UNISHIP MANAGEMENT PRIVATE LIMITED

410, Meadows, Sahar Plaza Complex, Andheri - Kurla Road, Andheri (E), Mumbai-400059.
Tel: + 91 22 66115000, Email : [email protected]
RPSL No. : RPSL-MUM-313 – DOE : 04.07.2024
Position applied for: 3/E
Surname: PANDA
Other name: BHANU SHANKAR
Fathers name: LATE S.N.PANDA
Date of birth: 25/11/1973
Place of birth: BRAHMAPUR

Date of Availability 12/09/2024

Height [cm]: 168 Shoes Size: 8 Next of kin: Wife

Weight [kg]: 67 Overalls Size: L No. of children <21 yrs: No
Eyes Color: Black Hair Color: Black

Present address: MG 28, MARELLA GARDEN Phone:

GIRI ROAD, BRAHMAPUR, DIST- GANJAM(ODISHA) Mobile :7788005617
Permanent address: Same Email : [email protected]
Skype Id : live:.cid.20dc65b2b9e734cc
1. NEXT OF KIN NAME, RELATIONSHIP, ADDRESS & CONTACT DETAILS
Name: DEBJANI PANDA Relationship: Wife
Present address: Same as Present address Phone :9437070621
Email :

2. PASSPORT DETAILS
Name (Country) No. Issued Valid Place of issue
INDIAN P2999287 23/05/16 22/05/26 Bhubaneswar
SID (INDIAN) M33130547 17/03/2023 16/03/2033 MUMBAI

3. VISA DETAILS
Country No. Issued Valid Place of issue
USA Visa ( C1/D)

4. SEAMAN BOOK (S)

Country No. Issued Valid Place of issue
INDIAN CH20075 08/11/2015 07/11/2025 MMD, Chennai
Marshall Island

5. INNOCULATION/VACCINATION
Type Country No. Issued Valid Place of issue
Yellow Fever India 18954 08/03/2019 Lifetime Mumbai
Covid Vaccine 2nd Dose India 4121AA005M 08/09/2021 NA Brahmapur, Odisha

6. EDUCATION AND TRAINING

Period Education institution, courses No. Degree
1984-1989 ST VINCENT CONVENT SCHOOL,ICSE 63% 10TH STANDARD
1989-1991 KHALLLIKOTE COLLEGE,CHSE 61% 12TH STANDARD
1997-2001 DSCE BANGALORE,B.TECH(MECHANICAL) 62% B.TECH
2002-2003 COCHIN SHIPYARD LIMITED,GME 79% GME

WPIF/7.5/01 24th December, 2021 REV-3

 UNISHIP MANAGEMENT PRIVATE LIMITED
410, Meadows, Sahar Plaza Complex, Andheri - Kurla Road, Andheri (E), Mumbai-400059.
Tel: + 91 22 66115000, Email : [email protected]
RPSL No. : RPSL-MUM-313 – DOE : 04.07.2024

7. LICENSES OF COMPETENCE (endorsement)

License Endorsement
Country Capacity No. Issued Expires Level Issued Expired
India MEO CLASS IV 95Z6382 29/10/21 20/10/26

8. CERTIFICATES
Name No. Date of Issue Date of Remar
expiry ks
Basic Safety Training [STCW 2010]
Proficiency in Survival Craft and Rescue Boats 40201062122301410 22/02/23 21/02/28
Personal Survival Techniques
Fire Fighting – Advanced 40201063122301212 22/02/23 21/02/28
Fire Prevention and Fire Fighting
Medical First Aid 20301064122303315 11/12/23 10/12/28
Elementary First Aid
Shipmasters Medicare
Personal Safety and Social Responsibility
Security Training for Seafarers with 11/04/19
20301014819554 Unlimited
Designated Security Duties.
Ship Security Officer
Safety Officers Certificate
Radar Observation and Plotting [ROP]
Automatic Radar Plotting Aids [ARPA]
RANSCO/NARAS/NAEST
Oil Tanker Training – Familiarization
Oil Tanker Training – Advanced
Chemical Tanker Training – Familiarization.
Chemical Tanker Training – Advanced
Gas Tanker Training – Advanced /
Familiarization
Refresher Updating & Training
Bridge Team Management / Bridge Resource
Management / Engine Room Resource
Management
Engine Room Simulator (OPERATIONAL /
MANAGEMENT)
High Voltage Course (All Engineers and E/O)
(STCW 2010)
Crisis Management and human behavior
Human Element and Leadership Management
Safety Management System Familiarisation
(Emarat Maritime in-house training)
Risk Assessment and Management
Marine Accident and Incident Investigation
Ship Safety Officer ( In- House Course)
Energy Conservation
OPA 90 / VRP &CWA-VGP
Cyber Awareness Training
Planned Maintenance System
Ship Manoeuvring Simulator
Liquid Cargo Handling Simulator
ECDIS – Generic
ECDIS – Type specific
WPIF/7.5/01 24th December, 2021 REV-3
 UNISHIP MANAGEMENT PRIVATE LIMITED
410, Meadows, Sahar Plaza Complex, Andheri - Kurla Road, Andheri (E), Mumbai-400059.
Tel: + 91 22 66115000, Email : [email protected]
RPSL No. : RPSL-MUM-313 – DOE : 04.07.2024
Dangerous Cargo Endorsement (OIL)
Dangerous Cargo Endorsement (CHEMICAL)
Dangerous Cargo Endorsement (GAS)
GMDSS
GMDSS Endorsement – for Indian GMDSS
ISM Code course [ISM]
Rating Watch-keeping Certificate II-4 / II-5 /
III-4 / III-5
INDOS

