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Position applied for Name as on Passport Date of Birth Marital Status Nationality Educational Qualification Address Home Contact Number Mobile Number E-mail Address NAME OF THE COMPANY WORK EXPERIENCE POSITION PLACE / RIG FROM TO
CERT. NO.
PLACE OF ISSUE
DATE OF ISSUE
ISSUED BY
TECHNICAL SKILLS ON THE BELOW MENTIONED COMPETENCES Rigs Capacity Type of Top drives Type of Mud Pumps Type of Engines Type of Generators Type of Electrical Equipments Type of Cranes Other Drilling Equipments NUMBER OF YEARS OF EXPERIENCE ON DIFFERENT TYPE OF RIGS No. of Years of TYPE OF RIGS Experience Jack Up Land Rig Offshore Rig
Date Place :13:02:2013 :
TYPE OF RIGS Offshore Cyber Base Onshore Cyber Base Others (Specify)
Signature
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