MIT GROUP OF INSTITUTIONS PUNE
MAHARASHTRA ACADEMY OF NAVAL EDUCATION
& TRAINING [MANET]
Gat No.140, Loni-Kalbhor, Rajbaug, Pune-Solapur Highway, Pune-412201.
Photograph
1. PERSONAL DETAILS
Surname : PAL First Name :ATUL Middle Name :AMRIT
Nationality : INDIAN Date of Birth :02/12/1991 Place of Birth : SANT RAVIDAS
NAGAR U. P.
Post Applied for : Trainee Marine Engineer
Permanent Address : Present Address :
AMRIT LAL PAL, HNO. 202, SHUBH VIHAR, BEHIND
Hno. 263, vill. Poorebahuriya,Teh. Gyanpur, Dist. Sant
BOLLYWOOD CINEMAS, WADGAON SHERI, PUNE,
Ravidas Nagar, UP.
MAHARASHTRA.
PIN Code:221303 Nearest Airport: Varanasi PIN Code: 411014
Tel No / Mobile: 084******** Tel No / Mobile No:094********
Email ID: ********@*****.***
2. PASSPORT DETAILS
Passport No. Date of Place of Issue Date of Exp. ECNR Blank Pages
Issue
K9905336 LUCKNOW 13.03.2023
14.03.2013
3. CONTINUOUS DISCHARGE CERTIFICATE /INDOS
Seaman’s
Number Date of Issue Place of Issue Expiry Date Remark
Book (CDC)
Indian
INDOS
4. FAMILY INFORMATION
Relationship : Father
Full Name of Next of Kin : AMRIT LAL PAL
Address: AMRIT LAL PAL, HNO. 202, SHUBH VIHAR, BEHIND BOLLYWOOD CINEMAS, WADGAON SHERI,
PUNE, MAHARASHTRA.
Tel No. : 919*********
Family Data Name Contact Number/e-mail ID
AMRIT LAL PAL
Father 094********, ***********@**********.***
GEETA PAL
Mother 762*******
Brother
PRATIBHA PAL
Sister 989*******, *********@*****.***
5. ACADEMIC QUALIFICATION
QUALIFICATION YEAR OF PASSING PERCENTAGE BOARD/UNIVERSITY
2014 69.8 %
B.TECH MARINE Y.C.M.O.U
2010 81.8% CBSE
H.S.C.
2008 83.8% CBSE
S.S.C.
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER PERCENTAGE AVERAGE
SEMESTER 1 75.00%
SEMESTER 2 74.17%
SEMESTER 3 69.33%
SEMESTER 4 64.17%
69.93%
SEMESTER 5 68.50%
SEMESTER 6 67.00%
SEMESTER 7 71.33%
SEMESTER 8 69.8 %
7. STCW AND OTHER CERTIFICATES
Details of Courses & Dt. Of Dt. Of Pl. of
Number Issued by
Certificates Issue Expiry Issue
Basic Fire Prevention and 13.07.2018
FPFF/0474/047/13 13/07/2013 Mumbai NAMAC
fire Fighting
10.07.2018
Personal Survival Technique PST/0441/041/13 10/07/2013 Mumbai NAMAC
unlimited
Elementary First Aid EFA/0346/026/13 06/07/2013 Mumbai NAMAC
Personal Safety & Social PSSR/0568/044/13 unlimited
03/07/2013 Mumbai NAMAC
Responsibility (PSSR)
8. Dangerous Cargo Endorsements
Dangerous Cargo Grade / Level Date of Place of Date Of
Number
Endorsements I / II Issue Issue Expiry
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 – 29.06.2014 Name: ATUL A. PAL Signature