*.PERSONALDETAILS:
Surname:Ghodke FirstName:Omkar MiddleName:Ashok
Nationality:Indian DateofBirth:28/April/1999 PlaceofBirth: Shevgaon,Ahmadnagar
Weight(kg): 60 Height(cm): 163 BMI:22.2
PostAppliedFor:DeckCadet
PermanentAddress:ShriKrishnaNagar
AkhegaonRoad,Tal:Shevgaon,Dist:
Ahmadnagar
PresentAddress:ShriKrishnaNagar
AkhegaonRoad,Tal:Shevgaon,Dist:
Ahmadnagar
PINCode:414502 NearestAirport:Pune
TelNo/MobileNo:
EmailID:add1wu@r.postjobfree.com
2.PASSPORTDETAILS:
Number DateofIssue PlaceofIssue
Passport R3870288 04-AUG-2017 Pune
3.INDIANNATIONALDATABASEOFSEAFARERS(INDOS&CDC):
Seaman’s
Book(CDC)
Number DateofIssue PlaceofIssue
INDOS 16NL0815 22-AUG-2016 MANET
MIT-ADTUNIVERSITY
MAHARASHTRAACADEMYOFNAVALEDUCATION
&TRAINING[MANET]
GatNo.140,Loni-Kalbhor,Rajbaug,Pune-SolapurHighway,Pune-412201. CDC MUM375890 11-APR-2019 MUMBAI
4.FAMILYINFORMATION:
FullNameofNextofKin:GhodkeAshokMaruti
Relationship:Father
AddressofNextofKin:ShriKrishnaNagarAkhegaonRoad,
Tal:Shevgaon,Dist:Ahmednagar TelNo.705-***-****
FamilyData Name Occupation ContactNo.
Father GhodkeAshok Farmer 705-***-****
Mother GhodkeMeena Housewife 705-***-****
5.EDUCATIONALQUALIFICATION:
QUALIFICATION Year of
Passing
SGPA CGPA Percentage PCM% University/
Board
B.ScSem-VI 2019 8.00
7.74
MIT-ADTU
B.ScSem-V 2018 7.67 MIT-ADTU
B.ScSem-IV 2018 7.46 MIT-ADTU
B.ScSem-III 2017 8.18 MIT-ADTU
B.Sc Sem-II 2017 7.82 MIT-ADTU
B.Sc Sem-I 2016 7.27 MIT-ADTU
H.S.C 2016 67.66 Maharashtra
Board
S.S.C 2014 88.60
Maharashtra
Board
6.HOBBBIESANDINTERESTS:
Baseball
Cricket
Traveling
7.STCWANDOTHERCOURSES
DetailsofCourses&Certificates Number PlaceofIssue
CertificateofProficiencyInPersonalSafetyAnd
SocialResponsibilities
ElementaryFirstAid 79AC3A65A82AC0B5 NAMAC
PersonalSurvivalTechniques
FirePreventionAndFireFighting
SecurityTrainingForSeafarersWithDesignated
SecurityDuties
A3383D87C38B54E6 NAMAC
8.LANGUAGESKNOWN:
Icanfluentlyconverse,readandwriteinEnglish,HindiAndMarathi. 9.DECLARATION:
Iherebyaffirmthatalltheinformationprovidedbymeinthisapplicationistrueandcorrecttothe bestofmyknowledgeandbelief;further,thatnoCertificateissuedtomehaseverbeenRevoked orSuspended.
Date / / Name GhodkeOmkarAshok Signature