Last updated date :

09/11/2012 12:31 AM

Date : 09-Nov-2012

Seafarer Profile Personal Details INDoS No. Name Gender Date of Birth Birth State Nationality
: 06NL0283 : UPHADHAYE ANIKET PRADIP : MALE : 31/03/1987 : MAHARASHTRA : INDIAN

Discipline

: Nautical

Place of Birth Birth Country

: KIRLOSKARWADI : INDIA

Address Details Present Address Address

: NO 30 MAHADA COLONY PALUS : :

Permanent Address Address

: : :

City Pin State Country Telephone No. Mobile No. Email Id

: SANGLI : 416310 : MAHARASHTRA : INDIA : 02346229075 : 8806789200 : aniket.upadhaye@gmail.com

City Pin State Country Telephone No.

: : : : :

Physical Details Height (in Cms) Eye Color Identification

: 183 : BLACK : MOLE ON RIGHT HAND

Hair Color Complexion

: BLACK : WHEATISH

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Education Details 1 . Education Level Main Subjects Certificate No. PCM Mark(%) Result(%)/Grade
Name of University

: 10+2 (HSC/Intermediate/equivalent) : PCM AND ENGLISH : 028123 : 71.00 : 72.17 : SECONDARY AND HIGHER SECONDARY EDUCATION PUNE : KIRLOSKAR HIGH SCHOOL AND JR. COLLEGE : KIRLOSKARWADI TAL. PALUS DIST. SANGLI Total no of record in Education Details : 1 Year of Passing English Mark(%) : 2005 : 53

Name of Institution Institute Address

Pre Sea Training Detail Training Institute Training Institute (other) Course Name Attended From (Date) Certificate No. Pre Sea Tar Book No. : International Maritime Academy (Chennai) : : Pre Sea Training for Deck Cadet : 02/01/2006 : DNS4/17 : Attended To (Date) Result : 22/12/2006 :

1 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 2 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue

Modular Course Details : Personal Survival Techniques : Personal Survival Techniques : International Maritime Academy (Chennai) : A-VI/1-1 : 30/05/2006 : DNS4/17 : : Elementary First Aid : Elementary First Aid : International Maritime Academy (Chennai) : A-VI/1-3 : 02/06/2006 : DNS4/17 : Valid Upto : Attended To : 05/06/2006 Valid Upto : Attended To : 01/06/2006

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3 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 4 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 5 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 6 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 7 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue

Modular Course Details : Personal Safety & Social Responsibilities : Personal Safety & Social Responsibilities : International Maritime Academy (Chennai) : A-VI/1-4 : 06/06/2006 : DNS4/17 : : Fire Prevention & Fire Fighting : Fire Prevention & Fire Fighting : International Maritime Academy (Chennai) : A-VI/1-2 : 09/06/2006 : DNS4/17 : : Tanker Familiarization- Oil : Tanker Familiarization- Oil : International Maritime Academy (Chennai) : : 30/12/2006 : DNS4/17 : : Medical First Aid : Medical First Aid : Mumbai Maritime Training Institute (Mumbai) : A-VI/4-1 : 27/07/2009 : MMTI/MFA/2327/2009 : : Radar Observer Simulator Course : Radar Observer Simulator Course : Hindustan Instt. Of Maritime Training (Chennai) : A-II/1 : 04/08/2009 : ROC/B85/03 : Valid Upto : Attended To : 14/08/2009 Valid Upto : Attended To : 30/07/2009 Valid Upto : Attended To : 05/01/2007 Valid Upto : Attended To : 12/06/2006 Valid Upto : Attended To : 08/06/2006

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8 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 9 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 10 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue 11 . Course Name Course Name Training Institute STCW Code Attended From Certificate No. Date of Issue

Modular Course Details : Automatic Radar Plotting Aids : Automatic Radar Plotting Aids : Hindustan Instt. Of Maritime Training (Chennai) : A-II/1 : 17/08/2009 : ARPA/B96/06 : : GMDSS (GOC) : GMDSS (GOC) : Mumbai Maritime Training Institute (Mumbai) : : 31/08/2009 : M-2139 : : Advance Fire Fighting : Advance Fire Fighting : Maritime Training Institute (Mumbai) : A-VI/3 : 21/09/2009 : 09106009433634 : Valid Upto : Attended To : 26/09/2009 Valid Upto : Attended To : 11/09/2009 Valid Upto : Attended To : 21/08/2009

: Proficiency in Survival Craft & Rescue Boat : Proficiency in Survival Craft & Rescue Boat : LBS College of Advanced Maritime Studies (Mumbai) : A-VI/2-1 : 05/10/2009 : 090938 : Valid Upto : Total no of record in Modular Course 11 Attended To : 09/10/2009

Sea Going Service

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Sea Going Service 1 . Ship Name Ship Name Official No. IMO Number GT Rank
Nature of watch keeping

: M.T.BLOSSOM : M.T.BLOSSOM : 3146 : 8413978 : 4509 : Cadet(Nautical Science) : Assistant Officer of Navigational Watch : 26/03/2007 :7 : : : Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch, Service To (Date) Article Days Propulsion Type : 15/11/2007 : 21 : Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

2 . Ship Name Ship Name Official No. IMO Number GT Rank

Nature of watch keeping

: M.T.BLOSSOM : M.T.BLOSSOM : 3146 : 8413978 : 4509 : Cadet(Nautical Science) : Assistant Officer of Navigational Watch : 28/02/2008 : 11 : : : Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch, Service To (Date) Article Days Propulsion Type : 05/02/2009 :7 : Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

