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Officer

Photo
Applied for Rank :2/O
For International Crew

Surname : MEENA First Name : VINOD Middle Name: KUMAR

Date of Birth : 15-Jun-72 Place of Birth : JAIPUR Nationality : INDIAN

Blood Safety Shoe Yellow Fever Last. Med Home town


Height: Weight: Overall Size: Religion
Group: Size Iss.Date Iss.Date Airport

172 72 B MEDIUM 8 24-Dec-09 8-Dec-15 JAIPUR HINDU

Permanent address : Local address : NOK Details : ARCHANA MEENA


503 PERL SPRING, RAM NAGARIYA, SAME AS Relation : WIFE
JAGATPURA,JAIPUR Address:
503 PERL SPRING, RAM NAGARIYA,
JAGATPURA,JAIPUR
Tel :

E mail VKMEENA5488@GMAIL.COM
Mobile: 9414848294

Documents Number Place of issue Date of issue Expiry INDOS NO.

Passport L9446541 JAIPUR 8-May-14 7-May-24 98NL1799


Seaman's Book MUM83070 MUMBAI 30-Nov-98 20-Jan-25
US VISA-C1/D

Family Details :
Name D.O.B. P.O.B. Passport No. Date of Issue Place Expiry Nationality
Wife
ARCHANA MEENA 25-Jun
Children :
ATHARWA MEENA 6-Oct-06

PARTH MEENA 14-Jul-13

Qualifications: Academic Background :


Name of Institution City + country From To Qualification Obtained Grade / Percentage

Pre-Sea Training Institute: T.S. CHANKYA From 1995 To 1998


Apprenticeship/Jr.Eng. From To

Certificate of Competency
Issuing
Grade Number Date of Issue Expiry Remarks Ok/Others
Country
IF13820
National C.O.C.
II ND MATE 20-Dec-01 INDIA 18-Nov-21
2184
GMDSS 23-Jul-15 INDIA 22-Jul-20
DCE - PET.

DCE- CHEM.

DCE- LPG

ASP Group Page 1 CMWI-605-R0


Equivalent Endorsements :
Seamens
Grade License Identity GMDSS
Documents
Issue STCW'95
Number Issue Date Expiry Number Expiry Number Issue Date Expiry
Date Validity

Cyprus

Marshall Is.

Liberia

Panama

Singapore

Others

Minimum STCW Certificates :


Date Of Place of Name of
Number Expiry Date
Issue Issue institute
Fire Fighting 2207 22-Nov-16 MUMBAI 21-Nov-21 AIIMT
(FPFF)
Fire Fighting (ADV) 2.036E+09 24-Jun-00 MUMBAI TS REHMAN
Personal Survival
5965 21-Nov-16 MUMBAI 20-Nov-21 AIIMT
Tech.
PSC & RB
5.026E+09 30-Jun-00 MUMBAI TS REHMAN
PSSR
3147/98 26-Nov-98 MUMBAI BP MARIN
Ship Captain's
Medicare
Medical First Aid
1.202E+10 18-Jun-00 MUMBAI T S REHMAN
Elementry First Aid

Other STCW Courses


0098/011/0
Radar Observer 13-Oct-00 NAMAC
0
119/018/20
ARPA 20-Oct-00 NAMAC
00
Radar Simulator

RANSCO
Sp.Tanker safety
Pet.
Sp.Tanker Safety
Chem.
Sp.Tanker Safety
-LPG
OTFC

CTFC

GTFC

Other courses
Ship Manov.&
Simulator
Simulator-Engine
Room
LCHS

HAZMAT

BTM 2332013 17-Aug-13 AIMS

BRM

FRAMO
TKR VETTING
INSPECTION
BULK CARRIER
SAFETY
V.R.M.

