBIL HOUSE :Country :Telephone No. :Country Telephone No. : Mobile No. : Email Id : INDIA 04842432256 09388830420 quinteenbosco@yahoo.co.in INDIA 8086770120 Physical Details Hair Color Eye Color : Height (in Cms) : : Complexion : Identification : MOLE OVER LT TEMPLE 160 BLACK BLACK FAIR INDoS No. Discipline: Page 1 of 14Report generated on 11/03/2015 7.54 PM:
  • 2. Education Details Name of Institution : : : : Main Subjects : Year of Passing : English Mark(%) : : Institute Address : Physics, Chemistry, Biology 1980 60 60 52 St.Alberts College Kerala University Ernakulam,Kerala, India. 1. 10+2 (HSC/Intermediate/equivalent) Certificate No. Education Level : Name of University PCM Mark(%) Result(%)/Grade Name of Institution : : : : Main Subjects : Year of Passing : English Mark(%) : : Institute Address : Equivalent of Graduation 3572 1995 Gradu Graduation for Ex servicemen Govt. of India gazzette Gazzette No. 9 dated 1st March 1986 2. Graduate (Bachelors Degree) Certificate No. Education Level : Name of University PCM Mark(%) Result(%)/Grade 2Total no of record in Education Details : Pre Sea Training Detail Attended From (Date) Certificate No. Pre Sea Tar Book No. Attended To (Date) Result : : : : : : : : INS VALSURA, INDIAN NAVY 01/01/1981 01/08/1990 Training Institute Training Institute (other) Course Name Marine Engineers - Alternate Tr Scheme Modular Course Details : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Advance Fire Fighting A-VI/3 30/09/1996 004023 05/10/1996 TS Rahaman (Mumbai) 05/10/1996 Advance Fire Fighting. Course Name1 Course Name Page 2 of 14Report generated on 11/03/2015 7.54 PM:
  • 3. Modular Course Details : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Proficiency in Survival Craft & Rescue Boat A-VI/2-1 07/10/1996 2886 11/10/1996 TS Rahaman (Mumbai) 11/10/1996 Proficiency in Survival Craft & Rescue Boat. Course Name2 Course Name : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Upgradation of AFF 22/05/2013 REF/AFF/EMA/42-13/000341 22/05/2013 Euro Tech Maritime Academy (COCHIN) 22/05/2013 21/05/2018 Upgradation of AFF. Course Name3 Course Name : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Personal Safety & Social Responsibilities A-VI/1-4 30/05/2013 PSSR/EMA/821-13/013502 01/06/2013 Euro Tech Maritime Academy (COCHIN) 01/06/2013 Personal Safety & Social Responsibilities. Course Name4 Course Name : STCW Code Training Institute Attended From Attended To Certificate No. Valid UptoDate of Issue : : : : : : : : Medical First Aid A-VI/4-1 03/06/2013 MFA/EMA/317-13/004721 06/06/2013 Euro Tech Maritime Academy (COCHIN) 06/06/2013 Medical First Aid. Course Name5 Course Name Total no of record in Modular Course 5 Sea Going Service Page 3 of 14Report generated on 11/03/2015 7.54 PM:
  • 4. Sea Going Service . M.V. GOLD SPRING Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. GOLD SPRING Belize 1195356 Bulk Carrier 5714 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 24/11/1996 10/09/1997 9 17 5000 Motor Vessel 240 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. ORIENT PATRIOT Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. ORIENT PATRIOT India 2712 MUMBAI MUMBAI Container Ship 17702 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 08/01/1998 18/06/1998 5 12 15200 Motor Vessel 140 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :2 Nature of watch keeping Page 4 of 14Report generated on 11/03/2015 7.54 PM:
  • 5. Sea Going Service . M.V. LADY HAMILTON Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LADY HAMILTON Hong Kong 8119285 Bulk Carrier 22388 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 26/10/1998 28/07/1999 9 4 15200 Motor Vessel 260 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :3 Nature of watch keeping . M.V. LAEMTHONG PRIDE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LAEMTHONG PRIDE Thailand 3810 01341 BANGKOK Bulk Carrier 9126 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 05/11/1999 10/09/2000 10 6 6000 Motor Vessel 280 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :4 Nature of watch keeping Page 5 of 14Report generated on 11/03/2015 7.54 PM:
  • 6. Sea Going Service . MSC ARIANE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : MSC ARIANE Panama 19636 91 A Container Ship 10837 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 21/12/2000 03/08/2001 7 14 12250 Motor Vessel 198 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :5 Nature of watch keeping . MSC EMELIA Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : MSC EMELIA Panama 11631 82 D Container Ship 10932 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 16/03/2002 18/10/2002 7 4 12250 Motor Vessel 204 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :6 Nature of watch keeping Page 6 of 14Report generated on 11/03/2015 7.54 PM:
