*. PERSONAL DETAILS

Surname :KONDAL

First Name :HIMANSHU

Middle Name :

Nationality :INDIAN

Date of Birth :06/11/1993

Place of Birth :AMRITSAR,PUNJAB

Weight (kg) :60

Height (cm) :164

Post Applied for :

TRAINEE ENGINEER

Permanent Address : INTERNATIONAL CLINICAL

Permanent Address : INTERNATIONAL CLINICAL

LABORATORY,OPPOSITE DAILY NEEDS,GT ROAD,

LABORATORY,OPPOSITE DAILY NEEDS,GT ROAD,

AMRITSAR.

AMRITSAR.

PIN Code:143001

Nearest Airport:

PIN Code:143001

Tel No / Mobile No: +91-997*******

Tel No / Mobile No: +91-997*******

Email ID:acwvg7@r.postjobfree.com

2. PASSPORT DETAILS

Passport No.

Date of Issue

Place of Issue

Date of Exp.

ECNR

Blank Pages

L7204657

12/02/2014

AMRITSAR

11/02/2024

NO

64

3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS

Seaman’s Book (CDC)

Number

Date of Issue

Place of Issue

Expiry Date

Remark

Indian

INDOS

12EL1315

24/07/12

MUMBAI

4. FAMILY INFORMATION

Full Name of Next of Kin :HANSRAJ KONDAL

Relationship :FATHER

Address of Next of Kin INTERNATIONAL CLINICAL LABORATORY,OPPOSITE DAILY NEEDS,GT ROAD,AMRITSAR

Tel No. :+91-998*******

Family Data

Name

Contact Number/e-mail ID

Father

HANSRAJ KONDAL

+91-998*******

Mother

VEENA KONDAL

+91-783*******

Brother/Sister

PRIYA KONDAL

+91-805*******

5. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF PASSING

PERCENTAGE

BOARD/UNIVERSITY

B.TECH MARINE

2016

Y.C.M.O.U

DIPLOMA

-

H.S.C.

2012

70.4

C.B.S.E

S.S.C.

2010

72.2

I.C.S.E

6. DETAILS OF B.TECH (MARINE) COURSE:

SEMESTER

PERCENTAGE

AVERAGE %

SEMESTER 1

68.71

70.78

SEMESTER 2

77.14

SEMESTER 3

69.14

SEMESTER 4

73.14

SEMESTER 5

72.42

SEMESTER 6

61.43

SEMESTER 7

71.0

SEMESTER 8

73.29

7. STCW AND OTHER COURSES

Details of Courses & Certificates

Number

Dt. Of Issue

Dt. Of Expiry

Pl. of Issue

Issued by

Advanced / Basic Fire Fighting

BPMA/FPFF/1039/2015

25/07/2015

25/07/2020

NAVI MUMBAI

B P MARINE ACADEMY

Proficiency in Survival Craft / Rescue Boat / PST / PSC RB Up gradation

96C21479B2BFCECA

22/07/2015

22/07/2020

MUMBAI

NAVAL MARITIME ACADEMY

Elementary / Medical First Aid / Medicare

MANET/EFA/04/2014/003

12/07/2014

11/07/2019

PUNE

MANET

Personal Safety & Social Responsibility (PSSR)

MANET/PSSR/03/2014/003

09/072014

08/07/2014

PUNE

MANET

Petroleum Tanker Familiarization

Chemical Tanker Familiarization

Gas Tanker Familiarization

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 HIMANSHU KONDAL Signature

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