Declaration:

I hereby certify that the above motioned details are true to my knowledge and
complete.

Place: SIWANA MANISH

Date:

From To Company Position Client Vessel/Rig Work Description

Type

10.12.2021 01.01.2021 JDC Diver(T) Training Jetty, Walker Tightening of flange

South Africa Bay (New using hydro tight,
Harbor) Bell diving to clean
mooring block,
Emergency
procedure carried
out at on different
Depth on Walker
Bay 50m,40m,33m
carried out, Operate
the chamber, Done
SurdO2, carried out
different emergency
proceed.
15.11.2021 09.12.2021 JDC Diver(T) Training Jetty, Walker Emergency
South Africa Bay (New procedure carried
Harbor) out on 30m, GVI on
jetty before HP
Water jet, cleaning
of MG using HP
water Jet, Brocco
Cutting, Welding,
Flange tightening,
use of lifting bags,
breaking of stones
using Jack hammer,
mud lifting using
airlift
 13.10.202 12.11.2021 JDC Diver(T) Training Jetty, Walker Cleaning of wire
1 South Africa Bay (New rope, cleaning of
Harbor) sea vessel, use of
lift bags for lifting
heavy mooring
blocks, cutting of
small piece using
hacksaw, hammer
and Chisel, GVI,
Swim line search,
Night dive carried
out
02.01.202 14.02.2022 SEATEK Diver MUMBAI HIGH N3 Diving carried
2 PLATFO out for BPI
RM MGR with W/J
MUMBA ON “B” LYL
I
Diving carried
out for MGR on
‘C’ LYL & type
3rd cleaning

20-12-2022 18-01-2023 DKG Diver ON SHORE DERA Water break ,

DUBAI Sleep way,
Block placement

20.02.2023 04.03.2023 BLUE SUB Diver OFF SHORE JAB LALI GRP pipe line ,
SEA DUBAI Pipe cleaning,
Nut bolt
searching, Main
hole searching,
Air lift, Water
Jet
 CLKIRCATE. OT COM TE.TLNCL

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From 1 SEPTEMBER 2021 to 19 BER 2021

ruct Examiner
or Bai Mario Justin HenryAssam
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ldentity Document Number
/
*,
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ldentiteitsdokument Nommer

R3203420
Has satisfactorily completed a
CHAMBER opERAToRS couRSE, incrusive of practicar
chamber operation and theory over 5 days and is competent as a CHAMBER ofgRaron
I
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Course Number Certificate Number
Kurses Nommer 05-2021 Sertifikaat tlommer JDCD 18712021

Fromthe 21 SEPTEMBER2021 to 19 VEMBER 2021

Examiner
or Y Mario Assam
 CLKINCATL OT COMTLTLN CL

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Registered Diving at Work
Private Training regulations 1997
Centre (14t04t99)
Occupational Health South African Class ll
And Safety Act. 1993
cs-05
ilI [[nLmu COI\4MERCIAL
DIVING

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A "{l Hiermee word verklaar dat

MANISH n
( ldentity Document Number
ldentiteitsdokument Nommer
*
\ R3203420

Has satisfactorily completed an UNDERWATER OXY-ARC CUTTING PROFICIENCY

course,practical and theory over 2 days

Course Number Certificate Number

JDCD 1871202'l
Kurses Nommer 05-2021
A sertifikaat ttommer
Ir
17 NOVEMBER 2021

ru Examiher
or v Mario Assam
 CLKI TICATL OT COMTLTLNCL
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MANISH
ldentity Document Number
* ldentiteitsdokument Nommer *
R3203420
Has satisfactorily completed a High Pressure and Low Pressure COMPRESSOR
OPERATORS GOURSE under the auspices of the Department Of Employment and Labour,
Republic Of South Africa.
L.
Course Number Certificate Number
JDCD 18712021
Kurses Nommer 05-2021
A sertifikaat Nommer
t,!i F
Fromthe 21 SEPTEMBER2021 to 19 VEMBER 2021

ru Examiner
or Bai v Mario Justin Herfry Assam
 10

D.E.R.A
Diving Emergency Rescue Academy
6 Lincoln Rd, Claremont,TT0g
Registered private Training Organisation
Approved by the Chief lnspector in terms of General Safety Regulation
3(4)(d) of the Occupational Heatth and Safety Act, Act 85.1993
Department of Employment and Labour Accredited
Department of Labour registration no. C1-04S

THIS IS TO CERTIFY THAT

IVIANISH

(tDENTITY NUMBER)
R3203420
HAS SUCESSFULLY COMPLETED A
LEVEL 1 1ST AID COURSE
INCLUDING OXYGEN ADMIN AND A.E.D.

ISSUED BY: JAvanderS hyff

PRINCIPAL:
INSTRUCTOR:
CERTIFICATE no: JDCD 187t2021
START DATE: 21 SEPTEMBER 2021
s Dl[t
END DATE : 2t SEPTEMBER 2021 i0 r\lsllltt

s0uTfi ESt!

