Last updated date : 12/04/2023 01:49 PM Date : 12-Apr-2023

Seafarer Profile

Personal Details
Surname / Last Name : GUPTA

Given Name : SHUBHAM

INDoS No. : 15NL0299 Discipline : Nautical

Gender : MALE

Date of Birth : 05/09/1995

Place of Birth : JHANSI, UTTAR PRADESH Birth State : UTTAR PRADESH

Birth Country : INDIA Nationality : INDIAN

Address Details
Present Address Permanent Address
Address : HOUSE NO.- 151, HATA PYARE LAL Address :

: PREM NAGAR, NAGRA, JHANSI :

: :

City : JHANSI City :

Pin : 284003 Pin : 484551

State : UTTAR PRADESH State : MADHYA PRADESH

Country : INDIA Country : MADHYA PRADESH

Telephone No. : 07655233235 Telephone No. : 08097677553

Mobile No. : 9340266608

Email Id : mahadev.flow@gmail.com

Physical Details

Height (in Cms) : 181 Hair Color : BLACK

Eye Color : BLACK Complexion : FAIR

Identification Mark : MOLE ON RIGHT CHEEK

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 Education Details
1 . Education Level : 10TH (Matriculation/SSC)

Main Subjects : english,hindi,sanskrit,mathematics,science,social science

Certificate No. : 0148515 Year of Passing : 2011
PCM Mark(%) : English Mark(%) :
Result(%)/Grade : 88.33
Name of University : madhyapradesh
Name of Institution : blossoming flower
Institute Address : blossoming flower h.s.school,birsinghpur pali,umaria

2 . Education Level : 10+2 (HSC/Intermediate/equivalent)

Main Subjects : english,hindi,mathematics,physics,chemistry

Certificate No. : 0023444 Year of Passing : 2013
PCM Mark(%) : 87.66 English Mark(%) : 78
Result(%)/Grade : 86.60
Name of University : cbse
Name of Institution : kendriyavidyalaya
Institute Address : k v secl nowrozabad distt umaria M.P.

Total no of record in Education Details : 2

Pre Sea Training Detail

Training Institute : IMU, Navi Mumbai Campus (Navi Mumbai)

Training Institute (other) :
Course Name : B.Sc Nautical Science
Attended From (Date) : 19/08/2014 Attended To (Date) : 31/07/2017
Certificate No. : 04713 Result : 73.44, PASS
Pre Sea Tar Book No. :

Modular Course Details

1 . Course Name : Fire Prevention & Fire Fighting

Course Name : Fire Prevention & Fire Fighting

Training Institute : IMU, Navi Mumbai Campus (Navi Mumbai)
STCW Code : A-VI/1-2
Attended From : 06/05/2015 Attended To : 08/05/2015
Certificate No. : 1980/FPFF/2015
Date of Issue : 08/05/2015 Valid Upto :

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 Modular Course Details
2 . Course Name : Personal Safety & Social Responsibilities

Course Name : Personal Safety & Social Responsibilities

Training Institute : IMU, Navi Mumbai Campus (Navi Mumbai)
STCW Code : A-VI/1-4
Attended From : 21/03/2016 Attended To : 23/03/2016
Certificate No. : 139/PSSR/15-16
Date of Issue : 23/03/2016 Valid Upto :

3 . Course Name : Elementary First Aid

Course Name : Elementary First Aid

Training Institute : IMU, Navi Mumbai Campus (Navi Mumbai)
STCW Code : A-VI/1-3
Attended From : 04/04/2016 Attended To : 06/04/2016
Certificate No. : 015/EFA/16-17
Date of Issue : 06/04/2020 Valid Upto :

4 . Course Name : Personal Survival Techniques

Course Name : Personal Survival Techniques

Training Institute : IMU, Navi Mumbai Campus (Navi Mumbai)
STCW Code : A-VI/1-1
Attended From : 26/09/2016 Attended To : 28/09/2016
Certificate No. : 103/PST/16-17
Date of Issue : 28/09/2016 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 : IMU, Navi Mumbai Campus (Navi Mumbai)
STCW Code :
Attended From : 27/02/2017 Attended To : 28/02/2017
Certificate No. : ISPS/TSC/2017/102
Date of Issue : 28/02/2017 Valid Upto :

