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    Tisha Ship Management Private Limited: Application For Floating Staff Appointment

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    Daksh Tanwar
    Mm

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    © All Rights Reserved
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    Tisha Ship Management Private Limited: Application For Floating Staff Appointment

    Uploaded by

    Daksh Tanwar
    5 views3 pages
    Mm

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    Resume

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    Mm

    Copyright:

    © All Rights Reserved
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    Download as docx, pdf, or txt
    5 views3 pages

    Tisha Ship Management Private Limited: Application For Floating Staff Appointment

    Uploaded by

    Daksh Tanwar
    Mm

    Copyright:

    © All Rights Reserved
    Download as DOCX, PDF, TXT or read online from Scribd
    Download as docx, pdf, or txt
    of 3

    TSMPL/RPS-34A

    Tisha Ship Management Private Limited


    Door No:TR/62/452, A1, ‘LAKSHMY’, Ground Floor, Vishnu Vihar, Warriam Road, Kochi- 682 016, Kerala State, India
    Phone: 00 91-484-2352009/4028590, Fax: 00 91-484-2354533, E-mail: [email protected]
    RPSL/CHN/015 / Validity 02/07/2025
    APPLICATION FOR FLOATING STAFF APPOINTMENT

    Post Applied for

    PHOTO
    FULL NAME
    (Surname First)
    (in Block Letters)
    Permanent Address & Present Address
    Where communication should be sent

    Tel No.
    Tel.Nos: Email:
    Next of Kin
    1. Name:
    2. Address with Tel.No/Email :

    3. Relationship:
    Nominee
    1. Name:
    2. Address with Tel.No/Email :

    3. Relationship:
    Age & Date of Birth

    Place of Birth
    Nationality
    Name & Address of
    Present/ last
    Employer
    Present Salary Salary Expected Availability:
    Or
    Salary last drawn

    PASSPORT NO. Place of Issue Date of Issue Date of expiry

    CDC NO. Port of Issue Date of Issue Date of Expiry

    Academic Qualifications: *

    Name of Institute SSLC/Degree etc., From To

    Certificates of Competency held. *

    Grade & Limitations Certificate No. Port of Issue Date of Issue Date of Expiry
    PREVIOUS SE SERVICE EXPERIENCE *

    COMPANY VESSEL TYPE BHP/ DWT/ ENGINE RANK FROM TO DURAT REAS
    NAME/I KW BHP TYPE ION ON OF
    MO LIVIN
    G

    INDOS NO:
    AADHAR NO:
    PAN CARD NO:

    KNOWLEDGE ABOUT TISHA SHIP MANAGEMENT PVT LTD

    WHERE DID YOU LEARN ABOUT US?

    2.

    1. MARINE ACADEMIES 2.NEWSPAPER/MAGAZINE/ADVERTISEMENT 3. COMPANY SEAFARERS

    4. COMPANY SHORE STAFF 5. PREVIOUS EMPLOYER OF OUR COMPANY 6. FRIENDS

    7. COMPANY WEBSITE 8. OTHER WEBSITE (PLEASE CLARIFY) 9. OTHER(PLEASE SPECIFY)

    Summary :- *
    Total Service
    CONTAINE
    BULK OIL OFFSHORE OTHER TOTAL
    R

    DRY Y/N YARD DELIVERY Y/N TAKE Y/N CANALS Y/N


    DOCKING OVER CROSSED

    Certified that all the information is given above to the best of my knowledge.
    i) Should any information stated by me in this application be incorrect my
    employment with you is liable to immediate termination without payment of
    any compensation thereof.
    ii) I declare that I have no previous conviction of any kind.
    iii) Should there be any changes in the particulars given by me in this application
    I shall immediately inform the Company about the same.
    iv) If appointed, I undertake to abide by the Rules and Regulations of the
    Company as may be applicable to the Floating Staff from time to time
    including liquidated damages.
    v) I have been informed of the terms and conditions of employment and I hereby
    accept the same.

    ……………………
    Seaman’s Signature
    …………………………..
    Name & Signature of Applicant
    Date:……………………
    Place:…………………

    * Use separate sheets wherever necessary.

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