Location via proxy:   [ UP ]  
[Report a bug]   [Manage cookies]                

TR ERPO2

Download as pdf or txt
Download as pdf or txt
You are on page 1of 3

BIO DATA FORM -Tr.

ERPO
NAME :
DOB:
AGE:
EMAIL:
MOBILE NO.:
CATEGORY SC ST OBC GEN PHOTO
PASSPORT NO: VALID TILL:
CDC : VALID TILL:
STCW COURSES(SHOULD BE 2010 COMPLIANT :
Certificate no. Validity
1. PST
2. PSSR
3. FPFF
4. EFA
5. STSDSD
6. DC
Endorsement

PROFESSIONAL QUALIFICATION ( Tick Appropriate)


(DIPLOMA IN MECH. ENGG., NTC(ITI) IN FITTER OR DIESEL/MOTOR MECHANIC OR MECHINIST OR WELDER)
INSTITUTE NAME:
Place:
YEAR OF PASSING : DIVISION:

TOTAL SAILING EXPERIENCE(if any) :


(as per CDC, only above 500 GRT vessels)

LAST VESSEL'S DETAILS (LATEST FIRST)


NAME OF VESSEL GRT SIGN ON DATE SIGN OFF DATE EXPERIENCE COMPANY NAME

SIGNATURE :
DATE:

You might also like