6 . Course Name : Radar Observer Simulator

Course Name : Radar Observer Simulator

Training Institute : Indian Maritime University- Mumbai Port Campus (LBS CAMSAR & MERI) (Mumbai)
STCW Code : A-II/1
Attended From : 04/11/2019 Attended To : 16/11/2019
Certificate No. : 205029023191111
Date of Issue : 16/11/2019 Valid Upto :

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 Modular Course Details
7 . Course Name : Automatic Radar Plotting Aids

Course Name : Automatic Radar Plotting Aids

Training Institute : Indian Maritime University- Mumbai Port Campus (LBS CAMSAR & MERI) (Mumbai)
STCW Code : A-II/1
Attended From : 18/11/2019 Attended To : 22/11/2019
Certificate No. : 205029024191213
Date of Issue : 22/11/2019 Valid Upto :

8 . Course Name : Proficiency In Survival Craft and Rescue Boats

Course Name : Proficiency In Survival Craft and Rescue Boats

Training Institute : Indian Maritime University- Mumbai Port Campus (LBS CAMSAR & MERI) (Mumbai)
STCW Code : A-VI/2-1
Attended From : 25/11/2019 Attended To : 29/11/2019
Certificate No. : 20502902219385
Date of Issue : 29/11/2019 Valid Upto :

9 . Course Name : Medical First Aid

Course Name : Medical First Aid

Training Institute : BP Marine Academy (Navi Mumbai)
STCW Code : A-VI/4-1
Attended From : 03/12/2019 Attended To : 06/12/2019
Certificate No. : 2010010101914415
Date of Issue : 06/12/2019 Valid Upto :

10 . Course Name : Electronic Chart Display and Information Systems

Course Name : Electronic Chart Display and Information Systems

Training Institute : Indian Maritime University- Mumbai Port Campus (LBS CAMSAR & MERI) (Mumbai)
STCW Code :
Attended From : 23/12/2019 Attended To : 28/12/2019
Certificate No. : 20502916519137
Date of Issue : 28/12/2019 Valid Upto :

11 . Course Name : General Operator`s Certificate for GMDSS

Course Name : General Operator`s Certificate for GMDSS

Training Institute : Indian Maritime University- Mumbai Port Campus (LBS CAMSAR & MERI) (Mumbai)
STCW Code :
Attended From : 29/12/2019 Attended To : 14/01/2020
Certificate No. : M-11870
Date of Issue : 24/01/2020 Valid Upto :

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 Modular Course Details
12 . Course Name : Refresher Training for Proficiency in FPFF

Course Name : Refresher Training for Proficiency in FPFF

Training Institute : SEI Educational Trust Faridabad (FARIDABAD)
STCW Code :
Attended From : 22/10/2020 Attended To : 22/10/2020
Certificate No. : 1030116122200097
Date of Issue : 24/10/2020 Valid Upto :

13 . Course Name : Advanced Training in Fire Fighting

Course Name : Advanced Training in Fire Fighting

Training Institute : BP Marine Academy (Navi Mumbai)
STCW Code : A-VI/3
Attended From : 27/11/2020 Attended To : 03/12/2020
Certificate No. : 20100163112002412
Date of Issue : 07/12/2020 Valid Upto :

14 . Course Name : Refresher Training for Proficiency in PST

Course Name : Refresher Training for Proficiency in PST

Training Institute : BP Marine Academy (Navi Mumbai)
STCW Code :
Attended From : 09/06/2022 Attended To : 09/06/2022
Certificate No. : 2010016112221398
Date of Issue : 09/06/2022 Valid Upto : 08/06/2027

Total no of record in Modular Course 14

Sea Going Service

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 Sea Going Service
1 . Ship Name : M.V. MOL MAESTRO

