1. RESUME
First Name: RAJEEV Middle Name : WAMAN Last Name / Surname : MASURKAR
Nationality: INDIAN Date of Birth:08/07/1973 Place Of Birth: MUMBAI
LPermanent Address D/16,B-004, YOGI TULSI CHS, YOGI NAGAR,
BORIVALI (WEST)
Present / Temporary Address Until
City MUMBAI Pin 400091 City Pin
Tel: Mobile: 7718044222 Tel: Mobile:
E mail: masurkar35@gmail.com E mail:
Nearest Airport : Mumbai
Document Country No. Issued Place Valid Until
Passport indian K3531756 29/2/2012 MUMBAI 28/2/2022
Seamen’s Book Indian MUM82038 9/10/2013 MUMBAI 8/10/2023
Seamen’s Book Liberian 1082132 2/1/2013 VIENNA,VIRGINIA, USA 2/1/2018
Seamen’s Book Marshall islands
Seamen’s Book Panamanian
Seamen’s Book Other:
US visa – “C1” / “D” Yes 26/09/2014 MUMBAI 21/09/2019
INDoS No. O1RL3198 ECNR : Yes .
Name of Nominee
In case of fatality : RAGINI R MASURKAR
Relation: WIFE
Address SAME AS ABOVE
City Pin : 400091 Tel: 9869863981 - 9699543825
Family Details
Relationship First Name Last Name Date of Birth Passport No. Issued Place Valid Until
Wife RAGINI MASURKAR 14/3/1976 L4753357 29/08/2013 MUMBAI 28/08/2023
Child F RITIKA MASURKAR 8/9/2004 L4753922 29/08/2013 MUMBAI 28/08/2018
Child M/F
Child M/F
Child M/F
Indicate the type of valid visa* USA C1/D CANADA BRAZIL UK OTHERS
Height ( In cms ) 175 Weight (In Kgs) 74 Shoe Size : 8 Boiler Suit Size : L
2. Certificates / Courses
A. Academic Qualification
School / College
Year of
Passing
Highest Qualification attained Class
PARLE TILAK VIDYALAY 1989 SSC
Industrial Training Institute 1991 ITI
B. Training / Apprenticeship From To Institution / University
APPRENTICESHIP 1991 1994 MARTEK Eng Works, (MMS SHIPPING COMPNY)

2. C.Highest Competency Certificate Held
Issuing Authority : Grade Certification No. Date Issued Place Issued Valid Until
National (Country)
Liberian
Panamanian
Marshall Island
Cayman Island
Hong Kong
Cyprus
D. Dangerous Cargo Certification
1. Endorsement on NATIONAL Certificate Number Level Date Issued Place Issued Valid Until
Petroleum CMMI/OIL/15/69
36
SUPPORT 29/05/201
5
MUMBAI 28/05/2020
Liquid Chemicals M/C/1/N/11/926
8
SUPPORT 5/10/2011 MUMBAI 4/10/2016
E. Dangerous Cargo Endorsement ( Issued by Countries other than in Section 2D)
Country Type @ Capacity # Certificate No. Date Issued Valid Until
(#) Use following nomenclature: “Tankerman person in charge”, “ Tankerman assistant” @- Petroleum / Chemical
F. Watch Keeping Certificate: (For Ratings Only) (Include Liberian Special Qualification) :
Certificate to work as ( e .g. AB/ Oiler) Certificate No. Date Issued Place Issued Valid Until
G. Courses Attended and Certificates Obtained
Course / Certificates Certificate Number Date Issued Institution / Place Issued Valid Until
Fire Fighting ( Advanced/Basic) SMI/FPFF/152/12 22/9/2012 SNS 21/9/2017
Medical First Aid / Elementary First Aid SMI/EFA/12821/12 28/8/2012 SNS 27/8/2017
Proficiency in Survival Craft (PSCRB) PSCRB/1003/02 18/8/2002 BPMA
Personal Survival Techniques SMI/PST/159/12 22/9/2012 SNS 21/9/2017
Personal Safety & Social Responsibility SMI/PSSR/111919/12 5/9/2012 SNS 4/9/2017
Specialized Training Prog. (Petroleum)
Specialized Training Prog. (Chemical)
Oil Tanker Familiarization 5125 25/9/1998 SCI
Ship Security Officer/ ( S.S.O.C.O.P)
Radar Observer
ARPA / RANSCO
Electro Tech. Officer (ETO)
Engine Simulator (Oper / Mang level )
Ship Handling Simulator/LVHS

