*. PERSONAL DETAILS
Surname: SHARMA First Name: NIKUNJ Middle Name:
Nationality: INDIAN Date of Birth: 30/11/1997 Place of Birth: JAIPUR Weight (kg): 70 kg Height(cm): 175 cm BMI: 22.8
Post Applied for: DECK CADET
Permanent Address: 242/243, SUMAR KARAN KA
RASTA, RAMGUNJ BAZAR JAIPUR, RAJASTHAN
Present Address: MIT ADT UNIVERSITY,
RAJBAUG,LONI KALBHOR, PUNE MAHARASTRA
PIN Code:
302003
Nearest Airport: JAIPUR
INTERNATIONAL AIRPORT.
PIN Code: 412201
Mobile No: 705-***-**** Mobile No: 705-***-****
Email ID: ***************@*****.***
2. PASSPORT DETAILS
Passport No. Date of Issue Place of Issue Date of Exp. ECNR Blank Pages Z3649508 31/07/2017 JAIPUR 30/07/2027
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Book (CDC)
Number Date of Issue Place of Issue Expiry Date Remark INDOS NO. 16NL0796 22-AUG-16 MUMBAI ---
---
MIT - ADT UNIVERSITY
MAHARASHTRA ACADEMY OF NAVAL EDUCATION
& TRAINING [MANET]
Gate No.140, Loni-Kalbhor, Rajbaug, Pune-Solapur Highway, Pune-412201. 4. FAMILY INFORMATION
Full Name of Next of Kin : Mr. MAHENDRA SHARMA Relationship : FATHER Address of Next of Kin : 242/243 SUMAR KARAN KA RASTA RAMGUNJ BAZAR, JAIPUR
RAJASTHAN: 302003
Tel. No. : 807-***-****
Family
Data
Name Occupation Contact Number
Father MAHENDRA SHARMA ELECTRICIAN 807-***-****
Mother MANORMA SHARMA TEACHER 982-***-****
Brother GAURAV SHARMA JUNIOR SCIENTIST 946*******
Sister ANSHU SHARMA WEBSITE DEVELOPER 978-***-****
5. ACADEMIC QUALIFICATION
Qualification
Year Of Passing
Percentage
PCM
Percentage
Board/University
BSC 2O19 PURSUING --- MIT ADT UNIVERSITY
12th 2016 65.2 63.6 CBSE
10th 2014 72.2 --- CBSE
6. DETAILS OF B.TECH MARINE ENGINEERING COURSE:
Semester Percentage Average
Semester 1 83.79%
82.96%
Semester 2 90.72%
Semester 3 77.71%
Semester 4 82.08%
Semester 5 81.13%
7. HOBBIES AND INTEREST
1.CAMPING.
2.LISTENING TO MUSIC.
3.SKETCHING.
4.READING
5.EXERCISE
8. OTHER CERTIFICATES
Sr.No.
Details of the Certificates
1 PRESIDENT AWARD IN BHARAT SCOUTS & GUIDES.
2 STATE LEVEL AWARD IN BHARAT SCOUTS & GUIDES.
3 NATIONAL LEVEL ADVENTURE PROGRAM.
4 GOLDEN JUBILEE STATE RALLY CERTIFICATE.
5
6
REPUBLIC DAY PARADE CERTIFICATE.
ADT TALK 2018-19 ( SUPER SPEAKER ORATORICAL CHAMPIONSHIP ) STCW CERTIFICATES
DETAILS OF
COURSES AND
CERTIFICATES
CERTIFICATE
NUMBER
DATE OF
ISSUE
PLACE OF
ISSUE
ISSUED
BY
1.Personal survival
techniques
CMETL/BSST/009/243 14/07/2018
CMET
2.Fire prevention
and fire fighting
CMETL/BSST/009/243 14/07/2018
Lucknow
CMET
3.Elementary first
aid
CMETL/BSST/009/243 14/07/2018
CMET
4.Personal safety
and social
responsibilities
CMETL/BSST/009/243 14/07/2018
CMET
5. STSDSD 962E790BEC52A9C4 02/11/2018 Mumbai NAMAC 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: Cadet NIKUNJ SHARMA
Signature: