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*. PERSONAL DETAILS
Surname : First Name : PRINCE Middle Name :KUMAR
Nationality :INDIAN Date of Birth :21/02/1992 Place of Birth :BAKHARI
(BIHAR)
Weight (kg) :69 Height (cm) :180
Post Applied for : TRAINEE MARINE ENGINEER
Permanent Address :VILL+POST-BAKHARI Present Address : VILL+POST-BAKHARI
BAZAR, BAZAR,
P.S-DUMRI, TH-RAMNAGAR,DIST-WEST P.S-DUMRI, TH-RAMNAGAR,DIST-WEST
CHAMPARAN CHAMPARAN
BIHAR BIHAR
PIN Code:845106 Nearest Airport:PATNA PIN Code: 845106
Tel No / Mobile No:808-***-****,993-***-**** Tel No / Mobile
Email ID: ************@*****.***,
2. PASSPORT DETAILS
Passport No. Date of Place of Issue Date of Exp. ECNR Blank Pages
Issue
L2539156 28/05/2013 PUNE 27/05/2023 YES 36
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman's Number Date of Issue Place of Expiry Date Remark
Book (CDC) Issue
MUM234516 28/04/2014 MUMBAI 27/04/2024
Indian
INDOS 10EL3314 27/12/2010 MUMBAI
4. FAMILY INFORMATION
Full Name of Next of Kin :BINDWASHINI DEVI Relationship :MOTHER
Address of Next of Kin: VILL+POST-BAKHARI Tel No. :943*******
BAZAR,P.S-DUMRI,DIST-WEST CHAMPARAN,BIHAR,845106
Family Data Name Contact Number/e-mail ID
Father LATE SUDHIR KUMAR -
Mother BINDWASHINI DEV 943*******
Brother PRAVEEN KUMAR 993-***-****
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF PASSING PERCENTAGE BOARD/UNIVERSITY
B.TECH MARINE 2014 68.67 Y.C.M.O.U
H.S.C. 2010 65.2 B.S.E.B
S.S.C. 2007 66.2 C.B.S.E
6. DETAILS OF B.TECH (MARINE) COURSE:
PERCENTAGE AVERAGE %
SEMESTER
SEMESTER 1 83.17
69.96
SEMESTER 2 73.67
SEMESTER 3 75.00
SEMESTER 4 60.67
SEMESTER 5 65.67
SEMESTER 6 64.17
SEMESTER 7 68.00
SEMESTER 8 69.33
7. STCW AND OTHER COURSES
Number Dt. Of Dt. Of Pl. of Issued by
Details of Courses & Issue Expiry Issue
Certificates
Advanced / Basic Fire FPFF0591319870 13/07/201 KOLKATA MMA
Fighting 3 12/07/201
8
Proficiency in PST0371311656 3/07/2013 KOLKATA MMA
Survival Craft / 2/07/2018
Rescue Boat / PST /
PSC RB Up gradation
Elementary / Medical EFA0371313734 10/07/201 KOLKATA MMA
First Aid / Medicare 3 UNLIMITED
Personal Safety & PSSR0351313734 6/07/2013 KOLKATA MMA
Social Responsibility UNLIMITED
(PSSR)
Petroleum Tanker OTFC/21965 22/08/201 NAVI YAK
Familiarization 4 21/08/202 MUMBAI
4
Chemical Tanker CTFC/475 29/08/201 NAVI YAK
Familiarization 4 28/08/202 MUMBAI
4
8. OTHER CERTIFICATES
Sr.No Details of the Certificates
.
1 YELLOW FEVER VACCINATION CERTIFICATE
2 CERTIFICATE OF MERIT IN CRICKET
9. DANGEROUS CARGO ENDORSEMENTS
Grade / Number Date of Place of Date Of
Dangerous Cargo Level Issue Issue Expiry
Endorsements I / II
OIL TANKER LEVEL I IMEI/HO/OT/26 06/10/201 NAVI 05/10/2019
72 4 MUMBAI
CHEMICAL TANKER LEVEL I IMEI/HO/CT/12 06/10/201 NAVI 05/10/2019
91 4 MUMBAI
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:-12/09/2014
Name:- Prince Kumar
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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.