Ineme TEVAGHANORAN BALADINESH Sex lost ot din 7 Mar 1982 Passport No Sane — ae ia fran a seal No 121577893393 Home address company Name ‘Medical itory: Pease answer he alowing othe Bet of your knowledge Tether ory oy Tastes [hha pocprenet ir oT oo lawton? a [ve Boeri Yer | ha | Yor | Ho ene crass acc ge ¥ Yona ae z v es cones asf He ¥ 7 [i oss esr Hat Sane | z Ts pep Cs ane Z [ats eres Tse 7 z ee on Pre (Ces ¥ [ness se v z Ig npr Z [lin / Gorge oe ¥ 7 eres ¥ 7 [aden beet rs a Z Z Scovel Ores 7 [rs [sen ye z z (ea ors sey Sao v [Mi is Oton v 7 Des Ue Ose v [ase ~ ¥ Pie or vos v [Rensselaer ¥ v ox Ga v [spt Base (are v ¥ Fea Sa 7. 7 Spf mal geondindoes we] —|-¥ |b af (Medical amination asrcers [Woah [chine [Reeders nm at] Puts tatnin | Re arin | Genel Apewance a | 00 | 06 “ne & 76. ORAL none |e Zz terat tt ww wn [wre ww laws |v ‘tacos [he Nest Whispered Vee ct ann [| es cm sus ‘tenietrminaton [sonst [ mma eter Teal | eo fata v [esrarme v lene ¥ [arden v rr v Paras ¥ Fen ose ¥ [ero ¥ ioscan [v7 ones v ro v [ns rr v tow wa fre 7 lan v ress vtent JL) tort [vine | nant elinat Ta feewacn iow ar |romratew Jaro [oe fw can reo ee [ harm noon eae ww tof facie fos oo feiaimaae a a iw fsxmcm Sea a oe ber ho param [ous fee pearcreat fra her fo pone laren amet fr ba cramp =n esate fecmiomnt fa hom fccue ate frie fase oa freon Io aoa ero | faim wad icwtonn [area boots [nator Fess rae fon [penne Fava [concwuston I undersigned, DR. RAMESH NAIR Cetfy thet Mr. JEVACHANDRAN BALADINESIE er une fx OFFSHORE Wor. ete of media: 27-auganis DR RAMESILE NAIR (Oayertvear) Se teatime he cortcte nv i 26-ang2n, ce tne rc wo te pc wr ein ef eee aeOil & Gas UK.) state Medical Certificate of Fitness for Offshore Work (ssued in accordance with Oil and Gas UK Guidelines) Name: BALADINESH JEYACHANDRAN Date Of Birth tyr z (07-Mar-1992 Employing Company Name: SELF = |WELL TESTING OPERATOR ‘This individual has been examined in accordance with Oil and Gas UK Guidelines and is. [Medically Fe for unrestricted Offshore work. Examining eamcaaaasti [Dr. Jacob Mathew MD, DMM, DTCD | ‘Oi & Gas UR PINN Date of Examination: Date of expiry of Certificate: loGuK;2009/1366 27-Aug-2019) a | Signed: ste meen | tat erent ttinnQatargas Medical Department Hens Teams Hepes erates reed Tate he Rare Wao Conese Wort rhe ove 1D Foodhanding Sewage Opes 2_oring/ Operating eae Eaupment orbs: pleasespety) ‘Medal tory: Ue pea. ‘apron bon 1 sore ofbocdandir une sytem. Aleisha Cellet probes of iis Ear/ Smarties 1D ear eae Hew Atc ons D epieps = 1 Hignsoosresre te 1D. Ghent Ose: Tabara, Asta Boncis 1 dibetes Mats Orsuan] ns Pept eRe led! Bowe Dsewse 1 Smosng_ tes 1D ep nde! Tysnd re 1 Wowk won Aclens ws 1G. Recuret Abdominal ain tor surery 1D tne one Toute nn 1D Meal ess a 1D. Reeuratam / Avia op eeeiR 1 Recurert Heda, i {ee you certain or avg an Breed meats on ep’ 88? De Gm ys edt, ‘rhe any omy ney TD ve Nes plesk ppropine box. Donets 1D Hendoodmresre — Malgranycancer Others 1 Aatima/Aioges _O_Hear Dsenses _Eptepots Tse you ha ny les nj taanton at hai made you absent Ton work nthe awa yo? Ove ve 1s ave ds. DoyoutetReandbeathyatpreent? EF Yes. No ‘What are he auc of you fea Ege cofned pce Wig ses we and thes at sresss you? ‘Su otter nt eae pm yeh a yc hePHYSICAL EXAMINATION ‘Oren and Sytem ‘Normal | Absormal eons 1 yes and pie fezah 2. ew Now 3. Ost Nownal 4 lungs and chest Nowinal 3. Cardonsculr stem Ni Hin Stable om erudicalion