*. PERSONAL DETAILS

Surname : RAI

First Name : AMIT

Middle Name : KUMAR

Nationality : INDIAN

Date of Birth : 11/02/1995

Place of Birth :BAGAR,BIHAR

Weight (kg) : 71

Height (cm) : 175

Post Applied for : DECK CADET

Permanent Address : VILL-PO-BAGAR, PS-SIKRAHATA, DIST-BHOJPUR,BIHAR

Present Address : VILL-PO-BAGAR, PS-SIKRAHATA, DIST-BHOJPUR,BIHAR

PIN Code:802222

Nearest Airport: PATNA

PIN Code:802222

Tel No / Mobile No:088********

Tel No / Mobile No:088********

Email ID:ac2u5i@r.postjobfree.com

2. PASSPORT DETAILS

Passport No.

Date of Issue

Place of Issue

Date of Exp.

ECNR

Blank Pages

P0559114

24/06/2016

PATNA

23/06/2026

36

3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS

Seaman’s Book (CDC)

Number

Date of Issue

Place of Issue

Expiry Date

Remark

Indian

MUM274955

12/05/2017

MUMBAI

11/05/2027

-

INDOS

14NL1182

27/08/2014

MUMBAI

-

-

4. FAMILY INFORMATION

Full Name of Next of Kin : ARVIND KUMAR RAI

Relationship : FATHER

Address of Next of Kin: VILL-PO-BAGAR, PS-SIKRAHATA, DIST-BHOJPUR,BIHAR

Tel No. : 088********

Family Data

Name

Contact Number/e-mail ID

Father

Arvind kumar rai

952-***-****

Mother

Kiran devi

952-***-****

Brother

Bipul kumar

887-***-****

5. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF PASSING

PERCENTAGE

BOARD/UNIVERSITY

B.Sc. Nautical Science

2017

70.18%

Y.C.M.O.U

H.S.C.

2014

68.40%

B.S.E.B

S.S.C.

2011

89.30%

C.B.S.E

6. DETAILS OF B.TECH (MARINE) COURSE:

SEMESTER

PERCENTAGE

AVERAGE %

SEMESTER 1

71.50%

70.18%

SEMESTER 2

65.83%

SEMESTER 3

71.83%

SEMESTER 4

66.33%

SEMESTER 5

69.80%

SEMESTER 6

75.80%

7. STCW AND OTHER COURSES

Details of Courses & Certificates

Number

Dt. Of Issue

Dt. Of Expiry

Pl. of Issue

Issued by

Elementary / Medical First Aid / Medicare

MANET/EFA/20/2015/016

01/07/2015

30/06/2020

PUNE

MAEER's Maharashtra Academy of Naval Education and Traning

Personal Safety & Social Responsibility (PSSR)

MANET/PSSR/20/2015/016

04/07/2015

03/07/2020

PUNE

MAEER's Maharashtra Academy of Naval Education and Traning

Advanced / Basic Fire Fighting

FPFF/042/16

04/06/2016

04/06/2021

KOLKATA

MERCANTILE MARINE ACADEMY

Proficiency in Survival Craft / Rescue Boat / PST / PSC RB Up gradation

PST/022/16

08/06/2016

08/06/2021

KOLKATA

MERCANTILE MARINE ACADEMY

Security Training for Seafarers with Designated Security Duties (STSDSD)

STS/063/16

10/06/2016

10/06/2021

KOLKATA

MERCANTILE MARINE ACADEMY

8. OTHER CERTIFICATES

1

Soft Skills Training Program

2

Body language, Time Management and Leadership Training Program

8. 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: 05/10/2017 Name: AMIT KUMAR RAI Signature:

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