  • 7. Sea Going Service . M.V. ALIYA Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. ALIYA Bahrain BN3027 Bulk Carrier 9814 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 05/02/2003 18/06/2003 4 12 7200 Motor Vessel 116 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :7 Nature of watch keeping . M.V. FEDERAL HUDSON Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. FEDERAL HUDSON Hong Kong HK 0569 9205902 Bulk Carrier 20659 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 19/12/2003 23/09/2004 9 6 7800 Motor Vessel 256 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :8 Nature of watch keeping Page 7 of 14Report generated on 11/03/2015 7.54 PM:
  • 8. Sea Going Service . M.V. LIBERTY SEA Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LIBERTY SEA Bahamas NASSAU 8300901 Bulk Carrier 36254 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 07/02/2005 23/08/2005 6 15 12300 Motor Vessel 184 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :9 Nature of watch keeping . M.V. CP HERO Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. CP HERO Canada 727435 HAMILTON 8609254 Container Ship 41023 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 28/01/2006 27/08/2006 7 1 23896 Motor Vessel 192 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 8 of 14Report generated on 11/03/2015 7.54 PM:
  • 9. Sea Going Service . M.V. LOWLANDS BRILLIANCE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. LOWLANDS BRILLIANCE Belgium 01 00551 2004 1002 ANTWERPEN Bulk Carrier 85906 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 11/02/2007 30/07/2007 5 18 22920 Motor Vessel 154 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. RUBIN GRACE Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. RUBIN GRACE Hong Kong HK 0635 9081150 Bulk Carrier 72550 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 13/09/2007 23/02/2008 5 11 13220 Motor Vessel 152 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 9 of 14Report generated on 11/03/2015 7.54 PM:
  • 10. Sea Going Service . M.V. HELEN B Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. HELEN B Panama 22459 95 Bulk Carrier 41644 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 30/05/2008 15/11/2008 5 17 20107 Motor Vessel 155 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. ARTHUR N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. ARTHUR N Panama 29836 PEXT 2 Bulk Carrier 131479 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 06/02/2009 20/08/2009 6 13 19894 Motor Vessel 183 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 10 of 14Report generated on 11/03/2015 7.54 PM:
  • 11. Sea Going Service . M.V. BING N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. BING N Liberia 13945 MONROVIA 9002776 Bulk Carrier 154030 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 01/02/2010 19/08/2010 6 17 31920 Motor Vessel 190 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. FAITH N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. FAITH N Panama 28318 02A Bulk Carrier 131479 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 25/10/2010 07/06/2011 7 14 19894 Motor Vessel 215 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 11 of 14Report generated on 11/03/2015 7.54 PM:
  • 12. Sea Going Service . M.V. PHYLLIS N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. PHYLLIS N Liberia MONROVIA 8800274 Bulk Carrier 154058 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 03/11/2011 06/05/2012 6 4 24620 Motor Vessel 180 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. HUGO N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. HUGO N Liberia 14330 MONROVIA Bulk Carrier 151448 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 19/08/2012 26/03/2013 7 9 22700 Motor Vessel 210 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping Page 12 of 14Report generated on 11/03/2015 7.54 PM:
  • 13. Sea Going Service . M.V. MARGOT N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. MARGOT N Liberia 13412 MONROVIA Bulk Carrier 144759 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 19/07/2013 12/03/2014 7 25 24280 Motor Vessel 210 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :1 Nature of watch keeping . M.V. BING N Official No. IMO Number GT Rank Service From (Date) Flag: Article of Months Propulsion power(KW) Propelling days Remarks : : : : : : : : : : Port of Registry : Ship Type : Trade Area : Service To (Date) : Article Days : Propulsion Type : M.V. BING N Liberia 13945 Monrovia 9002776 Bulk Carrier 154030 Foreign Going Electrical/Electronics Officer On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms 30/06/2014 19/12/2014 5 20 31920 Motor Vessel 155 Special Category : 1.Nature of watch keeping - On Fitter's work, either by day or on watches on Deck or in Engine and Boiler Rooms, Ship Name : Ship Name :2 Nature of watch keeping Total no of record in Sea Going Service : 20 Authorised Documents . :1 CDCDocument Type CDCDocument Type : Document Number : Valid Upto : Issued Date : Issued At : MUM 73500 22/10/1996 Mumbai Page 13 of 14Report generated on 11/03/2015 7.54 PM:
  • 14. Authorised Documents . :2 PassportDocument Type PassportDocument Type : Document Number : Valid Upto : Issued Date : Issued At : L 9118125 30/04/2014 29/04/2024 COCHIN Total no of record in Authorised Documents : 2 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. Page 14 of 14Report generated on 11/03/2015 7.54 PM: