1. qi qrzi :ilr rrrirrfrri'tr ![::
ij,,1 st.x,,,p/F;ir"
{Y,r
c.$
f
rv.te.-Tho abovc photo shoulcl be authentrcrt(!l
imprcssing ihc shipping o11ice stnirt rnrl
signature of the Shipping X'Iaster' t)rr1ll
thc photo and partl-v oD the book
Name of Seaman
cdi di 6rc rel ]ir
rnwy.irofitrz6
,l r . ' !
I!dl rti YI L L- L^ f, t
9-;*u:
{irti si {{{r
Noticc to Seamen
1r ) rfq-4ii 4ii {rqd ir{T lr4r; fu lETfln 3a;rqr rqlqqt. r,r
; a1 # -'1"- rrr 'e. - rdTc sqr r rl- fl. :-
ir"i'; 'i'r fuil f,r qftI lnaii hgili 'i,{ "ii
r-r nl !i, rtr'
rqrmfi | sF- t Fy1e.'n4E o
trlsean€n are j^form.d that this contrnlous Dischafge
Ceftincatuor Sedrrc.s' Idcntity Doclmmt .hould bc Pmduced
and nanded oler 1-d 1,ho ShippinB Masterot Co$ul lvhen sisning
Artdes olAqft,emdt. so thar the engagchenr cdhm mybe lil1€d
in and the.erdncarc silen iDto the sate keeping of rhe liaster of
,re shit.
(2) cfu i{6 niqq-Tr *,cl a :fl Tdqr ndol 6.r q rfl.t{ .{dI
.r rr'D .D IJ- d +i r+r srq, , r'], , q- I ''
0 rlq v fE- r {: r4-Prfrt-
'fr.r:r q.zr 6r !5,r l
Ilig'u.
Code No. of $e P.r! and
Resishation No. 0l ihe

2. Valid f,l I Pori<;d
Cg td6;*. |rot ox(
'"dlDg
T.n ii|| la;rft rfrl' F, ,,, !,, (r. .l
rr.r.I...,..........;---- :i'r 1';
- .2I JUN 208'
q4 fi+n +t crirFlq:l
CUll SIALllDIlS' Il)FiN'rIt,- OOC,tnnft r
{iln Tdrr{ cqlqqi
coNTINUOUS DISCrlAlrCU CEtiTlr'lCATn.
!'rad {r*r{ am qdi
lssuc.l by Govcrnm.nt of India
',rfua
5r T'r crq ril. Frfl .i ,n,r
NarE ofSea!@ m full and ane olFaur€r
"I
""clt-a
r-, LL L*. hL'vL
sla 9.tsovo.- L*{"&i
Tq ffirjDare of llirrh alal l9Ta
qiz,ilrxroNftt rjiYEAR
To '"^-I- A L+aba, SRN.-,J4 d"/)
w {11 ;r,grqr (21:Jrir4il
Er.s Hair
('
I
t0
(1) t) l4'K t5l4'1r1"
Q IVI^LB.
t*a;,._ H1*d'"
c-r c. rtr ir.I 'ff t..u',1 ,,t rhe t'o 1 ,,1
HtTh,3I JUN 2018
T4r.T q{r,r-_r-=.1 T
(lcriili.inr,,1
fi'rl,rL!rr LJ rrr
I Talr.. or orLef .iNlr.Bn islirn mrt k I
ll!!!Y: !"t'v"''*u
KOLRATA
L,'d:tc"*;LL^s-s'
ftrct-ta
,7-

