Deck Cadet Information

DHEERAJ BISHT

B.Sc (Nautical. Sc.)

*. PERSONAL DETAILS

Surname : Bisht

First Name : Dheeraj

Middle Name :

Nationality : Indian

Date of Birth : 28/09/1992

Place of Birth : Kareri

Post Applied for :

Deck Cadet

Permanent Address : S/O Sh. Pratap Singh Vill. Kareri P/O Bhadhawli Teh. Rampur Bsr. Shimla (H.P)

Present Address : JA-17A 3RD FLOOR KHIRKI EXTN. MALVIYA NAGAR ND-17

RAMPUR BSR. SHIMLA (H.P.)

MALVIYA NAGAR, SOUTH DELHI

PIN Code: 172022

Nearest Airport : N. DELHI

PIN Code: 110017

Tel No / Mobile No: +91-962**-*****

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

2. PASSPORT DETAILS

Passport No.

Date of Issue

Place of Issue

Date of Exp.

J 7225018

26/03/2012

SHIMLA

25/03/2022

3. CONTINUOUS DISCHARGE CERTIFICATE /INDOS

Seaman’s Book (CDC)

Number

Date of Issue

Place of Issue

Expiry Date

Remark

Indian

MUM220496

16/08/2013

MUMBAI

15/08/2023

INDOS

10NL3902

15/12/2010

4. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF PASSING

PERCENTAGE

BOARD/UNIVERSITY

B.Sc. Nautical Science

2013

72.2%

K.S.O.U

SSC(XII)

2010

67.7%

H.P. BOARD

HSC(X)

2008

53.7%

CBSE

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

SEMESTER

PERCENTAGE

AVERAGE

SEMESTER 1

61.7%

63%

SEMESTER 2

67.8%

SEMESTER 3

62%

SEMESTER 4

69.14%

SEMESTER 5

61%

SEMESTER 6

65.7%

6. STCW AND OTHER CERTIFICATES

COURSES

CERTIFICATE NO.

DATE OF ISSUE

PLACE OF ISSUE

ISSUED BY

OTF

BSc/10/044

26/06/2012

IMA Chennai

DGS MUMBAI

PST

BSc/10/044

19/05/2012

IMA Chennai

DGS MUMBAI

FPFF

BSc/10/044

12/05/2012

IMA Chennai

DGS MUMBAI

EFA

BSc/10/044

09/05/2010

IMA Chennai

DGS MUMBAI

PST

BSc/10/044

22/06/2013

IMA Chennai

DGS MUMBAI

PSSR

BSc/10/044

16/05/2012

IMA Chennai

DGS MUMBAI

7. ENDORSEMENT

Dangerous cargo oil tanker operations

12/03/2015

12/03/2020

Noida

MMD NEW DELHI (NOIDA)

Level 1

8. FAMILY INFORMATION

Full Name of Next of Kin: Sh. Pratap singh

Relationship: FATHER

Address of Next of Kin: : Vill Kareri P/O Bhadhawli The. Rampur Bsr. Shimla (H.P) 172022

Tel No.: 889-***-****

Family Data

Name

Father

PRATAP SINGH

Mother

SUSHMA

9. 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is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.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

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