The Shipping Corporation of India Ltd.

, Mumbai
Fleet Personnel Department
New Hiring Format for SAP
PAN NO.
PASSPORT NO.
INDOS NO.
CDC NO.

Page: 1/7

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EMPLOYEES' PERSONAL DATA

LAST NAME
FIRST NAME
MIDDLE NAME

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GENDER
BIRTH DATE
BIRTH PLACE
MAR. STATUS
CITY OF BIRTH
NO. OF CHILD
STATE
RELIGIOUS
NATIONALITY

CHILD DETAILS
SURNAME
CHILD NAME
MIDDLE NAME
GENDER
BIRTH DATE
BIRTH PLACE
CITY OF BIRTH
NATIONALITY

MALE / FEMALE

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INDIAN
FAMILY DETAILS

RELATION
SURNAME
NAME
MIDDLE NAME
GENDER
BIRTH DATE
BIRTH PLACE
CITY OF BIRTH
NATIONALITY
Sign
Date
Name
Rank
EC No.
SAP EC No.

*= Mandatory Fields

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The Shipping Corporation of India Ltd., Mumbai

Fleet Personnel Department
New Hiring Format for SAP

ADDRESS TYPE
C/O
STREET/HOUSE NO.
2ND LINE ADDRESS
POST CODE
CITY
DIST/CITY
REGION
COUNTRY
ADDRESS TYPE
C/O
STREET/HOUSE NO.
2ND LINE ADDRESS
POST CODE
CITY
DIST/CITY
REGION
COUNTRY

ADDRESS
EMERGENCY (NOK)
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INDIA
HOME TOWN ADDRESS
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INDIA

BANK DETAILS
PAYEE NAME
POSTAL CODE
CITY
BANK KEY (IFSC CODE)
BANK A/C NO.
PAYMENT METHOD
E=CASH/N=NEFT/R=RGTS/S=SALARY/T=ECS
PURPOSE
PAYMENT CURRENCY
INR
EDUCATIONAL QUALIFICATIONS
EDU. EST
SSC/BELOW SSC ..
EDUCATION
INSTITUTE/LOCATION
COUNTRY
INDIA
CERTIFICATE
DURATION OF COURSE
YEARS/SEMESTER ETC.
FINAL GRADE
BRACH OF STUDY
EDUCATION TYPE
FULL TIME/PART TIME ETC.
PERVIOUS EMPLOYERS DETAILS
EMPLOYER
CITY
COUNTRY
INDUSTRY
JOB
WORK CONTRACT
Sign
Date
Name
Rank

*= Mandatory Fields

Page: 2/7

INDIA

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The Shipping Corporation of India Ltd., Mumbai

Fleet Personnel Department
New Hiring Format for SAP
EC No.
SAP EC No.

*= Mandatory Fields

Page: 3/7

The Shipping Corporation of India Ltd., Mumbai

Fleet Personnel Department
New Hiring Format for SAP

Page: 4/7

MEDICAL DETAILS
HIGHT
WAIGHT
BLOOD GOUP
RH FACTOR

ETHNIC ORIGIN

ADDITIONAL PERSONAL DATA

GN=GENERAL, OB=OBC, SC=SCHEDULE CASTE,
ST=SCHEDULE TYPE

COMMUNICATIONS
NOK CONTACT NO.
NOMINEE E-MAIL ID

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PERSONAL DATA

ID (CDC) NO.
AUTHOR
ISSUE NO.
DATE OF ISSUE
VALID TO
PLACE OF ISSUE
COUNTRY OF ISSUE
COUNTRY

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PAN NO.

ID (INDOS) NO.
AUTHOR
ISSUE NO.
DATE OF ISSUE
VALID TO
PLACE OF ISSUE
COUNTRY OF ISSUE
COUNTRY

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ID (PASSPORT) NO.
AUTHOR
ISSUE NO.
DATE OF ISSUE
VALID TO
PLACE OF ISSUE
COUNTRY OF ISSUE
COUNTRY

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Sign
Date
Name
Rank
EC No.
SAP EC No.

