*. PERSONAL DETAILS
Surname :WALDIA
First Name :VIRENDRA
Middle Name :SINGH
Nationality :INDIAN
Date of Birth :20/08/1995
Place of Birth :MORADABAD
Weight (kg) :78
Height (cm) :180
BMI : 24
Post Applied for :
TRAINEE MARINE ENGINEER
Permanent Address :
Present Address :
H. NO. 111, PATEL NAGAR, MORADABAD
MANET GAT. NO. 140, LONI KALBHOR, RAJBAG,PUNE
PIN Code:244001
Nearest Airport: NEW DELHI
PIN Code:412201
Tel No / Mobile No:744-***-****
Tel No / Mobile No:
Email ID: **************@*****.***
2. PASSPORT DETAILS
Passport No.
Date of Issue
Place of Issue
Date of Exp.
ECNR
Blank Pages
N1177210
30/07/15
BAREILLY
29/07/2025
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s Book (CDC)
Number
Date of Issue
Place of Issue
Expiry Date
Remark
Indian
MUM274776
04/05/2017
MUMBAI
03/05/2027
INDOS
13EL0859
19/07/13
INDIA
4. FAMILY INFORMATION
Full Name of Next of Kin :MR. RAJENDRA SINGH WALDIA
Relationship :FATHER
Address of Next of Kin: H. NO. 111, PATEL NAGAR, MORADABAD
Tel No. :976*******
Family Data
Name
Occupation
Contact Number/e-mail ID
Father
MR. RAJENDRA SINGH WALDIA
GOVERNMENT SERVICE
Mother
MRS. KAMLA WALDIA
HOUSE WIFE
Brother/Sister
DEEPIKA WALDIA
STUDENT
Any Relatives in Marine Field -No
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF PASSING
PERCENTAGE
PCM
PERCENTAGE
BOARD / UNIVERSITY
B.TECH MARINE
2017
68.83
Y.C.M.O.U
12th
2013
64.8
61.66
C.B.S.E
10th
2011
6.6
C.B.S.E
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER
PERCENTAGE
AVERAGE %
SEMESTER 1
70.57
68.83
SEMESTER 2
77.57
SEMESTER 3
74.57
SEMESTER 4
66.43
SEMESTER 5
63.86
SEMESTER 6
61.43
SEMESTER 7
68.428
SEMESTER 8
67.857
7. STCW AND OTHER COURSES
Details of Courses & Certificates
Number
Dt. Of Issue
Dt. Of Expiry
Pl. of Issue
Issued by
FIRE PREVENTION AND FIRE FIGHTING
SMCC/FPFF/744
04/06/2016
UNLIMITED
KOLKATA
SEACOM MARITIME COLLEGE
PERSONAL SURVIVAL TECHNIQUES
SMCC/PST/780
01/06/2016
UNLIMITED
KOLKATA
SEACOM MARITIME COLLEGE
ELEMENTARY FIRST AID
MANET/EFA/28/2015/008
25/11/2015
24/11/2020
PUNE
MANET
PERSONAL SAFETY AND SOCIAL RESPONSIBILITIES
MANET/PSSR/28/2015/008
28/11/2015
27/11/2020
PUNE
MANET
SECURITY TRAINING FOR SEAFARERS WITH DESIGNATED SECURITY DUTIES
SMC/STSDSD/3430
28/05/2016
UNLIMITED
KOLKATA
SEACOM MARITIME COLLEGE
YELLOW FEVER VACCINE
06996
26/10/2017
PUNE
B.J. GOVT. MEDICAL COLLEGE AND SASSOON GENERAL HOSPITAL
HOBBBIES AND INTRESTS:-
Playing outdoor games, guitar, sketching, football, rowing.
9. DECLARATION
I hereby affirm that all the information provided by me in this application is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.
Date: / / Name: VIRENDRA SINGH WALDIA Signature