THIS CERTIFICATE IS VALID FOR 2 YEARS

 CLKI fl CATL OT COMTLTLNCL
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Registered
il /' Diving at Work
a regulations 1997
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Centre
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And Safety Act. 1993 III COIlIIVIERCIAL
CS-05 DIVING
, t

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ffat wA'rlEKSo rr ut aqt so fi
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AFZcnXIIION
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This is to certify that
Hiermee word verklaar dat il!
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\- MANISH
( ldentity Document Number
ldentiteitsdokument Nommer
"ft \
* )
L

\,
R3203420
Has satisfactorily completed a HOT WATER SUIT AND DRY SUIT OPERATION
course,Practical and theorY
,
Course Number Certificate Number
Kurses Nommer 05-2021 sertifikaat t'tommer JDCD 187 12021

19 NOVEMBER 2021

Examiner
v Mario Justin Henry Assam
 a
INGENUENT INSTITUTE PVT LTD
KT}':a
a >< Sector-32, Tandaheri Road, Near Motel Gajraj
.{}:a Bahadurgarh, HARYANA-1 24507
gorlrrt E-mail: info@ingenuent.com, Mob.: +91-8295034599
$TEGNITY II?L
INGENUENT INSIITU-IE PVI TTO

certtfiEre No.(ucN o)
32165703050122001

This is to certify that MANISH .

Date of Birth 1011211997

Govt. lD proof (No & TYPe) R3203420 / PASSPORT

OPITO Course lD 5703

Vantage No

Has successfully completed a training course in

BAslcoFFsHoRESAFEWlNDUcTloN&EMERGENGYTRAININGWITH
EMERGENCY BREATHING SYSTEM{EBSI DIGITAL DELIVERY
Conducted On O5-January-2022 at INGENUENT INSTITUTE PW' LTD'
F--.:

Il

OPITO approved

This course includes

Fighting
Safety lnduction, Helicopter safety and Escape with EBS, Sea Survival &Emergency First Aid, Fire
self rescue
The delegate has been assessed against & met the leaming outcomes' applicable to issue ofthe
certificate'

lssued on- 05*lanuary'2022

Expiry on - 04"January-2026

Lv>
iflorlh
Signature of Delegate ng Head

+ G'
Signatu /GM

da
ITTIGENUENT INSTITUTE PvT tTD - CONTACT DETAIIS +918295034599 EMAIL'INFO@INGENUENT.COM
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rornberg test. sensrtiw?y ard mttor funrtion. gait. Erasplng srnall *t4ecfs. rc*exes ipatelta and WNL
aci:ities. etc.i, cranial neryes

5" Lung and heart auscu{tatron. bfo*d prassure. heart rate

WNL
/,for any Liftr.,slral sig* and @ 14SlW, see ccntrair*dicatil:ns pagesl

if age 45 and more years: stress ECG {by cardio{ogist} WNL

7 l-urg &mc*iur irm*l'dirqg FEV*, Fl/C, kr-waflunpsurrc

{or peak-frur if rune rffi mmd#e}

If nstwtthin B{ffi o#norrnaf yal$Bs" see ffi{&airxficdiqrspa{ps \A/hiL

I Subrnaxirn*l stresstestfsraerebrcffipacity {give refurence, exanrp{es seeannexa}. if Hardware step test r

V0? nrax. Extrapclatioa froro tables is belour expected c'{axiry}al wotkfoad. perforrnance , good
see conlraindicatiens pages

i-abcratcry: comptete bteuJ p'iriure cou*t. haernatasit, blcod *gar. Sickie t-rB 1s.6. TLC 7&00,TFC 309, S.
g.
cell disease to he exduded (oniy for sub;ec*s who ceulC be affiected). CREF.TIN{NE 0.85.urea 25 BILiRUBIN
Llrine: ship &.S0, OTJPTI 32135 URINE RIM. NAD,
VDRL. Negative .l-lCV & FlbsAg Negative

in Exarninalion Of Abdcmen {l-termia. Sears, Resistance} NA*

I t- Psychotogical judgenent {see intraductory rernarks a$d *snkarndica&ar:s pages} NAD

tt. Addltiona I examinetie$s:

- l{Assessnrent of lung structure is thought to be irdtcated perform chest x-ray and CXR: IA&JL
spirai c.{ sca* of lungs {to exclude emphysemafbu}laei

- Screenir:g far long te*r: effeds {bcne necrosisi only for divers whc average
2S hours of dirnng per week a*d divi*g over 30 rn: MR irn*ging icr x-ray of hips ,AP
shor:lders API Bltlod test for lipids
- .{ny ccnsu$tations of specialists or diving rnedicine experts.

- Audiograrn if required for hearing mnservation p{o€}rarn"

Conclusions and c.ornnents {in:formed sa$se*t}"rernarks for the Diver FIT FOR DIVE
This is certificate does not cover diseases that wouid require spedal procedures and exarn{nations for their detection and o{
those uvhich are sitent at the time of medical exarninafifil

Oate qf Expiry: 23{2-2$es Stamp & Of Medical Examlner Of Divers

City: Bahdurga_rh {indiai

$Aa,^;,[a'^
Slgnaurre of can<liriate (optbnai)
DHAKA
BAMS, PGDEMS, D[{AC Physician
'ledical Examiner of Divers (UHMS)
& F{yperbadc MedicalSotiety (USA)
'JnderSea
'ieneral
Prac{itioner No. 0BCP/All860
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