Last updated date : 28/12/2024 10:32 AM Date : 14-Jan-2025

Seafarer Profile

Personal Details
Surname / Last Name : SIVAKOTI

Given Name : CHANTI

INDoS No. : 21GM1401 Discipline : Nautical

Gender : MALE

Date of Birth : 02/07/1999

Place of Birth : BANDARUVANIPETA Birth State : Andhra Pradesh

Birth Country : India Nationality : Indian

Address Details
Present Address Permanent Address
Address : 24 , DHUMMU VEEDHI Address :

: BANDARUVANIPETA VILLAGE :

: CALINGAPATNAM , GARA MANDAL :

City : SRIKAKULAM City : BANDARUVANIPETA,CALINGAPATNAM

Pin : 532406 Pin : 532406

State : ANDHRA PRADESH State : Andhra Pradesh

Country : INDIA Country :

Telephone No. : Telephone No. : 9618633794

Mobile No. : 9618633794

Email Id : [email protected]

Physical Details

Height (in Cms) : 174 Hair Color : BLACK

Eye Color : BLACK Complexion : FAIR

Identification Mark : A MOLE ON THE LEFT SIDE NOSE

Education Details
1 . Education Level : 10TH (Matriculation/SSC)

Main Subjects : MATHS, SCIENCE, SOCIAL

Certificate No. : 0103758 Year of Passing : 2014
PCM Mark(%) : English Mark(%) :
Result(%)/Grade : 9.5
Name of University : SSC
Name of Institution : MJPAPBCWR SCHOOL
Institute Address : AMALAPURAM, AT SAMANASA, EAST GODAVARI DISTRICT, ANDHRA PRADESH STATE

Total no of record in Education Details : 1

Report generated on : 14/01/2025 7.25 AM Page 1 of 4

 Pre Sea Training Detail

Training Institute : School of Seamanship & Nautical Technology (MADURANTHAKAM)

Training Institute (other) :
Course Name : Training for General Purpose Ratings
Attended From (Date) : 02/01/2021 Attended To (Date) : 23/06/2021
Certificate No. : G2106M12038/JUN21/77867 Result : 392.98
Pre Sea Tar Book No. :

Modular Course Details

1 . Course Name : Security Trng. for Seafarer with Designated Security Duties

Course Name : Security Trng. for Seafarer with Designated Security Duties
Training Institute : School of Seamanship & Nautical Technology (MADURANTHAKAM)
STCW Code :
Attended From : 05/08/2021 Attended To : 06/08/2021
Certificate No. : 40602966212101420
Date of Issue : 09/08/2021 Valid Upto :

2 . Course Name : Basic Safety Training

Course Name : Basic Safety Training

Training Institute : School of Seamanship & Nautical Technology (MADURANTHAKAM)
STCW Code :
Attended From : 09/08/2021 Attended To : 20/08/2021
Certificate No. : 40602961012101520
Date of Issue : 23/10/2021 Valid Upto : 22/10/2026

3 . Course Name : Basic Training for Oil and Chemical Tanker Cargo Operations

Course Name : Basic Training for Oil and Chemical Tanker Cargo Operations
Training Institute : Coral Maritime Institute of Learning And Development (NAVI MUMBAI)
STCW Code :
Attended From : 07/02/2022 Attended To : 15/02/2022
Certificate No. : 2040175111220049
Date of Issue : 17/02/2022 Valid Upto : 16/02/2027

Total no of record in Modular Course 3

Sea Going Service

Report generated on : 14/01/2025 7.25 AM Page 2 of 4

 Sea Going Service
1 . Ship Name : WAWASAN TOPAZ

Ship Name : WAWASAN TOPAZ Flag : Panama

Official No. : 4155210CH Port of Registry : PANAMA
IMO Number : 9565601 Ship Type : Chemical Tanker
GT : 11749 Trade Area : Foreign Going
Rank : Trainee Deck Rating
Nature of watch keeping : Assistant Officer of Navigational Watch
Service From (Date) : 12/11/2023 Service To (Date) : 24/08/2024
Article of Months :9 Article Days : 13
Propulsion power(KW) : Propulsion Type :
Propelling days :
Remarks : Special Category : 1.Nature of watch keeping - Assistant Officer of Navigational Watch,

Total no of record in Sea Going Service : 1

Rating Certificate
1 . Rating Certificate : G2106M12038/

Certificate No : G2106M12038/ Date of Issue : 23/02/2022

Issued At : SSNT (MTI NO.406029)
Remarks : GP rating certificate no. G2106M12038/JUN21/77867

Total no of record in Rating Certificate :1

Certificate of Endorsement
1 . Endorsement : DC ENDORSEMENT ENGINEERING

Endorsement Type : DC ENDORSEMENT ENGINEERING

Level : Support Certificate No. : COPDGSOAC2265157
Issued At : MUMBAI
Date of Issue : 22/02/2022 Valid Upto (Date) : 21/02/2027
Remarks :

Total no of record in Certificate of Endorsement : 1

Authorised Documents

Report generated on : 14/01/2025 7.25 AM Page 3 of 4

 Authorised Documents
1 . Document Type : Passport

Document Type : Passport

Document Number : U3385244 Issued Date : 16/07/2020
Valid Upto : 15/07/2030 Issued At : VISAKHAPATNAM

2 . Document Type : INDoS

Document Type : INDoS

Document Number : 21GM1401 Issued Date : 13/01/2021
Valid Upto : Issued At :

3 . Document Type : CDC

Document Type : CDC

Document Number : MUM 446401 Issued Date : 01/12/2021
Valid Upto : 30/11/2031 Issued At : MUMBAI

Total no of record in Authorised Documents : 3

DECLARATION TO BE MADE BY CANDIDATE :

I hereby declare that the particulars entered in the form are correct and true to the best of my knowledge and belief and that the
papers enumerated in this form are true and genuine documents given and signed by the person whose names appears on them. I
further declare that Seagoing service information entered is a true and correct account of my sea-going service without exception and
I make this declaration conscientiously believing the same to be true. The documents in original will be presented to the examiner at
the time of taking oral examination or at an earlier time when asked by the department.

Signature of the candidate

Date :

This is an electronically generated document hence it does not require any signature of DGS Officials.

Report generated on : 14/01/2025 7.25 AM Page 4 of 4