Deck Cadet Training

MIT GROUP OF INSTITUTIONS PUNE

MAHARASHTRA ACADEMY OF NAVAL EDUCATION

& TRAINING [MANET]

AVI GUPTA

Photogra

B.Sc (Nautical. Sc.)

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1. PERSONAL DETAILS

Surname : Gupta First Name : Avi Middle Name :

Nationality : Indian Date of Birth : 06/09/1992 Place of Birth : Muzaffarnagar

Post Applied for : Deck Cadet

Permanent Address : S/O Dr. M.K. GUPTA Present Address : S/O Dr. M.K. GUPTA

171 SANJAY MARG, S. BHOPA ROAD 171 SANJAY MARG, S. BHOPA ROAD

NEW MANDI MUZAFFARNAGAR (U.P.) NEW MANDI MUZAFFARNAGAR (U.P.)

PIN Code: 251001 Nearest Airport : N. DELHI PIN Code:251001

Tel No / Mobile No:088********/955-***-****

Email ID:**********@*****.***

2. PASSPORT DETAILS

Passport Date of

Place of Issue Date of Exp. ECNR Blank Pages

No. Issue

H5909982 17/06/2019

18/06/2009 GHAZIABAD

3. CONTINUOUS DISCHARGE CERTIFICATE /INDOS

Seaman’s Place of

Number Date of Issue Expiry Date Remark

Book (CDC) Issue

Indian MUM222989

INDOS 18/12/2010

10NL4326

4. ACADEMIC QUALIFICATION

YEAR OF

QUALIFICATION PERCENTAGE BOARD/UNIVERSITY

PASSING

B.Sc. Nautical

2014 67.5% Y.C.M.O.U

Science

DIPLOMA

AISSCE(XII) 2010 74.6% CBSE

AISCE(X) 2008 63.2% CBSE

5. DETAILS OF B.Sc.Nautical Science COURSE:

SEMESTER

PERCENTAGE AVERAGE

SEMESTER 1 74%

SEMESTER 2 62.8%

SEMESTER 3 68.6%

SEMESTER 4 61.2%

67.5%

SEMESTER 5 71.2%

SEMESTER 6 67.4%

6. STCW AND OTHER CERTIFICATES

Details of Courses & Dt. Of Dt. Of Pl. of

Issued by

Certificates Issue Expiry Issue

Greater International Maritime

Personal Survival Techniques 10/07/2012

Noida Institute (IMI) Greater Noida

Certificate of Proficiency in

Greater International Maritime

Personal safety and Social 10/07/2012

Noida Institute (IMI) Greater Noida

Responsibilities

Greater International Maritime

Elementary fist aid 11/07/2012

Noida Institute (IMI) Greater Noida

Greater International Maritime

Fire Prevention & Fire Fighting 14/7/2012

Noida Institute (IMI) Greater Noida

7. FAMILY INFORMATION

Full Name of Next of Kin : Dr. MANOJ KUMAR Relationship : FATHER

GUPTA

Address of Next of Kin : : 171 SANJAY MARG S.BHOPA ROAD, NEW MANDI,

MUZZAFFARNAGAR (U.P.)

Tel No. :981-***-****

25100

Family Data Name Contact Number/e-mail ID

Father MANOJ KUMAR GUPTA 098********/

*************@**********.***

Mother KAVITA GUPTA 099********

EVA, NISHTHA

Brother/Sister

8. 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 Name Avi Gupta

Signature

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