ASP Group Page 2 CMWI-605-R0


Certificate Date Of
Course Place of Issue
Number Issue

Practical Experience : Have you experience of the following (Please signify thus 'X')
New Building [ ]
Steam Turbines Cargo Pumps [ ]
Engine Driven Cargo pumps [ ]
Cargo Pump type
a) Centrifugal pumps [ ]
b) Screw pumps [ ]
c) FRAMO Pump [ ]
Cargo Reefer plant [ ]
Deck crane type
a) Thyrister control [ ]
b) Electrical [ X ]
c) Electro hydraulic X
d) Gantry [ ]
[ ]
Crude Oil Wash operations
[ ]
Inert Gas System

Enumerate the different Nationalities you have sailed :

Officers : RASIAN UKRENIUN SHRI LANKA MAYAMMA

Ratings : INDIAN AND BANGLADESH

Reason for application : State why you wish to leave your present employment:-

Preference for employment on : Tanker or Dry Cargo

May we approach your PRESENT employer for Reference ? Tel no.____________

May we approach your PAST employer for Reference ? Tel no.________________

Have you ever had to leave a Company other than voluntarily ?

What date are you available for sea service ?

I hereby affirm that all the information provided by me in this application is true and correcct to the best of
my knowledge and belief; further, that 'no Certificate Of Competency or Licence issued tome has ever been
revoked or suspended.

Date : ________________

ASP Group Page 3 CMWI-605-R0


FOR OFFICIAL USE ONLY.

ASP Group Page 3 CMWI-605-R0


Expiry Date Name of Institute

e following (Please signify thus 'X')


Planned Maintenance System [ X ]
(a) Computerised (Specify) [ ]
Planned Maintenance System
(a) Computerised (Specify) [ ]
(b) Others [ ]
Container (specify TEU) X
Reefer container X
Reefer Cargo [ ]
Dry dock X
Major repairs [ ]
Major Fire [ ]
Collision [ ]
Pollution Incident [ ]
Knowledge of ships electrical and [ ]
electronic system
Knowledge of vessels automation and [ ]
computerized system

RASIAN UKRENIUN SHRI LANKA MAYAMMAR BANGLADESH

INDIAN AND BANGLADESH

ave your present employment:-

rence ? Tel no.____________ Name :

e ? Tel no.________________ Name :

e in this application is true and correcct to the best of


Of Competency or Licence issued tome has ever been

Signature : ________________

ASP Group Page 3 CMWI-605-R0


ASP Group Page 3 CMWI-605-R0
SEA SERVICE (FOR LAST 10 YEARS)
UMS
Company Vessel Rank Type Y.O.B. Flag DWT/GRT From To BHP Engine Type
(Y/N)
ASP XPRESS LHOTSE 2/O CONTENER 1914 MONROVIA 18871 11-Dec-15 20-Jun-16 14280 SULZER Y

BIBBYSHIP MNGXPRESS KARNAPHULI 2/O CONTENER SINGAPURE 16915 29-Aug-13 9-Jan-14 12285 SULZER N

STAR SHIP C S GITTE 2/O CONTENER PANAMA 8777 15-Jan-12 11-Aug-12 SULZER N

STAR SHIP SIAM STAR 2/O BULK CARR PANAMA 17210 21-Dec-10 3-Jul-11 SULZER N

STAR SHIP PECIFIC PIONEER 2/O BULK CARR PANAMA 36708 23-Dec-09 21-Jun SULZER N

STAR SHIP ANTWERP ASE 2/O BULK CARR PANAMA 36974 1-Aug-08 10-Feb-09 SULZER N

STAR SHIP SIAM RUBY 2/O BULK CARR PANAMA 20856 29-May-07 6-Nov-07 SULZER N

STAR SHIP SANTOS SUCSESS 2/O BULK CARR CYPRUS 36526 11-Apr-06 29-Oct-06 SULZER N

ASP Group Page 4 CMWI-605-R0


UMS
Company Vessel Rank Type Y.O.B. Flag DWT/GRT From To BHP Engine Type
(Y/N)

ASP Group Page 4 CMWI-605-R0


TEU Reason for
Capacity S/off
1652

1600

1350

ASP Group Page 4 CMWI-605-R0


TEU Reason for
Capacity S/off

ASP Group Page 4 CMWI-605-R0

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