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Sea Going Service 3 . Ship Name Ship Name Official No. IMO Number GT Rank
Nature of watch keeping

: M.T.TWINKLE : M.T.TWINKLE : 3227 : : 4509 Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

: Watch Keeping Deck Officer OINW / Third officer : Officer in full charge of Navigational Watch : 11/01/2010 :4 : : : Service To (Date) Article Days Propulsion Type : 10/05/2010 :1 :

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

4 . Ship Name Ship Name Official No. IMO Number GT Rank

Nature of watch keeping

: M.T.TWINKLE : M.T.TWINKLE : 3227 : : 4509 : Second Officer : Officer in full charge of Navigational Watch : 11/05/2010 :4 : : : Service To (Date) Article Days Propulsion Type : 22/09/2010 : 13 : Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

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Sea Going Service 5 . Ship Name Ship Name Official No. IMO Number GT Rank
Nature of watch keeping

: M.T.CRYSTAL : M.T.CRYSTAL : 3230 : : 4410 : Second Officer : Officer in full charge of Navigational Watch : 15/11/2010 :8 : : : Service To (Date) Article Days Propulsion Type : 14/07/2011 :0 : Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

6 . Ship Name Ship Name Official No. IMO Number GT Rank

Nature of watch keeping

: M.T.ORCHIDS : M.T.ORCHIDS : 3792 : : 17612 : Second Officer : Officer in full charge of Navigational Watch : 15/07/2011 :2 : : : Service To (Date) Article Days Propulsion Type : 28/09/2011 : 15 : Flag Port of Registry Ship Type Trade Area : India : : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

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Sea Going Service 7 . Ship Name Ship Name Official No. IMO Number GT Rank
Nature of watch keeping

: M.T.LOURDES : M.T.LOURDES : 2848 : : 4473 : Second Officer : Officer in full charge of Navigational Watch : 13/11/2011 :0 : : : Service To (Date) Article Days Propulsion Type : 28/11/2011 : 16 : Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

8 . Ship Name Ship Name Official No. IMO Number GT Rank

Nature of watch keeping

: M.T.CRYSTAL : M.T.CRYSTAL : 3230 : : 4410 : Second Officer : Officer in full charge of Navigational Watch : 24/12/2011 :7 : : : Service To (Date) Article Days Propulsion Type : 16/08/2012 : 24 : Flag Port of Registry Ship Type Trade Area : India : MUMBAI : Oil Tanker : Foreign Going

Service From (Date) Article of Months Propulsion power(KW) Propelling days Remarks

Total no of record in Sea Going Service : 8

Post Sea Training Details 1 .Grade Grade Part/Phase Course Name Training Institute Certificate No Attended From : Second Mate of a Foreign Going Ship : Second Mate of a Foreign Going Ship : : Second Mate (FG) competency course : Mumbai Maritime Training Institute (Mumbai) : : 16/02/2009 Attended To(Date) : 15/06/2009

Total no of record in Post Sea Training Details : 1

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1 . SSTP SSTP Cerificate No. From (Date) Date of Name of Company

On Board Training Details : SSTP(Officer Cadet) [Semester III,IV&V] : SSTP(Officer Cadet) [Semester III,IV&V] : DNS4/17/SSTP : 26/03/2007 : 05/02/2009 To (Date) Date of Issue : 05/02/2009 : 15/06/2009

: INTERNATIONAL MARITIME ACADEMY Total No of Record Found : 1

1 . Endorsement Endorsement Type Level Issued At Date of Issue 2 . Endorsement Endorsement Type Level Issued At Date of Issue

Certificate of Endorsement : GMDSS ENDORSEMENT : GMDSS ENDORSEMENT : Operational : MUMBAI : 31/12/2009 : DC ENDORSEMENT NAUTICAL : DC ENDORSEMENT NAUTICAL : Operational : MUMBAI : 05/12/2011 Valid Upto (Date) : 04/12/2016 Certificate No. : M/O/1/N/11/11127 Valid Upto (Date) : 30/12/2014 Certificate No. : GOC/MMD/MUM/16451

Total no of record in Certificate of Endorsement : 2

1 . Grade Grade Certificate Number Issue At Place of Examination Certificate delivered Suspended/Cancelled From Date Cause

Certificate of Competency : Second Mate of a Foreign Going Ship : Second Mate of a Foreign Going Ship : IF22468 : MUMBAI : MUMBAI : 10/03/2010 : Not Applicable : : Certificate Type Issuing Country Issue Date Valid Upto (Date) By which Authority/Court To Date : : INDIA : 22/01/2010 : 21/12/2014 : :

Total no of record in Certificate of Competency : 1

Authorised Documents

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Authorised Documents 1 . Document Type Document Type Document Number Valid Upto 2 . Document Type Document Type Document Number Valid Upto 3 . Document Type Document Type Document Number Valid Upto : Passport : Passport : F4866159 : 10/10/2015 : INDoS : INDoS : 06NL0283 : : CDC : CDC : CH 53638 : Issued Date Issued At : 07/12/2006 : Chennai Issued Date Issued At : 26/05/2006 : Issued Date Issued At : 11/10/2005 : PUNE

Total no of record in Authorised Documents : 3

DECLARATION TO BE MADE BY CANDIDATE : 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.

Signature of the candidate Date : This is an electronically generated document hence it does not require any signature of DGS Officials.

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