*.PERSONALDETAILS

Surname:Rastogi FirstName:Manav MiddleName:

Nationality:Indian DateofBirth:06/02/1997 PlaceofBirth:Meerut Weight(kg):60 Height(cm):170 BMI:21.1

PostAppliedfor: TraineeMarineEngineer

PermanentAddress: 53,MalviyaChowk, PresentAddress:RoomNo.A-101,MANET Hostel,GateNo140,

SheeshMahal,MeerutCity. LoniKalbhor,RajbaugCampus,Pune SolapurHighway,Pune

UttarPradesh. Maharashtra

PINCode:250002 NearestAirport:Indira

GandhiInternational

Airport,NewDelhi.

PINCode:412201

TelNo/MobileNo: 870-***-**** TelNo/MobileNo:708-***-**** EmailID:

ac9vhu@r.postjobfree.com

2.PASSPORTDETAILS

PassportNo. DateofIssue PlaceofIssue DateofExp. ECNR BlankPages MITGROUPOFINSTITUTIONSPUNE

MAHARASHTRAACADEMYOFNAVALEDUCATION

&TRAINING[MANET]

GatNo.140,Loni-Kalbhor,Rajbaug,Pune -SolapurHighway,Pune -412201. R1432408 08/08/201

7

GHAZIABAD 07/08/2027 N.R. 32

3.CONTINUOUSDISCHARGECERTIFICATE/INDOS

Seaman’s

Book(CDC)

Number DateofIssue PlaceofIssue ExpiryDate Remark

INDOS 15EL1329 04/09/2015 INDIA - -

CDC MUM

378648

02/05/2019 MUMBAI 01/05/2029

4.FAMILYINFORMATION

FullNameofNextofKin:NeelkamalRastogi Relationship:Father AddressofNextofKin: 53,MalviyaChowk,SheeshMahal,

MeerutCity,UttarPradesh.

TelNo.:925-***-****

FamilyData Name Occupation ContactNumber/e-mailID

Father NeelkamalRastogi Businessman 925-***-****

Mother MeenuRastogi Housewife 701-***-****

Brother/Sister MiliRastogi Student -

AnyRelativesinMarineField-NO

5.ACADEMICQUALIFICATION

QUALIFICATION

YEAROF

PASSING

PERCENTAGE

PCM

PERCENTAGE

BOARD/UNIVERSITY

B.TECHMARINE

2019

I.M.U

DIPLOMA

S.S.C.E

2015 78.8 69.33 C.B.S.E

S.S.E.

2013 87.4 87.4 C.B.S.E

6.DETAILSOFB.TECH(MARINE)COURSE:

SEMESTER PERCENTAGE AVERAGE%

SEMESTER1 68 71.8

SEMESTER2 66.1

SEMESTER3 71.4

SEMESTER4 68.8

SEMESTER5 75.7

SEMESTER6 77.4

SEMESTER7 75.2

SEMESTER8

7.STCWANDOTHERCOURSES

Detailsof

Courses&

Certificates

Number Dt.OfIssue Dt.OfExpiry

Pl.of

Issue

Issuedby

PersonalSafety

& Social

Responsibility

(PSSR)

JNMI/BST/03/2018/004

2

18/07/201

8

UNLIMITED

MEERUT

J.SONS

MERCHANT

NAVY

INSTITUTE

Elementary/

MedicalFirst

Aid/Medicare

JNMI/BST/03/2018/004

2

18/07/201

8

UNLIMITED

MEERUT

J.SONS

MERCHANT

NAVY

INSTITUTE

STSDSD

D82C02F24DFE562D

16/05/201

8

UNLIMITED

MUMBAI

NAVAL

MARITIME

ACADEMY

Proficiencyin

SurvivalCraft/

Rescue Boat/

PST/PSC RB

Upgradation

JNMI/BST/03/2018/004

2

18/07/201

8

UNLIMITED

MEERUT

J.SONS

MERCHANT

NAVY

INSTITUTE

Advanced/

BasicFire

Fighting

JNMI/BST/03/2018/004

2

18/07/201

8

UNLIMITED MEERUT J.SONS

MERCHANT

NAVY

INSTITUTE

HOBBBIESANDINTRESTS-

8.OTHERCERTIFICATES

PLAYINGGUITAR,LISTENINGANDCOMPOSINGMUSIC.

INCLUDETRAVELLINGTONEWPLACES.

Sr.No. DetailsoftheCertificates

1. Participationin4thNationalLevelMaritime’sSportsMeetinTableTennis. 2. CollegeANTIRAGGINGCOMMITTEEmember.

9.DANGEROUSCARGOENDORSEMENTS

DangerousCargo

Endorsements

Grade/Level

I/II

Number

Dateof

Issue

Placeof

Issue

DateOfExpiry

10.DECLARATION

Iherebyaffirmthatalltheinformationprovidedbymeinthisapplicationistrueandcorrecttothebestofmy knowledgeandbelief;further,thatnoCertificateissuedtomehaseverbeenRevokedorSuspended. Date / / Name Signature

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