3. 10
ffid q*{i c{rqrci
COMINUOUS DISCIIARGE CERTITICATE.
11
qi NFml fl cflr{Td
C(AT SEAIIAITEIT,S' IDENTITY DOCUXiI]N'I'
l ) 4f,?' rir' (2) ,jln li'iii qr.4
4r'1a, iitt6Pr A TJaF rr
Slsnatufe 01(l r lllsk, unl
(2) Sh jl,lnrg lasnr,'ai!rsrlu
Oincer rviLh (Jlln l slr"iJ)
L)rt
L.r'.'
.":
(l
i. .1.
..'.
oi'
:r
).t.
ai !t||tb.
jil**ri
linldl-i-
i ff.r g-.ra ii it ltil., i ;iz-In :,id.Fln .+t r ','i-r-f lr,-'
alnr ri, +rrJ i.irrtiq llr I
t In lhgin..ls Book hsert HoNe l'!{er |r li,(1i,, of n, r lt,",l
ms,!r.gr)rs n !.ge and rrieless (lissilnirln,r rJ;1, '
* did ar q 3tia elr{drc drar
't Name of Ship md Omcial
No. and Tonnage 1
fqd d,r tc ri7 l!I]n
. FrgrF
2o'o8'o 4 .a"
1i1s rr BA
ftJr
ilr
NI
i;l
. PNATIBHA CI{JVT|IY
'0F Ft5: t U$CAI
!a ?3 r0
I riiJ 19
f 111u0
, P. 1r:$g
2
ilf RAfiE:l$q
t$!.tR$viA
FF" ig,il.gs.r5
RT : 1/.!0ti4
$?r : 150i-13
d it4+'{i:
[b,.rno'
. j,ft!&.n$fi&{"li
'! Thesecolumns areto be filled in ar urc time ot €ngdgen.nr'

4. 12
ffid g4iFl.{ qqrq{i
OOII'TINUOUS DISCIIARGN CETTIIICATD-
13
r4 nR4I $T qeSF{i
CU SEAIAIIDRS' IDDN,|I'IY DO(]U]II]NT
",fr,i
rnr lti'{f li-T.- lrrrri
.fi ,'fi' 'fltt-ln
; ,7r,r, ,11
Slsnmur. oILl r:llasr.r,r L
t2r Sl,ipt)nrB rl:Ls1rt(lmrL,l,'r
Llf
"*.,
f(,
,.; ,{q iEl?d 6 ,rFr - trlr ati;Il
': l'hese c.lunDs arc to be fillcd in ar tllc tiNe of ensas€m€ni
't-
L
jffi_r' gFa q
"!E!f'ra
!-
F1n' ]" +dlT r.iir,.rr {'
'I' t',!i'' ' l-'' a. flHu -ll r't,.1.." .,r . .
,
'iln ar q ;tr lrpr4tE 4rGrr
'Name oi SbiD an.l Omcitl
No. and 'l'o.nrgc I
aiTd ?i ri+'s 3ii' 'rFr
otN
i.v. i,i,lHAvlR
.LSIGN - VWZU
r.2887, MUMBAI
/1sCC, NT.4558C
nHP - 17950
y/4/03
HAztZtl
tvf tle3
vllai^
'
T
,i-
'l
^a
M.-I
PCln
ORT
NR]
AHP
I-AND SMff ]
N9: tS24
,iruv: Ai
4)!)?-
2O)B
- €5:3.9
45C0
!.J--
.3 r_
.V
-..rt 9
J-
lrscl1grtss tontragc r.d Ni.,i{,ss L[ssiJnirri,,, ]t Sl

