*. PERSONAL DETAILS
Surname : Sinha
First Name : kuldeep
Middle Name : manoj kumar
Nationality: Indian
Date of Birth : 01/07/1992
Place of Birth : pandadah
Weight (kg) : 79
Height (cm) : 171
Post Applied for :
TRAINEE MARINE ENGINEER
Permanent Address : JN-2/18/A-4, sector-10,
Present Address : JN-2/18/A-4, sector-10,
Vashi, navi Mumbai, Maharashtra
Vashi, navi Mumbai, Maharashtra
PIN Code: 400703
Nearest Airport: CSIA, mumbai
PIN Code: 400703
Tel No / Mobile No: 992*******
Tel No / Mobile No: 982*******
Email ID:***************@*****.***
2. PASSPORT DETAILS
Passport No.
Date of Issue
Place of Issue
Date of Exp.
ECNR
Blank Pages
Z2536253
15-03-2013
THANE
14-03-2023
60
3. CONTINUOUS DISCHARGE CERTIFICATE /INDOS
Seaman’s Book (CDC)
Number
Date of Issue
Place of Issue
Expiry Date
Remark
Indian
MUM234272
22-04-2014
MUMBAI
21-04-2024
INDOS
11EL3540
20-10-2011
MUMBAI
4. FAMILY INFORMATION
Full Name of Next of Kin : Manoj R. Sinha
Relationship : father
Address of Next of Kin: JN-2/18/A-4, sector-10, vashi, navi Mumbai, Maharashtra, 400703
Tel No. : 982*******
Family Data
Name
Contact Number/e-mail ID
Father
Manoj r. sinha
982*******, *************@*****.***
Mother
Ramkumari m. sinha
Brother
Yogesh m. sinha
808-***-****, ***************@*****.***
sister
Chandraprabha sinha
976-***-****, ****.*******@*****.***
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF PASSING
PERCENTAGE
BOARD/UNIVERSITY
B.TECH MARINE
2014
68.7%
I.M.U.
H.S.C.
2010-11
71.3%
M.S.B.
S.S.C.
2007-08
85.53%
M.S.B.
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER
PERCENTAGE
AVERAGE %
SEMESTER 1
70.4 %
71.2%
SEMESTER 2
70.36 %
SEMESTER 3
70.18 %
SEMESTER 4
66.7 %
SEMESTER 5
67.18 %
SEMESTER 6
73.9 %
SEMESTER 7
65.5 %
SEMESTER 8
65.38%
7. STCW AND OTHER COURSES
Details of Courses & Certificates
Number
Dt. Of Issue
Dt. Of Expiry
Pl. of Issue
Issued by
Basic Fire Fighting
FPFF-4802
17th july 2013
16th july 2018
Gr. noida
IMI
Proficiency in Fire Prevention & Fire Fighting
RT-FPFF-0039
01st Oct 2013
30th sept 2018
Gr. Noida
IMI
Augmentation in Fire Prevention & Fire Fighting
AUG-FPFF-86
09th Jan 2015
08th Jan 2020
Vashi
SNS Maritime
Personal Survival Techniques
PST-3718
13th july 2013
12th july 2018
Gr. noida
IMI
Proficiency in Personal Survival Techniques
RT-PST-0053
02nd Oct 2013
01st Oct 2018
Gr. Noida
IMI
Elementary / Medical First Aid / Medicare
EFA-3643
28th june 2013
27th june 2018
Gr. Noida
IMI
Proficiency in Elementary First Aid
EFA-4291
12th Jan 2015
11th Jan 2020
Gr. Noida
IMI
Personal Safety & Social Responsibility (PSSR-95)
PSSR-3633
03rd july 2013
02nd july 2018
Gr. noida
IMI
Proficiency in Personal Safety & Social Responsibility (2010)
PSSR-4295
22nd Dec 2014
21th Dec 2019
Gr. Noida
IMI
Petroleum Tanker Familiarization
TF-2255
14th Nov 2014
13th Nov 2019
Gr. Noida
IMI
Chemical Tanker Familiarization
CTFC-792
17th Oct 2014
16th Oct 2019
Belapur
BP Marine
Gas Tanker Familiarization
LGT-697
10th Oct 2014
9th Oct 2019
Belapur
BP Marine
Security Training with Designated Security Duties
ST-280
06th Sept 2014
05th Sept 2019
Gr. Noida
IMI
8. OTHER CERTIFICATES
Sr.No.
Details of the Certificates
1
Achieved BEST BOY Award in 10th Std.
2
Won a merit certificate in “MARATHI BHASA” examination.
3
Achieved silver medal in INDOOR CARROM competition.
4
Won a gold medal in SWIMMING in inter batch competition.
5
Won a merit certificate in 10th std. academic.
6
Achieved letter of appreciation in school level.
9. DANGEROUS CARGO ENDORSEMENTS
Dangerous Cargo Endorsements
Grade / Level
I / II
Number
Date of Issue
Place of Issue
Date Of
Expiry
OTF
I
IMEI/HO/OT/3427
22nd Jan 2015
Navi Mumbai
31st Dec 2016
CTF
I
IMEI/HO/CT/1702
22nd Jan 2015
Navi Mumbai
31st Dec 2016
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 / / Name Signature