9. PREVIOUS SEAGOING EXPERIENCE

Vessel’s Particulars Dates TOTAL
Crewing
Rank DWT/ Main Months
Company Name Type BHP From To
GRT Engine & Days
TRANSWORLD 3E MV SSL CN 29383 MAN B&W 30560 04/04/2023 19/06/2023 02/16
SHIPPING BHÀRAT
SU NAV 3E MV BC 40002 MAN 8550 04/07/2022 26/12/2022 05/23
SHIPPING Subarnarekha
SU NAV 3E MV Aspen BC 30669 Hitachi 12889 10/11/2021 18/04/2022 05/09
SHIPPING B&W
ASWAN 3E MV ULA BC 22225 Sulzer RTA 10900 28/10/2019 04/06/2021 19/08
SHIPPING
KHALID FARAZ 3E MV FAZAH BC 7002 Caterpillar 8448 19/04/2019 10/06/2019 01/22
SHIPPING
ISKENDERUN 3E MV NIHAT M BC 19908 MAN 9050 17/05/2017 28/12/2017 07/11
SHIP MGNT
APPEJAY 3E MV APJ BC 32987 12712 18/04/2016 30/09/2016 05/12
SHIPPING SHIRIN
PIL 3E MV KOTA CN 76738 MAN 12400 14/01/2016 27/02/2016 01/13
TERAJU B& W
K Steam Ships 3E MV DECCAN BC 38877 8973 05/08/2015 20/09/2015 01/15
PRIDE
V Ships 3E SAUBAAGYA BC 29963 9480 08/04/2015 13/04/2015 00/05
5
AESM 3E MV SAM LION BC 31760 STX MAN 9480 25/05/2014 06/12/2014 06/11
AESM 3E MV SAM LION BC 31760 STX MAN 9480 23/04/2013 11/11/2013 06/19
BSM 3E MV HALO BC 38480 12100 05/05/2012 08/08/2012 03/03
CYGNUS
SCI 3E FEROZE AHT 1310 5400 16/02/2012 03/03/2012 00/16
GANDHI S
BSM 3E MV TRUST BC 94817 18660 09/11/2011 24/11/2011 00/15
AGILITY
AESM 3E MV GOLDEN BC 31532 8890 11/12/2010 05/06/2011 05/25
EAGLE
Fleet 3E MV BC 38779 13900 18/07/2010 04/09/2010 01/17
Management SAGARKIRAN
Ltd
Fleet 3E MV TRITON BC 31251 9480 05/06/2009 16/12/2009 06/11
Management BULKER
Ltd
Fleet 3E MV BC 30273 12900 15/08/2008 11/03/2009 06/24
Management SATURNUS
Ltd
Fleet 4E MV RAINBOW BC 25676 11000 07/09/2007 08/04/2008 07/01
Management
Ltd
United Ocean 4E MV KS BC 39145 9900 21/12/2006 21/04/2007 04/00
th
WPIF/7.5/01 24 December, 2021 REV-3
 UNISHIP MANAGEMENT PRIVATE LIMITED
410, Meadows, Sahar Plaza Complex, Andheri - Kurla Road, Andheri (E), Mumbai-400059.
Tel: + 91 22 66115000, Email : [email protected]
RPSL No. : RPSL-MUM-313 – DOE : 04.07.2024
Ship MERCURY
Management
FIVE STARS 4E MV JAG BC 16393 11550 13/07/2006 26/10/2006 03/13
SHIPPING VIKAS
Crowley TME MV ORISSA BC 46178 20300 06/11/2003 14/07/2004 08/08
Accord

BC Bulk Carrier CN Container Ship GEN General Cargo vessel

VCC Vehicles Carrier Ro-Ro Roll-On / Roll-Off VLCC Very Large Crude Carrier
Tkr-P Product Tanker Tkr-C Crude Tanker Tkr-Ch Chemical Tanker

10. TOTAL EXPERIENCE

FOR TANKERS FOR BULK
Years in Rank
Years on this type of vessel
Years on all type of vessel
11. PROFICIENCY IN LANGUAGES
Language Read Write Speak Tested by
ENGLISH YES YES YES UNISHIP

12. MEDICAL HISTORY

Have you ever signed off a ship for medical reasons? YES/NO NO
Have you undergone any minor or major surgery in the past? YES/NO NO
Do you suffer from any health or disability problems now? YES/NO NO
If the answer to any of the above is yes, kindly give details in brief on a separate page.

13. GENERAL
Have you ever been subjected to a court of enquiry or involved in a maritime accident? YES/NO NO
Have you ever had your professional licence suspended or revoked? YES/NO NO
If the answer to any of the above is yes, kindly give details in brief on a separate page.

14. DECLARATION
I hereby declare that the above particulars are true to the best of my knowledge. Furthermore, I also confirm that I am not
suffering from any pre-existing ailments or disease which will render me unfit at sea after joining. Also, I am not under any
medication of any kind till date.

Seafarers signature: Date: 11/08/24

15. SPACE FOR OFFICIAL USE

Assessment : Grade Application Status : Date :
Personality Forwarded
Attitude ACCEPTANCE DETAILS
Technical Knowledge ACCEPTED YES NO
English Knowledge REF.

Overall Assessment

Grade: A – Excellent, B – Good, C – Satisfactory, D – Average, E – Poor

WPIF/7.5/01 24th December, 2021 REV-3

 UNISHIP MANAGEMENT PRIVATE LIMITED
410, Meadows, Sahar Plaza Complex, Andheri - Kurla Road, Andheri (E), Mumbai-400059.
Tel: + 91 22 66115000, Email : [email protected]
RPSL No. : RPSL-MUM-313 – DOE : 04.07.2024
Interviewed by _________________ Date : ______________

INTERVIEWER’S REMARK:

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