5. 14
TilR q{ili|r wsrT{
CONIINUOUS DISCE{IiCE CEI'TIFICATD'
15
*i arfoSi 6I qrqnq
CT'IVI SF-AI'ARERS' IDENTIIY DOCLIDNT
i{gfn
(r ) cF-- jrr (2) iri qi-,r7j ,rFl
.ir-{il. jfu'r,r
'i;
.,ala' rF
,fl.riE,Fr
Sislulu.e ofll) Nl*rer ind
121 Shipdng NlastetcoDsdar
Ollicer w h ()ll,ci,l Sra,nl
w.,lr,*'
IrsSIR
.o' ;tc ff,,r;r
t ifufi]'r l'ira E 3QE1ri;6 !o lCTi frrdirir g'nT,r
'1
,rr a r*a
-r'n .rr +dl'rr,jid.q 1I I
t In Engnr.er 6 Book jnsert Horse Po$ er h ltndro Ollico s rnini
ins€ftgross tonnaBe odNircless clrssitu)!i,tr, ol Ship
9
"
i..
la
N0.
* iln at :nq ]il' ,nTt'i,.r dsr
1 Nme ol Ship and OGcial
No. aDd Todrage I
ri]{d r;' nfr' rjj. '.'.'l;l
t .{grqF
M y CHANDI pffAsAt
CAtlijrcl'l:AUll
0tF. r1& | 3l3E
lonT : MUMBAI
6I : 72095
ilT | 2l?d7
I'F
4-i
t^t{.c, :1
t '
t.a -
.{ '.r.i:
'iN
$A>
,i hl
ql
t--- l-1
ot
,::, J
rt
ni.ttaq enn.ln
MU#BAI
OFF t'::" P i 3:
GT.'i 7i;"t
NT.,o3tg i
BHP.12000
?
q :,:lMAfrER
E) CHAN DI PRASAD
2
Y
1'1'L€se cohtms arc to be filled in at the ri$e oflngagement

6. 16
Eitd s.iifi cqtqc{
(JONTINUOUS DISCILTNGE CERTTFICATE,
17
ci clt{si sr FaqE{d
OI]M SEAI'A8IRS' IDEMITY DOCUVENT
(r) qlEr :ilr (2) llilfrr;q q|.,i
'' i Fq i-{k +t sFq ,i- -ii qlell
" Tlicse colmns a.e to be fill€d tu at the iime oI engag.dr.ni
'+lTa ,idflr T rn"rr ]Tl
,nEic Tn
Sisnatu.. of 11) I'lasrer and
(2) SblDrrins Nrster/cotrsrLlar
Oilicer with Oficlal Srump
(11 tr',:
!.i.::i
i ijihra-g5,r€ q ,rrf,rlf'r.llt iFjin ri?r6ri yial i lln fir l{rh"r
?r=f'tt 1'tr {cll sll5.q qr I
i lI Engineer's liook nNert HoE€ Powcr.Id nadni Olicclrs ll.ok
inserl g,ross ioD!.ge and Firetess classificatioD oaSllil
5
z
(.|l
a!
N)
vt5.
G
?
)
'' 'r]4 ar rrq :il1 ,rrairi 'i3r
' Na e of Shi! dd Oaficirl
No. rnd 'lomage i.
r€litifufl 4i nfp: rir '{1r
'qan
7
M T. l.raf.la
cR I lr l:l
Nl?r- !ar3s
DWr 66!i1.9
ahf- 4acn
"l O4
c- :x
,iii"
rr- U
og
.sq
+td4
>F
r^ .S

7. * i riq Frgtu A sqq ,i sri qj-l
*'fhese coludns are to be ,illed in ut rhe time ol engagement.
19
$i qltr+l 6r rdqnri
CUM SF-AI'ARERS' IDENIITY DOCUMDNT
i iiihrT. y-€ q qrqrfu !i ifs3i rliqarir Y'-a; i 'rl. ar ,{.h;I
zr.f'R jit- +dF Eii6'o ri !
t ln Lng]l.cr s Bookinsert Ho$. P.$.r I!nndroOlJj(., s lnrl
ins€rtgrcss tonnage a.d w1..less ciassiturlnm ol sh,lJ
18
Tffd q.qlfi nqlor({
CONTINUOUS DISCTL{RGD CERTIFICATE.
I
J
I
,t
,)
- dd 6r {q 3ii rR{dl{ liEn
+ Name of Shi! and Official
No and Tomage i
ii:ac rjt nfrq :it "nr
. FqFn
q{
rs] ^o
:r -
>i .!
Q)r
ts
q-
l-- '
--
FInc
Pal
OT
It
TT
DI/ KINAN
I e|G{ I Pt|lSl
. Ro,: lNoalgltlt
'' I lrMAtloL, cYPnlri
:!t€Il
: t$'att
: llSlt
MT
MU
GF'
8Hr
suVAI.tNA Sir,,ilzr,J,
dBAl. Of r:r ' ,r. : .;
:2'1827 ili.l rrjf,
s000
i*S-
n;
t- i
(r) q€r ri' (2) ,{rd eF.ain 4,2'i
,riiT,r 3.tr{anfr A aRrh' ,iF
irqfi? 5tr
Signatue ot(1) Mastcr md
(2) Shimins [{aster/oonsd a.
Ofice. rvjth Ofiicial Stam!
!r
?
t"
"
ii
.9 tl1"
;._
r/ ir',f ltAI{ j
--/l/r
a/" 1 l{ J... h......,,,...,1. . . Y
(r) }lli,S:iEll
a
,{
(.,
M,1
,., /?
4r4 acLJz
MASTER
S(F,ARNA IWARAJYA