*= Mandatory Fields

The Shipping Corporation of India Ltd., Mumbai

Fleet Personnel Department
New Hiring Format for SAP

Page: 5/7

NOMINATIONS DETAILS (FOR PF)

NAME OF NOMINEE
ADDRESS
RELATION
BIRTH DATE
SHARES
GARDIANS' ADDRESS

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NOMINATIONS DETAILS (FOR GRATUITY)

NAME OF NOMINEE
ADDRESS
RELATION
BIRTH DATE
SHARES
GARDIANS' ADDRESS

Note: I ,_________________________ , hereby undertake that the above information is accurate

and complete to the best of my knowledge. I further undertake discripancy (if any) in the
above information due to any reason, SCI will not be held responsible for the same.

Sign
Date
Name
Rank
EC No.
SAP EC No.

*= Mandatory Fields

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License Type

The Shipping Corporation of India Ltd., Mumbai

Fleet Personnel Department
Danaos Certificate/License Format
Place of
Number

Issue Date

Expiry Date

Issue

Level

License
Subtype

01 -Master (FG)
02 -First Mate (FG)
03 -Second Mate (FG)
04 -Master (NCV)
05 -First Mate (NCV)
06 -NWKO (NCV)
07 - MEO Class I
08 - MEO Class II
09 -MEO Class IV
10 -MEO Class III (CEO - NCV)
11 -MEO Class III (2EO - NCV)
12 -MEO Class IV (NCV)
13 -GOC
14 -GMDSS Endorment
15 -COC Indian Endorsement
16 -COC Maltese Endorsment
17 -Oil DCE
18 -Chemical DCE
19 -Gas DCE
20 -Passenger Endorsement
21 -LNG DCE
22 -OOW Deck
23 -Revalidation
24 -EXN-45 Part A
25 -Not Applicable
26 -Unknown
27 -Extra Master Certificate (FG)
28 -Extra Master Certificate (NCV)
29 -Second Mate (ncv)
30 -First class cop certificate(FG)
31 -Second class cop certificate(FG)
32 -Radar maintenance certificate(FG)
33 -First class cop certificate(NCV)
34 -Second class cop certificate(NCV)
35 -Radar maintenance certificate(NCV)
36 -MEO Class I (COMBINED)
37 -MEO Class I (STEAM)
38 -MEO Class II (COMBINED)
39 -MEO Class II (STEAM)
40 -MEO Class II Part A
41 -Nautical graduate certificate
42-Uncertified
43-NWKO (FG)
44 - Rating forming part of navigation watch
45-Rating
46-Cook
47 - Rating forming part of engineer watch
48 - Radio Telephony General
Sign
Date
Name
Rank
EC No.
SAP EC No.

Limitation

Nationality

Exam Pass Date

Certificate Type
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
32
33
34
35
36
37
38
39
40
41
42
43
44
45
46

The Shipping Corporation of India Ltd., Mumbai

Fleet Personnel Department
Danaos Certificate/License Format
STCW (Y/N)

Number

Place

Issue Date

Expiry Date

Institute
Name

-Yellow Fever
-Personnel Survival Technique (PST)
-Proficiency in survival craft and rescue boat (PSCRB)
-Basic Fire Fighting (BFF)
-Advanced Fire Fighting (AFF)
-Elementary First Aid (EFF)
-Medical First Aid (MFA)
-Personnel Safety and Social Responsibility (PSSR)
-Radar Observer Course (ROC)
-Automatic Radar Plotting Aid (ARPA)
-RANSCO
-Ship Manoeuvring Simulator
-Revalidation / Upgradation
-Oil Tanker Safety / Familiarization
-Liquid Cargo Handling Simulator
-Chemical Tanker Safety / Familiarization
-Gas Tanker Safety / Familiarization
-Passenger Ship Safety / Familiarization
-LNG Familiarization
-GMDSS - GOC
-ISM
-Engine Room Simulator
-Bridge Resource Management (BRM)
-Bridge Team Management (BTM)
-ECDIS
-Diesel Engine Combustion Gas Monitor Simulator
-Radar Simulator
-Specialised Tanker Safety Course
-Engine Room Resource Management
-Hydrolic
-Electric
-Ship Security Officer
-DP Course
-H2S Course
-General Purpose Rating Course (Engine)
-General Purpose Rating Course (Deck)
-General Purpose Rating Course (Saloon)
-Cookery Certificate
-Fire Prevention and Fire Fighting
-MMD (Watch Keeping)
-Refresher and Updating Course
-Unknown
-Specialised Training Programme - Oil Tankar Operation
- Pre - Sea Training Course
- Integrated management system
- Hydrogen Sulphide Safety
Sign
Date
Name
Rank
EC No.
SAP EC No.