Bank Challan No. Payment Details or e-payment Yes -------- details. Dated Amount Bank/ Branch Continuous Discharge CDC No. Date of Issue To be verified with CDC data base Identity Yes Date of Expiry Document. Issuing Authority Rank INDOS INDOS No. Yes To be verified with INDOS data Date of Issue base Name To be verified with the original CDC/ Passport Date of Birth ## Personal Yes Place of Birth Sex Details Nationality Mobile Number No ------ Email Address Passport No. To be verified with the original Passport Yes Passport Place of Issue Date of Issue Date of Expiry Present Address To be verified with the original Address Details Permanent Yes CDC/Passport Address Nearest Police ____ To be taken from Aadhar Details Station:- Parent/ Guardian Fathers/ _____ To be taken from Aadhar Details Details Name Height To be verified with the original Physical Features Yes CDC/ Passport Color of Hair Color of Eyes Identification Marks From To be verified from original Details of Sea 2 certificates Experience Yes Name of Ship IMO No. Employer Details of Professional To be verified from original Experience(Professional Qualification Yes certificates Category) Certificate Details Certificate No. To be verified from original Experience Yes certificates
Payment Details Bank Challan No. or e-payment details. Yes -------- Dated Amount Bank/ Branch Continuous Discharge Identity Document. CDC No. Yes To be verified with CDC data base Date of Issue Date of Expiry Issuing Authority Rank INDOS INDOS No. Yes To be verified with INDOS data base Date of Issue Personal Details Name Yes To be verified with the original CDC/ Passport Date of Birth ## Place of Birth Sex Nationality Mobile Number No ------ Email Address Passport Passport No. Yes To be verified with the original Passport Place of Issue Date of Issue Date of Expiry Address Details Present Address Yes To be verified with the original CDC/Passport Permanent Address Nearest Police Station:- ____ To be taken from Aadhar Details Parent/ Guardian Details Fathers/ Name _____ To be taken from Aadhar Details Physical Features Height Yes To be verified with the original CDC/ Passport Color of Hair Color of Eyes Identification Marks Details of Sea Experience From Yes To be verified from original certificates 2 Name of Ship IMO No. Employer Details of Experience(Professional Category) Professional Qualification Certificate Details Yes To be verified from original certificates Experience Certificate No. Yes To be verified from original certificates
201308200150548371541cra_quotation_rfq_200813.docx