Engineer Training

*. PERSONAL DETAILS

Surname:SINGH First Name :HEMANT Middle Name :YOGENDRA

PRATAP

Nationality :INDIAN Date of Birth :25/12/1989 Place of Birth :ASHANANDPUR Weight (kg) :72 Height (cm) :174 BMI : 23.8

Post Applied for :TME

Permanent Address : HOUSE NO.- 241,

VILLAGE- ASHANANDPUR, PO.- RAMPUR,

DIST.- JAUNPUR, STATE-U.P.

Present Address :- FLAT NO.-5, HOUSE NO.-

1196 TULSIBAN, N/R POLICE H/D QURT.,

VALSAD-396001 (GUJRAT)

PIN Code: -222203

Nearest Airport:-

BABATPUR, VARANSI

PIN Code:396001

Tel No / Mobile No:- 704*******,997-***-**** Tel No / Mobile No: 704*******,997-***-**** Email ID:-****************@*****.***

2. PASSPORT DETAILS

Passport

No.

Date of

Issue

Place of Issue Date of Exp. ECNR Blank Pages

M4467097 15/12/201

4

LUCKNOW 14/12/2024 20

3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS

Seaman’s

Book (CDC)

Number Date of Issue Place of Issue Expiry Date Remark Indian

MUM25165

7

22/07/2015 MUMBAI 21/07/2025

INDOS 10EL3352 27/12/2010 MUMBAI

4. FAMILY INFORMATION

Full Name of Next of Kin :- YOGENDRA PRATAP SINGH Relationship :SON/FATHER Address of Next of Kin: Present Address :- FLAT NO.-5, HOUSE NO.-1196 TULSIBAN, N/R POLICE H/D QURT.,

VALSAD-396001 (GUJRAT) (GUJRAT)

Tel No. : 955-***-****

Family Data Name

Occupation Contact Number/e-

mail ID

Father YOGENDRA PRATAP SINGH CIVIL- SUPER-VISOR 955-***-**** Mother KIRAN Y. SINGH HOUSE WIFE 955-***-****

Brother/Siste

r

ARPANA SINGH OFFICER 997-***-****

Any Relatives in Marine Field –

5. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF

PASSING

PERCENTAGE

PCM

PERCENTAGE

BOARD / UNIVERSITY

B.TECH MARINE 2015

60.22% 64.66%

Y.C.M.O.U

H.S.C.

2004 52% 56% U.P. BOARD

S.S.C.

2006 69.66% 64.66% U.P. BOARD

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

SEMESTER PERCENTAGE AVERAGE %

SEMESTER 1 63% 60.22%

SEMESTER 2 63.85%

SEMESTER 3 62.28%

SEMESTER 4 57.43%

SEMESTER 5 60.42%

SEMESTER 6 57.14%

SEMESTER 7 58.42%

SEMESTER 8 59.28%

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

34953

04/03/201

5

UNLIMITED

MUMBAI NAMAC

Proficiency in

Survival Craft /

Rescue Boat / PST /

PSC RB Up

gradation

97F1861652992F6F

18/11/201

5

17/11/2020

MUMBAI NAMAC

Elementary /

Medical First Aid /

Medicare

EFA/0426/030/13,

EFA/1634/2015-16

27/07/201

3,

05/12/201

5

UNLIMITED

MUMBAI

NAMAC,

OERC

ACADEMY

Personal Safety &

Social

Responsibility

(PSSR)

PSSR/0650/048/13

17/07/201

3

UNLIMITED

MUMBAI NAMAC

Petroleum Tanker

Familiarization

OTFC/21875

25/07/201

4

UNLIMITED NAVI

MUMBAI

YAK, NAVI

MUMBAI

Chemical Tanker

Familiarization

CTFC/379

01/08/201

4

UNLIMITED NAVI

MUMBAI

YAK, NAVI

MUMBAI

Gas Tanker

Familiarization

AUGEMANTATION

OF FIRE

PREVENTION &

FIRE FIGHTING

AUGFF/53/06/2015

-16

18/12/201

5

17/12/2020

NAVI

MUMBAI

OERC

ACEDEMY

HOBBBIES AND INTRESTS-

BOXING, MARTIAL ARTS, EXCERSICE & CRICKET, CONCEPT OF PHYSICS, DESIGN OF MACHINE,MAINTENANCE OF MACHINES

8. OTHER CERTIFICATES

Sr.No. Details of the Certificates

9. DANGEROUS CARGO ENDORSEMENTS

Dangerous Cargo

Endorsements

Grade /

Level

I / II

Number

Date of

Issue

Place of

Issue

Date Of

Expiry

OIL TANKER BASIC

TRAINING

IMEI/HO/OT/541

7

23/12/201

5

MUMBAI 23/12/2020

CHEMICAL

TANKER

BASIC

TRAINING

IMEI/HO/CT/275

7

23/12/201

5

MUMBAI 23/12/2020

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 08_/10__/_2015__ Name HEMANT SINGH __ Signature

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