Position Applied for : Third officer Date of Availabilty 07.07.
2018
Surname: Ramamoorthy Name: Kishore kumar
Contact Nos : Mob / L L +91 9791087524 , 9940039216 Email: cool.kishkumar@gmail.com
Date Of Birth 23.05.1993 Place Of Birth Chennai
Nationality : UnmarriedMarital Status :
Indian
Address : No.119A, 11 th st., North jaganatha nagar , Villivakkam ,
chennai 600049.
Documents Number Place of Issue Date of Issue Date of Expiry
Passport K1037203 Chennai 20.01.2023
30.01.2013
CDC MUM220754 Mumbai 23.08.2013 22.08.2023
INDOS 10NL3124 Mumbai 18.11.2010 N/A
Yellow Fever 499 Chennai 13.09.2013 23.09.2023
U.S. Visa C1/D
Documents Grade/Level Number Place of Issue Date of Issue Date of Expiry
Nat. Certificate of
Competency (COC) Second mate FG IF 38798 Chennai 01.04.2018 09.01.2023
Oil Endorsement Operational Chennai
CMMI/OIL/CHN/15/1795 17.08.2015 12.08.2020
Chemical Endorsement
Gas Endorsement
COC - Other National
Panama
Liberia
Others
CDC - Other National
Panama
Liberia
GMDSS GOC Operational Chennai 25.05.2027
GOC-C-7604 26.05.2017
GMDSS Endorsement Operational GMDSSCHN18002619 Chennai 15.02.2018 14.02.2023
PSSR Operational Unlimited
PSSR/8762/2012 AMET/CHENNAI 08.08.2012
PSCRB/ PST Operational 20.10.2017
PSCRB/B587/04 HIMT/CHENNAI 19.01.2022
AFF/ FPFF UNLIMITED
Operational AFF//B578/03 HIMT/CHENNAI 14.01.2017
MC/ MFA/ EFA Operational MFA/B995/01 28.01.2017
HIMT/CHENNAI 27.01.2022
SSO / STSDSD Operational SSO/B524/03 HIMT/CHENNAI 07.02.2018 UNLIMITED
WATCH KEEPING
CERTIFICATE
Academic Background
Qualification Name of Grade/
City / Country From To
Obtained Institution Percentage
10th Std (SSLC) /
Equivalent Don Bosco Matric CHENNAI 2007 2008 82.4
12th Std (Hr. Sec) /
Equivalent Don Bosco Matric CHENNAI 2008 2010 76.8
Graduate / (Other)
Presea Training AMET UNIVERSITY CHENNAI 2010 2013 70.3
Mates / Masters
2E/ CE Exams
Family Details ( Father & Mother / Wife & Children) :
No. Name Relation D.O.B Sex Passport No Place of Issue Date of Issue Date of Expiry
1 RAMAMOOTHY Father 07.04.1955 MALE
2 KALAISELVI Mother 05.01.1961 FEMALE
3
4
5
Previous Sea Experience (List service for last five years OR last ten vessels. List recent vessel first)
Type of Deck (Trade & DWT) Period Months / Days
Company's Name VESSEL'S NAME Rank
Vessel Engine (Type & BHP) From To Reason for S/off
GIVENERGY MT SHARJAH PRIDE Tanker MIDDLE EAST/41402 Deck cadet 26.01.2015 05.04.2015 Scrapped
ADMIRAL SHIPPING LLC MV ADMIRAL GLORY Container MIDDLE EAST/9602 Deck cadet 03.11.2015 10.11.2016 Completed seatime
Last Employer name, PIC & Contact: ADMIRAL SHIPPING LLC , 903B, SAMA TOWER, SHEIK ZAYED ROAD,DUBAI UAE,+971 4 3522 151
Summary of Sea going Experience
For all Officers: Period served on (yy/mm)
Handymax Panamax Cape Cntr- Feeder Ctnr- +4000P/ Tanker Aframax VLCC LPG/ LNG Chemical Others
1 year 3 months
For Engineer Officers only : Period served on (yy / mm)
Sulzer B&W MAN Pielstick UEC Doxford Steam UMS CPP Cranes
Nationality of crews sailed with : INDIAN, SRI LANKAN,IRANIAN , TANZANIAN , SUDANESE
Declaration by the Applicant
Are you familiar with computer based PMS ? Please specify.
Yes, CODie SHIP MANAGEMENT SOFTWARE I understand that a strict medical examination including
Have you been on board vessels during: Drug and Alcohol test as per company requirements is
a a condition of my employment and I express my
Drydocking: YES New Construction : Major Conversion willingness to be examined.
I undertake to provide the company’s medical officer
Incidents of Grounding / Fire / Explosion / Collision / Abandon Ship / Resue operation of full details of my previous medical history. I agree that
Rescue /
Major oil Pollution / Drug Smuggling / Towed or Towing another vessel capsized fishing boat the decision of the company medical officer is final.
I declare that there are no criminal/ police
Reference -Senior Deck officer - Name & Contact No investigations in progress against me.
Reference - Senior Engineer officer - Name & Contact No I confirm that all my travel documents are valid and in
order. I understand that if my travel Documents
Reference - Senior Rating - Name & Contact No become invalid or restricted at any time during the
course of my employment and cannot be revalidated
Have you ever been involved in a criminal case : If yes on any of the above , by me under normal process, the contract of
give details: NIL employment will terminate and all costs of repatriation
will be borne by me.
Medical History &
Declaration
Height 180 Weight
85 Blood Group
B+ I am /am not presently employed elsewhere.
Do you suffer or have suffered from : Diabetes / High Blood Pressure /
If my application is successful, I will be available to
Hepatitis / Epilepay / Nervous Disorders/ Disturbed Vision Or Hearing /
report at your office on or after:
Vertigo If yes, give details : NIL
Are you a habitual user of Drugs / Narcotics / Excessive Alcohol :
NIL
Is your MUI/ NUSI membership valid for current year? If Yes, provide
information NIL
Name Of Applicant Rank Third officer
RAMAMOOTHY KISHORE KUMAR
Date of Application 06.07.2018 Signature of the Applicant
