Last updated date : 04/02/2021 06:25 AM Date : 04-Feb-2021

Seafarer Profile

Personal Details
Surname / Last Name : MAILAPALLI

Given Name : SURESH

INDoS No. : 18GL2360 Discipline : Nautical

Gender : MALE

Date of Birth : 12/05/1999

JOGAMPETA, ANDHRA
Place of Birth :
PRADESH
Birth State : ANDHRA PRADESH

Birth Country : INDIA Nationality : INDIAN

Address Details
Present Address Permanent Address
Address : 6/88 Address : 6-88

: JOGAMPETA VILLAGE, : JOGAMPETA VILLAGE,

: BELAMARA POST : BELAMARA POST

City : SRIKAKULAM City : BELAMARA, POLAKI MANDAL

Pin : 532430 Pin : 532430

State : ANDHRA PRADESH State : Andhra Pradesh

Country : INDIA Country : INDIA

Telephone No. : 9014439730 Telephone No. : 04425227752

Mobile No. : 9014439730

Email Id : Sureshmailapilli66@gmail.com

Physical Details

Height (in Cms) : 158 Hair Color : BLACK

Eye Color : BLACK Complexion : NORMAL

Identification Mark : A MOLE ON THE BEHIND OF THE RIGHT EAR

Pre Sea Training Detail

Training Institute : Cosmopolitan Technology of Maritime (SRIPERUMBADUR)

Training Institute (other) :
Course Name : Training for General Purpose Ratings
Attended From (Date) : 01/01/2018 Attended To (Date) : 30/06/2018
Certificate No. : DGS/GP33/21 Result : PASS
Pre Sea Tar Book No. :

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 Modular Course Details
1 . Course Name : Elementary First Aid

Course Name : Elementary First Aid

Training Institute : Cosmopolitan Technology of Maritime (SRIPERUMBADUR)
STCW Code : A-VI/1-3
Attended From : 01/02/2018 Attended To : 03/02/2018
Certificate No. : EFA/GB33/21
Date of Issue : 03/02/2018 Valid Upto :

2 . Course Name : Personal Safety & Social Responsibilities

Course Name : Personal Safety & Social Responsibilities

Training Institute : Cosmopolitan Technology of Maritime (SRIPERUMBADUR)
STCW Code : A-VI/1-4
Attended From : 05/02/2018 Attended To : 07/02/2018
Certificate No. : PSSR/GB33/21
Date of Issue : 07/02/2018 Valid Upto :

3 . Course Name : Fire Prevention & Fire Fighting

Course Name : Fire Prevention & Fire Fighting

Training Institute : Cosmopolitan Technology of Maritime (SRIPERUMBADUR)
STCW Code : A-VI/1-2
Attended From : 08/02/2018 Attended To : 10/02/2018
Certificate No. : FPFF/GB33/21
Date of Issue : 10/02/2018 Valid Upto :

4 . Course Name : Personal Survival Techniques

Course Name : Personal Survival Techniques

Training Institute : Cosmopolitan Technology of Maritime (SRIPERUMBADUR)
STCW Code : A-VI/1-1
Attended From : 12/02/2018 Attended To : 14/02/2018
Certificate No. : PST/GB33/21
Date of Issue : 14/02/2018 Valid Upto :

5 . Course Name : Security Trng. for Seafarer with Designated Security Duties

Course Name : Security Trng. for Seafarer with Designated Security Duties
Training Institute : Cosmopolitan Technology of Maritime (SRIPERUMBADUR)
STCW Code :
Attended From : 15/02/2018 Attended To : 16/02/2018
Certificate No. : STSDSD/GB33/21
Date of Issue : 16/02/2018 Valid Upto :

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 Total no of record in Modular Course 5

Authorised Documents
1 . Document Type : Passport

Document Type : Passport

Document Number : R4550065 Issued Date : 18/09/2017
Valid Upto : 17/09/2027 Issued At : VISAKHAPATNAM

2 . Document Type : INDoS

Document Type : INDoS

Document Number : 18GL2360 Issued Date : 15/01/2018
Valid Upto : Issued At : MUMBAI

3 . Document Type : CDC

Document Type : CDC

Document Number : MUM 309221 Issued Date : 14/05/2018
Valid Upto : 13/05/2028 Issued At : MUMBAI

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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