*. PERSONAL DETAILS
Surname : Pawar First Name :Rajsiddhi Middle Name :Mansing
Nationality : Indian Date of Birth :08/05/1992 Place of Birth : Kadegaon
Post Applied for : Trainee Marine Engineer
Permanent Address : Present Address :
1632/1037, Rajratna House, Rit-Autocare, 1632/1037, Rajratna House,
West Side, Takari Road, Ninainagar, Rit-Autocare, West Side, Takari Road,
Islampur. Ninainagar, Islampur.
Tal-Walwa, Dist-Sangli, Tal-Walwa, Dist-Sangli,
State-Maharashtra. State-Maharashtra.
PIN Code:415409 Nearest Airport: Mumbai PIN Code: 415409
Tel No / Mobile No: 738-***-****
Email ID:***************@*****.***
2. PASSPORT DETAILS
Passport No. Date of Issue Place of Issue Date of Blank Pages
Exp.
L2542510 PUNE 31/05/2023 36
01/06/2013
3. CONTINUOUS DISCHARGE CERTIFICATE /INDOS
Seaman's Number Date of Issue Place of Issue Expiry Date
Book (CDC)
MUM234497 MUMBAI
Indian 28/04/2014 27/04/2024
INDOS 10EL3394
4. FAMILY INFORMATION
Full Name of Next of Kin : Pawar Mansing Relationship : Father
Shankar
Address: 1632/1037, Rajratna House, Rit-Autocare, West-Side, Takari Road,
Ninainagar, Islampur-415409.
Tal-Walwa, Dist-Sangli, State-Maharashtra. Tel No. : 985*******
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF PASSING PERCENTAGE BOARD/UNIVERSITY
B.TECH MARINE 2014 69.69 Y.C.M.O.U
%
H.S.C. 2010 67.33 Maharashtra
% State
S.S.C. 2008 79.84 Maharashtra
% State
6. DETAILS OF B.TECH (MARINE) COURSE:
PERCENTAGE AVERAGE
SEMESTER
SEMESTER 1 71.67 %
69.69 %
SEMESTER 2 72.67 %
SEMESTER 3 70.33 %
SEMESTER 4 68.50 %
SEMESTER 5 79.17 %
SEMESTER 6 60.83 %
SEMESTER 7 64.67 %
SEMESTER 8 69.67 %
7. STCW AND OTHER CERTIFICATES
Number Dt. Of Issue Issued by
Details of Courses &
Certificates
Advanced / Basic Fire FPFF/0513/049/13 20/07/2013 NAMAC, Mumbai
Fighting
Proficiency in Survival PST/0499/044/13 24/07/2013 NAMAC, Mumbai
Craft / Rescue Boat /
PST / PSC RB Up
gradation
Elementary / Medical EFA/0430/030/13 27/07/2013 NAMAC, Mumbai
First Aid / Medicare
Personal Safety & Social PSSR/0657/048/13 17/07/2013 NAMAC, Mumbai
Responsibility (PSSR)
Oil Tanker OTFC/21996 01/09/2014 YAK, Navi Mumbai
Familiarization
Chemical Tanker CTFC/543 15/09/2014 YAK, Navi Mumbai
Familiarization
8. DANGEROUS CARGO ENDORSEMENTS
Grade / Number Date of Place of Date Of
Dangerous Cargo Level Issue Issue Expiry
Endorsements I / II
Oil Tanker I IMEI/HO/OT/259 24/09/201 Navi Mumbai 31/12/2016
(Support) 5 4
Chemical Tanker I IMEI/HO/CT/125 24/09/201 Navi Mumbai 31/12/2016
(Support) 1 4
9. MY QUALITIES:
Punctual, Quick learner, Hard working, Adaptable, Loyal, Leadership,
Creative
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.
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Place: Mumbai Name: Pawar Rajsiddhi Mansing
Signature
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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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Photograph