Abdominal vices In 7. Meri orifices Ni 5 Anus andrecum ffnaseen) | Nonroat | 3. Gentowrnary (Freese) [No 1. cares Wormat| 3 Macao Noomal ie ema Pie Das ——————} [2 fasng ood sce COI tle (ont Servscorsanon yer | (0%. eral recon Ts Urea, Grewtrine Uienee | O20 5 Tal Croestert HOUADL TE_| ATL ea re + ex laensarmeed —[ No aaa as ae ‘St ore EY ORT/ONAL iyo aca Sao OPTIONAL wee eee a [ere on a : fd riod OL BE LaF pee] BT| ohne © 23 | ee ES = mm | Frag oa ie oSea SBid Sea Bird Medicare nity oenanana a fee Svea aupioweray aePoRt ‘Kudlometry (Threshold Values in DB) SooHz [ 1000 #z [ 2000 Hz | 3000 Hz | 4000 He | 6000 He Right Ear WNL, WN, WAL WNL [WNL [WNL Left Ear WNL WNL ‘WNL — [WA [wat] — wn ‘Speech and Whisper Test (Meters): ‘Normal Voice | Whispered Voice ight Ear O5 MIS ‘OS MIS Left O5 MIS ‘OS MIS ‘Audiometry : WNLBP Sica Bird Sea Bird Medicare fey DR: RAMESH # NAIR powsex 27 Year / Mate ‘XR REPORT Investigation : Chest PA View. Bony thoracic cage is normal Cardiac silhouette appears normal in size and configuration Both lungs shows equal translucency and normal vasculature. No evidence of any active parenchymal lesion seen, Impression : Normal Chest X-Ray. DrJeceh Mathew _DrMuhull. Arte Bron Sutin oy. Profil 8. Shah ean 2 Paws‘Patient: © BALADINESH age etd. By: Height: ‘Pred .zqne: RECORDERS weight | 82 X50 Date + 27-Ang-2019 11:48 AM yor 043821 ag Plusezes/see) oo | 2 fet [Parameter M.tre thred M.Post Wired Winp me 03.02 082 mm a 02.70 087 menyrve 18) $2.05 308, smeras-75 (x=) 03.30 074 mere) 07.31 077 o 02.62 (%) 03,62 03.02 as 03.66 smer7s-05 (u/s) o1.35 2/e) 06.39 Ga) 6. Ga) 3. je) 03.20 01.72 © 78s o 100.00 (00) ona tine (Seo) 00.08 iuang Age (Hes) 027 033 i) 03.73 at ‘Bre Test COPD Severity 1 He ° deoraay ieee Tem an ‘7(Seconda) De.Bibs catherineGe Sar Bird ‘Sea Bird Medicare Pvt. td TS _CSea Bird Medicare Pvt. Led Patients Name: company sank DRUGS AND ALCOHOL ASSAY- DECLARATION FORM Inthe Last One Week have You taken any ofthese Drup/ Medication ough Sy Conicoerois frslsel ain ler, Ye, Please Sate fet epleptie Dust pal Name frags Coen /ain/ |_|, | Neal ropete i | Tom | Amv Mess iets =] ~ [rom your fami octor | ToWnat Extent Do You Use ae [© Tehe undersigned hereby confirm that have no history of drug or alcohol abuse or smuggling of any illegal substance | || + Leleo confirm that have not been convicted of any criminal offence, drug related or otherwise ‘+ fully understand the penalties relating tothe subject of Megal drugs/drugs of abuse and assst the appropriate authorty/ authorities wherever and whenever possible. + hereby accept unconditionally and unannounced testing policy / polices for || alcoho! and illegal deugs/drugs of abuse with clauses that may be incorporated/ Implemented by charterers/Oil~ Companies with guidelines lad down by the Ot ‘Companies international Forum (OCIM) sienature of candidate {ade Se eesat by De RAMESH PHAR pausex 27 Year / mate ‘nvesTigaTION ‘OBSERVEDVALUE UNIS REFERENCE RANGE THe NoDetecod aint _ Lass han Songint AMPHETAMINE NotDeteced ——ngint Lets nan 1030 rg METAMPHETAMINE NotDetected ——ngil_Lets han 1030 rg ‘COCAINE NetDotected ——ngm_Less han 30) at BENZODIAZEPINES NetDstected lms than 200 gin oPuTES NotOstected gin Less than 30 ngint METHADONE NetOetectes gin Loss than 300 nant ‘ALCOHOL (66r) “ vue 4p uu ‘ethe:Gualtatve munoctromstograhlc aeay / jst Moic 10 Se tetneenr Pv a fn OH ee oe Pee oe ne ah een ee er tation | et therm