Certificate No.

1030086101210042 ( Part 'B')

HSNA Maritime Education And Research

9/01,BAHAR - A,, ,SAHARA ESTATE,,Jankipuram

City : LUCKNOW District : Lucknow State : Uttar Pradesh Pin : 226021

MTI No. : 103008 Tel : 8009811100 Fax : 05222735016 E-mail : HSNAMARITIME@GMAIL.COM

THIS IS TO CERTIFY THAT Bhatt Adarsh

Date of Birth 07/01/1999 (dd/mm/yyyy)

Indian National Database of Seafarers (INDoS No.) 18NL0789

has successfully completed a training course held from 15/11/2021 to 16/11/2021 for :

Certificate of Proficiency in Personal Survival Techniques, Fire Prevention &

Fire Fighting, Elementary First Aid and Personal Safety and Social
Responsibilities

The Course is approved by the Directorate General of Shipping and meets the requirements laid down in Regulation A-
VI/1, Section A-VI/1 Para 2.1, Table A-VI/1-1, Table A-VI/1-2, Table A-VI/1-3 & Table A-VI/1-4 of the STCW
Convention,1978, as amended.

This certificate is issued under the authority of the Directorate General of Shipping, Ministry of Ports, Shipping and
Waterways, Government of India.

Date of Issue : 16/11/2021 Date of Expiry : NA

Digitally signed by SUVESH

Date: 2021.11.23 18:36:27 +05:30

Signature of Candidate Name and Signature of Course In-charge

Mr. Suvesh

Digitally signed by SUVESH

Date: 2021.11.23 18:49:50 +05:30

Name and Signature of Dean / Principal

Suvesh

Note This Part 'B' certificate is generated in accordance with DGS Order 17 of 2021 dated 01.05.2021 valid for a period of Unlimited from the date of issue of Part 'A'
certificate

DGShippingDigital / version 1.2 / 26-October-2021