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ANGLO EASTERN GROUP

Kindly affix a regular & recent passport
License No. RPSL-MUM-088 valid until 30-01-2022 size PHOTOGRAPH
Tel : (91-22) 61124600 Fax : (91-22) 61124650
E-Mail : manning.bom@angloeasterngroup.com
APPLICATION FORM
Date Applied 13/12/2022 Application No
Rank Applied For Second Officer Date Of Availability 31/12/2022
PERSONAL DESCRIPTION AND INFORMATION
Given Name
(First / Middle) Suresh Kumar Last Name Chintapalli Country Res. India
Height (cm) 162 Weight (Kg) 63 BMI
Date of Birth 30/07/1987 Place VISAKHAPATNAM Nationality India

GANDHI NAGAR COLONY,

GANAGALLAPETA,MOPUS BANDAR,
Address
City SRIKAKULAM Pin Code 532401 State Andhra Pradesh

Contact Details Mobile No : 7893373865

E-Mail nanisuresh.557@gmail.com INDOS 09NL5205

Marital Status Married Last Salary Drawn 3850 Nearest Airport VISAKHAPATNAM
Last Employer
Company Name Name of Person & Designation Phone Number

Refer 2 Senior Officers you have sailed with

Name Company Rank Contact No

EDUCATIONAL BACKGROUND [ please include pre-sea training ]

Academic
Last School / College
Qualification B.SC NAUTICAL SCIENCE T.S.CHANAKYA
Pre Sea Training T.S.CHANAKYA Apprenticeship
TRAVEL DOCUMENTS
Documents Number Place of issue Date of issue Date of Expiry
Passport M2680029 VISAKHAPATNAM 30/09/2014 29/09/2024
CDC(National) MUM174242 MUMBAI 22/09/2020 21/09/2030

U.S. Visa C1/D 20182142730002 CHENNAI 3/8/2018 1/8/2023

S.I.D N.A

Yellow Fever 247 VISAKHAPATNAM 3-Dec-10 N.A

Flag CDC/COC √ Liberian √ Panama √ Marshall Islands Bermuda √ Bahamas

Licence Grade - [Description] Country of issue Number Date of Issue Date of Expiry

2MFG INDIA IF-29597 11/7/2018 10/7/2023

* Applied for Higher License or Revalidation MATES PH-1 COMPLETED.

DCE Number Date of Issue Date of Expiry Place of Issue

PETROLEUM
CHEMICAL
GAS

SEA SERVICE
DECK Total
8 Vessel Name Vessel Type Company Name Rank From To
GRT DWT TEU Mnts Days
M.V.DELTA AVON BULK 33044 56897 COLUMBIA AURUS 2/OFF
CARRIER SHIP 31/07/2022 23/11/2022 3 25
MANAGEMENT

Form : AEI-FPD 01 Revision : 1 Page : 3 Issue date : 01 Mar 17

 M.V.JABAL ALMISHT BULK 36464 64000 MARLOW 2/OFF
CARRIER NAVIGATION INDIA 20/03/2022 3/7/2022 3 15
PVT LTD

M.V. SSI BULK 36353 63510 OLYMPIA SHIP 2/OFF

FORMIDABLE CARRIER MANAGEMENT 29/11/2020 1/10/2021 10 6

M.V. SSI PRIDE BULK 27656 43635 OLYMPIA SHIP 2/OFF

CARRIER MANAGEMENT 15/11/2019 11/8/2020 9 0

M.V. SSI BULK 36353 63510 OLYMPIA SHIP 3/OFF

FORMIDABLE CARRIER MANAGEMENT 16/05/2019 10/10/2019 5 0

M.V. MIRACULOUS CAR CARRIER 59422 19381 M.O.L 3/OFF

ACE 6/9/2017 23/03/2018 6 18

M.V. PILBARA MARU BULK 119595 226207 M.O.L 3/OFF

CARRIER 23/08/2016 17/02/2017 6 0

M.V. SUNSHINE ACE CAR CARRIER 58917 18858 M.O.L 3/OFF

21/08/2015 16/02/2016 6 0

M.V. PILBARA MARU BULK 119595 226207 M.O.L 3/OFF

CARRIER 19/10/2014 26/06/2015 8 9

M.V. GENUINE ACE CAR CARRIER 59022 18377 M.O.L 3/OFF

30/01/2014 25/09/2014 8 0

M.V. MAHA ANOSHA BULK 88397 169102 FIVE STAR DECK

CARRIER SHIPPING CADET 1/11/2011 14/09/2012 10 18

M.V. MAHA AARTI BULK 40086 77250 FIVE STAR DECK

CARRIER SHIPPING CADET 15/01/2011 11/10/2011 9 0

ACTUAL TIME SERVED IN MONTHS [ for officers only ].

CONT TANKER
VESSEL TYPE OSV CEME / BULK GENC
/RORO/PCC TANK/PRT CHEM LNG / LPG TOTAL
RANK M D M D M D M D M D M D M D
Mstr/C.Eng.
Ch.Off. /2.Eng.
2nd.Off./3.Eng 26 M 15 D
3rd.Off./4.Eng 19 M 9D 20 M 18 D
R/Off./El.Off.
AE/O
Cdt/Jr.Eng. 19 M 18 D
Rating
Total 65 M 12 D 20 M 18 D
SUMMARY OF KNOWLEDGE AND EXPERIENCE ACQUIRED [Give a brief resume of your Career and Experience at Sea, e.g. Type of Ships,
Engines, Specific Trades (E.G. ICE / Lighterage etc.), reactivation, New Buildings, Shore Experience, Computer Knowledge etc.]

VALUE ADDED EXPERIENCE / TRAINING

Yard delivery Major Conversion Dry Dock √

Gantry / Self Unloader Crane / Grab √
ME / RT Engine Framo Pump Ice Navigation
BTM Course √
STCW
Experience Experience Experience Upgradation √

Office Comments

Form : AEI-FPD 01 Revision : 1 Page : 4 Issue date : 01 Mar 17

Form : AEI-FPD 01 Revision : 1 Page : 5 Issue date : 01 Mar 17
Form : AEI-FPD 01 Revision : 1 Page : 6 Issue date : 01 Mar 17
Form : AEI-FPD 01 Revision : 1 Page : 7 Issue date : 01 Mar 17
Form : AEI-FPD 01 Revision : 1 Page : 8 Issue date : 01 Mar 17
Form : AEI-FPD 01 Revision : 1 Page : 9 Issue date : 01 Mar 17
CANDIDATES SUMMARY OF KNOWLEDGE AND EXPERIENCE CONTD.
SUMMARY OF KNOWLEDGE AND EXPERIENCE ACQUIRED [Give a brief resume of your Career and Experience
at Sea, e.g. Type of Ships, Engines, Specific Trades (E.G. ICE / Lighterage etc.), reactivation, New Buildings,
Shore Experience, Computer Knowledge etc.]

Page 5 [Annex] SEL / REV-02 / 01-AUG-05