*. PERSONAL DETAILS

Surname : RANJAN First Name : PRIYA Middle Name :

Nationality : INDIAN Date of Birth :18/09/1991 Place of Birth : MUZAFFARPUR

Post Applied for : DECK CADET

Permanent Address : Present Address :

TOWN:- MUZAFFARPUR,P.O.:- BHAGWANPUR TOWN:- MUZAFFARPUR,P.O.:- BHAGWANPUR

DIST.:- MUZAFFARPUR,BIHAR DIST.:- MUZAFFARPUR,BIHAR

PIN Code:842001 Nearest Airport: PATNA PIN Code:842001

Tel No / Mobile No:932-***-****,938-***-**** Tel No / Mobile

No:932********,938-***-****

Email ID: aca7dz@r.postjobfree.com

2. PASSPORT DETAILS

Passport No. Date of Place of Issue Date of Exp. ECNR Blank Pages

Issue

J9761611 25/08/2011 PATNA 24/08/2021 YES 34

3. CONTINUOUS DISCHARGE CERTIFICATE /INDOS

Seaman's Number Date of Issue Place of Expiry Date Remark

Book (CDC) Issue

MUM224414 15/10/2013 MUMBAI 14/10/2023

Indian

INDOS 10NL4378 29/12/2010 MUMBAI

4. FAMILY INFORMATION

Full Name of Next of Kin : AJAY KUMAR Relationship : FATHER

Address of Next of Kin :TOWN- MUZAFFARPUR, P.O.- BHAGWANPUR,DIST.-MUZAFFARPUR,

BIHAR

PIN CODE:842001 Tel No.

:943*******,916-***-****,919-***-****

Family Data Name Contact Number/e-mail ID

Father AJAY KUMAR 943*******

Mother NAGINA DEVI 916-***-****

GYAN RANJAN 919-***-****

Brother/Sist

er

Other NA

5. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF PASSING PERCENTAGE BOARD/UNIVERSITY

B.SC.NAUTICAL 2013 74.41 Y.C.M.O.U

H.S.C. 2010 82.00 NIOS

S.S.C. 2007 70.00 CBSE

6. DETAILS OF B.Sc (NAUTICAL) COURSE:

PERCENTAGE AVERAGE

SEMESTER

SEMESTER 1 77.00

74.41

SEMESTER 2 76.83

SEMESTER 3 74.67

SEMESTER 4 69.17

SEMESTER 5 73.20

SEMESTER 6 75.60

7. STCW AND OTHER CERTIFICATES

Number Dt. Of Dt. Of Pl. of Issued by

Details of Issue Expiry Issue

Courses &

Certificates

Advanced / FPFF0771218233 07/07/201 NA KOLKATA MERCANTILE

Basic Fire 2 MARINE

Fighting ACADEMY

Proficiency in PST0491210454 04/07/201 NA KOLKATA MERCANTILE

Survival Craft 2 MARINE

/ Rescue Boat / ACADEMY

PST / PSC RB

Up gradation

Elementary / EFA0441212518 11/07/201 NA KOLKATA MERCANTILE

Medical First 2 MARINE

Aid / Medicare ACADEMY

Personal Safety PSSR0461212569 14/07/201 NA KOLKATA MERCANTILE

& Social 2 MARINE

Responsibility ACADEMY

(PSSR)

OIL Tanker SMI/OTF/9322/2013 27/09/201 NA MUMBAI SNS MARITIME

Familiarization 3 INSTITUTE,

VASHI

Certificate Of MANET/STSDSD/033(NS)/20 06/09/201 NA PUNE MANET

Proficiency In 13 3

Security

Training For

Seafarers With

Designated

Security Duties

Yellow Fever J.5256 05/09/201 04/09/202 MUMBAI PORT HEALTH

Vaccination 3 3 ORGN.

10. 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: 21/11/2013 Name: PRIYA RANJAN

Signature: priya ranjan

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MIT GROUP OF INSTITUTIONS PUNE

MAHARASHTRA ACADEMY OF NAVAL EDUCATION

& TRAINING [MANET]

Gat No.140, Loni-Kalbhor, Rajbaug, Pune-Solapur Highway,

Pune-412201.

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