8. 20
qird Erilfi m!rr{
OONTINUOUS DISCIL{RGE CERTIFICATE.
qlt fl iiq rif' nPrr;Fr ri@l
- De of Shb and Official
iro nld ?olnagc I
FFi.iid{ ,iil nriFq rri ':..ri
Dlki dd pla.c of
- irgiF -qrqr
E.Bssement Drs.lurBP
I 01 q 26 ot zdta
lr. i
o(,Iu tJ S Kr<A
'L a rn{ @r + -,]r" ,i ?i n ?qt
* 1h!s.r c.tunus are to be filled u al lhe Lirn. of.4.E.dent.
c
I
2
L
^o
.4
2)
si cfi'd ;6{ qdlrc{i
CUM SEAI'ARDRS' II)E]'II'IY DOCT'Il]]N1'
(t ) rir.' rr' 12) qn qP.i;r:r in,rr
n:;l') .itjrr4 i, a4.r rtl
Sisn.rnr. ol, I r rlasltf rrtrl
nhpw-i "...|]1-."..r ir 'nt, .
ziqP fF 4dr' 4lIf6T |J I
i ln Elsine€r's Book nrse, I tlorse Pd!... lr ltrrln' Olin I I s li"'li
insert sross tonDase i^d rvi.eless.l.ssiturln!r tl sll r'
r"(
TRIUMPH

9. aF-
c)
[:
F-;
F ;=!
'Ffltsrg,hl.t:
f,^"
f;
lq i=
'F Fi n:ii:
6 r n:E!
-EE;2:
?r>?"r
) ?-)
,j
F
2
'fs El
E
A4 NA (D
lt -t -11
, atzl A
lr - 8o*1o
,EY
! .'vJ
ql -b -{7
N />o1 I lnt
t/ v0'0/
.FF;d
F.E : 5
s E zt
.Ezl I
f----==r
lr;, . I
lg 5": I
3 s'H=E I
tra=---l
F sHsFf
=
"*
e=EFf
I :-;
iQi- .; i
i- ---E I
iF'-.::iit . J.t'l:
It ?G:dl
t> ! ;t=
I __o_: "'
z
E
;
i
-ii
|'?
F

10. 24
q_itd s;frT{ gqTqri
CONIINUOUS DISCIIAIIGE CE&TIFICATD.
'| Nameofshr and oficill
ro. an.l TonDge I
.ri1rff
16
t.J!: _ -
N .:-
.
!N
NS
t
''t
,r' 3
;' s 'aq h'.f€; qla q- iri rrrftI
'3 These columns are to.be fi1tcd in ar rtre rnje of ensagern€ni.
"'ii- , .-'irfal...r::;il'
FT 1i34.J
llP r2?5il
fi{
's
$
25
$i fliidt 4r q6lirqi
OUM SDAIIUiERS' IDENTITY DOCUI1cNf
ll )'i-, rnr 1:j'in qi,1tr qr,,
iPlr '.:[.!$ti +,14i .!'
SllnduF.l r1 iU:l,j rr .
(2) Snrli,nrg U!srer,(itrirL:li '
Oifi..r $ith O1Ij. l S!r!,jl
c/E
i,l
"
t ;ffi,r' 9'{s ii xrqrfF qit ll-.;t .,i.; +t
r:f4i i qrt . .r-,
zr,nr riII i.lr aiarq !- I
I h lllgiDee.s Aook inse llors. Po{u Iii li,rli,, Oun,r s itL,rli
mseii gross lonn^s. an(l Lvi,!l, ss (brsilL.rurn rn S|l l)
,/.rtl,
iA.-E
'lr'

