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THE SHIPPING CORPORATION OF INDIA LTD.

Recruitment of Trainee Seaman on board our vessels.

POST APPLIED FOR :TRAINEE SEAMAN

|DECK|ENGINE|SALOON| PHOTO
(Tick One )

BIO – DATA

NAME : __________________________________________________
DATE OF BIRTH : __________________________________________________
POSTAL ADDRESS : FLAT/DOOR/BLOCK NO:___________________ _______
BLDG/VILLAGE:__________________________________
AREA/LOCALITY:________________________________
TOWN/CITY/DISTRICT:___________________________
STATE: PIN:_________________
Tel.No:_____________________Mobile:________________
Email : ___________________________________________
EDUCATION QUALIFICATION : __________________________________________________
INDIAN C.D.C. NO. : __________________________________________________
DATE/PLACE OF ISSUE : __________________________________________________
DATE OF EXPIRY : __________________________________________________

PASSPORT NO. : __________________________________________________


DATE/PLACE OF ISSUE : __________________________________________________
DATE OF EXPIRY : __________________________________________________

INDOS NO. : __________________________________________________


PAN CARD NO. : __________________________________________________

CATEGORY : |GEN | SC | ST | OBC| (TICK)


COURSE ATTENDED :
COURSE PLACE OF DATE OF ISSUE CERTIFICATE NO.
ISSUE
PRE-SEA
TRAINING
FIRE PREVENTION
AND FIRE FIGHTING

PERSONAL
SURVIVAL
TECHNIQUES
ELEMENTARY
FIRST AID
PERSONAL
SAFETY AND
SOCIAL
RESPONSIBILITY
TANKER
FAMILIARIZATION
DANGEROUS CARGO
ENDORSEMENT (OIL)
PLACE: NAME:

DATE: SIGNATURE: _____________________

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