Ship Name : M.V. MOL MAESTRO Flag : Panama

Official No. : 4807016 Port of Registry : Panama
IMO Number : 9415727 Ship Type : Container Ship
GT : 78316 Trade Area : Foreign Going
Rank : Deck Cadet
Nature of watch keeping : Assistant Officer of Navigational Watch
Service From (Date) : 30/01/2018 Service To (Date) : 23/03/2018
Article of Months :1 Article Days : 25
Propulsion power(KW) : Propulsion Type :
Propelling days :
Remarks : Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch,

2 . Ship Name : M.V.LIBERTY ACE

Ship Name : M.V.LIBERTY ACE Flag : Japan

Official No. : 143049 Port of Registry : Tokyo
IMO Number : 9293650 Ship Type : Car Carrier
GT : 59992 Trade Area : Foreign Going
Rank : Deck Cadet
Nature of watch keeping : Assistant Officer of Navigational Watch
Service From (Date) : 26/11/2018 Service To (Date) : 10/10/2019
Article of Months : 10 Article Days : 15
Propulsion power(KW) : Propulsion Type :
Propelling days :
Remarks : Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch,

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 Sea Going Service
3 . Ship Name : M.V. OPAL ACE

Ship Name : M.V. OPAL ACE Flag : Cayman Islands

Official No. : Port of Registry :
IMO Number : 9539183 Ship Type : Car Carrier
GT : 60131 Trade Area : Foreign Going
Rank : Watch Keeping Deck Officer OINW or Third officer
Nature of watch keeping : Officer in full charge of Navigational Watch
Service From (Date) : 05/10/2021 Service To (Date) : 28/05/2022
Article of Months :7 Article Days : 25
Propulsion power(KW) : Propulsion Type :
Propelling days :
Remarks :

4 . Ship Name : M.V ETERNAL ACE

Ship Name : M.V ETERNAL ACE Flag : Japan

Official No. : 144131 Port of Registry : TOKYO
IMO Number : 9606479 Ship Type : Car Carrier
GT : 59601 Trade Area : Foreign Going
Rank : Watch Keeping Deck Officer OINW or Third officer
Nature of watch keeping : Officer in full charge of Navigational Watch
Service From (Date) : 17/09/2022 Service To (Date) : 03/04/2023
Article of Months :6 Article Days : 17
Propulsion power(KW) : Propulsion Type :
Propelling days :
Remarks :

Total no of record in Sea Going Service : 4

Certificate of Endorsement
1 . Endorsement : GMDSS ENDORSEMENT

Endorsement Type : GMDSS ENDORSEMENT

Level : Operational Certificate No. : GMDSSCHN21005580
Issued At : MMD CHENNAI
Date of Issue : 02/07/2021 Valid Upto (Date) : 01/07/2026
Remarks :

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 Total no of record in Certificate of Endorsement : 1

Certificate of Competency
1 . Grade : Second Mate of a Foreign Going Ship

Grade : Second Mate of a Foreign Going Ship

Certificate Number : IF 43454 Certificate Type :
Issue At : MMD CHENNAI Issuing Country : INDIA
Place of Examination : MMD CHENNAI Issue Date : 13/07/2021
Certificate delivered : 21/07/2021 Valid Upto (Date) :
Suspended/Cancelled : Not Applicable By which Authority/Court :
From Date : To Date :
Cause :

Total no of record in Certificate of Competency : 1

Authorised Documents
1 . Document Type : INDoS

Document Type : INDoS

Document Number : 15NL0299 Issued Date : 17/03/2015
Valid Upto : Issued At :

2 . Document Type : Passport

Document Type : Passport

Document Number : N2007840 Issued Date : 19/08/2015
Valid Upto : 18/08/2025 Issued At : BHOPAL

3 . Document Type : CDC

Document Type : CDC

Document Number : MUM 280026 Issued Date : 28/08/2017
Valid Upto : 27/08/2027 Issued At : MUMBAI

4 . Document Type : Seaman Identification Document

Document Type : Seaman Identification Document

Document Number : M32397273 Issued Date : 15/06/2022
Valid Upto : 14/06/2032 Issued At :

Total no of record in Authorised Documents : 4

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 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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