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*.PERSONALDETAILS

Surname:SHARMA FirstName:KASTURI MiddleName:

Nationality:INDIAN DateofBirth:13/05/1996 PlaceofBirth:LUCKNOW Weight(kg):56 Height(cm):166 BMI:19.9

PostAppliedfor: DECKCADET

PermanentAddress:521/92BARACHANDGANJ PresentAddress:521/92BARACHANDGANJ NARAYANPRASADMARGLUCKNOW NARAYANPRASADMARGLUCKNOW

PINCode:226006 NearestAirport:AMAUSI PINCode:226006 TelNo/MobileNo:788-***-**** TelNo/MobileNo:887-***-**** EmailID:***************@*****.***

2.PASSPORTDETAILS

PassportNo. DateofIssue PlaceofIssue DateofExp. ECNR BlankPages P0763672 02/06/2016 LUCKNOW 01/06/2026 31

3.CONTINUOUSDISCHARGECERTIFICATE/INDOS

Seaman’sBook

(CDC)

Number DateofIssue PlaceofIssue ExpiryDate Remark

Indian MUM372361 27/03/2019 MUMBAI 26/03/2029

INDOS 16NL0825 22/05/2016 PUNE

4.FAMILYINFORMATION

FullNameofNextofKin:RAJKUMARSHARMA Relationship:FATHER AddressofNextofKin:521/92BARACHANDGANJNARAYANPRASAD MARGLUCKNOW226006 TelNo.:

MITGROUPOFINSTITUTIONSPUNE

MAHARASHTRAACADEMYOFNAVALEDUCATION

&TRAINING[MANET]

GatNo.140,Loni-Kalbhor,Rajbaug,Pune-SolapurHighway,Pune-412201. FamilyData Name Occupation ContactNumber/e-mailID

Father RAJKUMARSHARMA TILESWORK 945*******

Mother SAVITASHARMA BEAUTICIAN 739-***-****

Brother/Sister

RIMJHIMSHARMA,ANKUR

SHARMA

STUDYING

AnyRelativesinMarineField–NO

5.ACADEMICQUALIFICATION

QUALIFICATION

YEAROF

PASSING

PERCENTAGE

PCM

PERCENTAGE

BOARD/UNIVERSITY

BSCNAUTICAL

SCIENCE

MIT

H.S.C.

2015 84.4% 84 NIOS

S.S.C.

2010 59% UP

6.DETAILSOFBSC.NAUTICALSCIENCECOURSE:

SEMESTER PERCENTAGE AVERAGE%

SEMESTER1 69.7

70%

SEMESTER2 70

SEMESTER3 68.3

SEMESTER4 69

SEMESTER5 73

7.STCWANDOTHERCOURSES

DetailsofCourses&

Certificates

Number Dt.OfIssue

Dt.Of

Expiry

Pl.of

Issue

Issuedby

CERTIFICATEOF

PROFICIENCYIN-

PersonalSafety&

SocialResponsibility

(PSSR)

PERSONALSURVIVAL

TECHNIQUES

FIREPREVENTION

ANDFIREFIGHTING

ELEMENTARYFIRST

AID

103************

28/12/201

8

UNLIMITED LUCKNOW

HSNA

MARITIME

EDUCATION

AND

RESEARCH

SECURITYTRAINING

FORSEAFARERSWITH

DESIGNATED

SECURITYDUTIES

103************

01/01/201

9

UNLIMITED

LUCKNOW

HSNA

MARITIME

EDUCATION

AND

RESEARCH

HOBBBIESANDINTRESTS-

DANCE,ROWING,HANDCRAFTING,SWIMMING,COOKING

8.OTHERCERTIFICATES

10.DECLARATION

Iherebyaffirmthatalltheinformationprovidedbymeinthisapplicationistrueandcorrecttothebestofmy knowledgeandbelief;further,thatnoCertificateissuedtomehaseverbeenRevokedorSuspended. Name KASTURISHARMA

Sr.No. DetailsoftheCertificates

1 BESTSPORTSPERSONINCOLLEGEBSCNAUTICALSCIENCE BATCH 2016-2019

2 ALLINDIAUNIVERSITYCROSSCOUNTRY2017-18

3 ALLINDIAUNIVERSITYCROSSCOUNTRY2018-19

4 ROWINGGIRLSRUNNERUPTEAMINTHIRDSTATELEVELVISHWANATHSPORTS MEET2019

5 WINNERTEAMOFROWING1KINNATIONALLEVELINTERENGINEERINGSPORTS MEET2018-19

6 WINNERININTERHOUSECARROM2017-18

7

8

SILVERININDOORROWING2-PAIR500ISTATELEVELCHAMPIONSHIP2018-19 ADVANCEDDIPLOMAINCOMPUTER.

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