11. 26
Tdf, Eqtsq lqrorT{
CONTTNUOUS DTSCHAa,CD CDI'TIFICATE.
No.
+ ,{ir 6r irq gi 9]Trdrc
'.ra41
* Nue of Shi! and Official
No. and Tonnase 1
rdFgd sir drrrq nR -.'n
-ffin
I7
. AFRAflAX RIVER
xloi aZtl6tlll
I rrdta
: ta?l!
: itlt
--
1*1 "J -- ^c
t t* u'
,{u
tU
18
ffiLm[Fr.n r;i.i'-'JI OrE No re6b.r' l
I Pcri I
t cRI : 2ti!):tr 1 |
t NRT :13660T I
! r')wr :473ior I
i ;rlP :a5eor(w I
r!
dq
r> !a
o
'i i ki,r ilgh + -'rqq qr rrr aii(
" These columns..e tobe6lted itrar rh. time ofenAagemem.
27
r':i qrffi 6t Ffqrl.rr
CTIM SEAFARENS' IDENTITY DOCUIENT
t{r-'r,fqr. ...r:."r1r. fl firr j tj! [- n n
znqF fi qdF 4,n4t'q q7
1 In Engin.rer s BooLinsot Horse lroser Ii Rrdr, ()rljccrs Llool
insedgi,ss fonDag€ and wintess classilica['r.J S]rrl)
)
.iEr
{r ) qrz, :{' (2) ql? qi'T.:r rPl
.iltn, fi'la':tr i ta,r, :n,
Sigr.tufe ol11) Mastu rn(l
(2) ShipDing N'l!srer/CoDSulir
Ollicer ril]I Oficia] Stutr
Hl
)
2
!'
lr
{*ryl-;ASIEN-
t2)
.2
U
1*&
Jdr
D-
Lr
1) ll/:E
P.r ./i'r
*,Y^oCi

12. 30
alt+*q-{ficdr
(llir6 a,l q'I
"rf)HomeAddress ofSeal1ran
rTo le entcr€d by ihe Sea1lrm)
'i- ,
-tT! I ue)-D 11 L,r L-d.f.ll^ t .
,/r''r"rnn zt, J a'- llalcti KaaJ.
crq.. .. ....
Villrqe ,/ '-l-^l r^t | L:_ -.lir-
Post Office
r.rn
Distfict
'r.E . ...v4+.b%y.r..
State
'rr
".r, . ?.o-r-o?q.
ca {i.d fua 4l Fi-6. idct
Next of kin of Scaman and Addrcss
l.. ' /^ rr
ijq flr ?_T-rl >L{toV4h L-4 r,{.r-L ltr^lhrz/
Nar]le and Relationship '
El . .
-.
jart 4^ 4,b€!e -
S1
ar+i"n * 9'erm ti; fi;ll aiii-ff I'z
Additional pase for o1fice uso
qi,Iq cld qi {in (q{d rd4{ trTrq,rr) i{Tq 19i);l
(1997 Tr .iei']i.td) i q{.n fit. iTia; I
y.'njr, q.i dr rgii { i;rfl i'r I
Issued under']!LS. (CDC) liules, 19s3 (Amurour
upto 1997)Vaiid ibr a period o1 .... .lcars
w.e.i. .............,.......
flT4- qrd
Shippi g Mnstcr
rrfor:i1 4lil ctftn (7,'n
-iErr
jtqtqqf,J irll] 199:j
lr9, TA r.:dFt i. .r.f i + '
qrrdr. Ei A 3lqi'r ; inF e.i r
lssucd under X{.S. rCDC) Rules. 1993 (Amortded
upto 1997) Valid lor a period (]1 ...... verrs
Shippins Mastcf