3. Liquid Cargo Handling Simulator
GMDSS Endorsement
GMDSS GOC
AMOS-D/P.M. S
BTM-Collision Avoidance
BERM/ ERM
Ship Safety Officer
Risk Management
ECDIS
Hydraulics & Pneumatics FRAMO/12-09/753 8/7/2009 I M T C
PMEW/BEFT
Automation
Automation-PLC
Crew Safety
Tanker Vetting
ISM-Awareness
ISPS-Awareness
Yellow Fever 02895 08/05/2015 07/05/2025
Others: H U E T 2K12-PDC-061/EQX.44 21/12/2012 JAKARTA OFFSHORE 21/12/2015
SSDSD SMI/SSDSD/730/13 15/11/2013 SNS
PUMPMAN COURSE PFT/620/02-08 23/02/2008 TORQUE TECHNICS

4. Company Vessel / Type* DWT
/GRT
Main Engine
Type( Only
Engineers)
BHP Rank Date from
Dd/mm/yy
Date To
dd/mm/yy
Period
M D
Ch
kd
Zodiac Ship Mgm MT BASTILLE
STREET
Oil
Tanker
47350
/28778
9480 Pumpm
an
27/10/2015 26/05/2016 7 7
Zodiac Ship Mgm MT FULHAM ROAD Oil
Tanker
/42411 15037 Pumpm
an
28/11/2014 3/05/2015 5 1
Tanker pacific mgm MT INTAN FSO 175000 /
95605
Pumpm
an
14/12/2013 15/03/2014 3 2
Tanker pacific mgm. MT INTAN FSO 175000 /
95605
Pumpm
an
20/6/2013 15/9/2013 2 25
Tanker pacific mgm. MT INTAN FSO 175000 /
95605
Pumpm
an
20/12/2012 24/3/2013 3 5
O S M MT DARAB Oil
Tanker
160576 Pumpm
an
9/3/2012 22/8/2012 6 13
V SHIPMgm. M/T Tristar Dubai Oil
Tanker
27997 Pumpm
an
29/11/2011 26/01/2012 2
V Ship Mgm. M/T Gulf Star Oil
Tanker
22572 9353 Pumpm
an
14/09/2010 9/4/2011 6 25
Wilhelmsen
Ship Mgm
M/T Resolve Oil
Tanker
30032 12900 Pumpm
an
31/07/2009 26/01/2010 5 27
Wilhelmsen
Ship Mgm
M/T Tenacity Oil
Tanker
32371 16850 Pumpm
an
22/08/2008 02/03/2009 6 10
Wilhelmsen
Ship Mgm
M/T Freja Breeze Oil
Tanker
28433 11640 Motorm
an
14/05/2007 02/02/2008 8 18
Wilhelmsen
Ship Mgm
M/T Freja Breeze Oil
Tanker
28433 11640 Motorm
an
07/01/2006 17/10/2006 9 11
Wilhelmsen
Ship Mgm
M/T Freja Breeze Oil
Tanker
28433 11640 Motorm
an
26/11/2004 16/08/2005 8 20
Wilhelmsen
Ship Mgm
M/V Pelander Car
Carrier
24891 12000 Motorm
an
08/02/2004 28/08/2004 6 18
Wilhelmsen
Ship Mgm
M/T Freja Ocean Oil
Tanker
28433 11640 Motorm
an
14/11/2002 21/08/2003 9 7
United Ocean Ship
Mgm
M/T Panama Flota Chem/
Tanker
6301 Motor
man
26/04/2001 11/02/2002 9 15
H.M.S. Mgm. M/T Gulia Seconda Oil
Tanker
19351 Motor
man
13/06/1999 01/10/2000 15 18

5. I hereby declare that all information furnished above is true to the best of my knowledge and belief. I further declare that prior joining your Company; I will stand
released from my previous employment.
Date: 26/08/2014 Place: MUMBAI Signature of Applicant: Rajeev W Masurkar

6. I hereby declare that all information furnished above is true to the best of my knowledge and belief. I further declare that prior joining your Company; I will stand
released from my previous employment.
Date: 26/08/2014 Place: MUMBAI Signature of Applicant: Rajeev W Masurkar