*. PERSONAL DETAILS

Surname : Singh

First Name : Prabjot

Nationality : Indian

Date of Birth :06/06/1996

Place of Birth : JAMMU

Weight (kg) : 84

Height (cm) :182

Post Applied for :

Engine Cadet (TME)

Permanent Address : V.P.O. Kirpind Tehsil R.S.Pura District Jammu State Jammu and Kashmir

Present Address : V.P.O. Kirpind Tehsil R.S.Pura District Jammu State Jammu and Kashmir

PIN Code:181101

Nearest airport : Jammu

PIN Code: 181101

Tel No / Mobile No:968-***-****

Tel No / Mobile No: 788-***-****

Email ID: adignt@r.postjobfree.com

2. PASSPORT DETAILS

Passport No.

Date of Issue

Place of Issue

Date of Exp.

ECNR

Blank Pages

M6723601

25/03/2015

JAMMU

24/03/2025

32

3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS

Seaman’s Book (CDC)

Number

Date of Issue

Place of Issue

Expiry Date

Remark

Indian

MUM419649

09/09/2020

MUMBAI

03/09/2030

INDOS

19EM1583

10/19/2019

MUMBAI

4. FAMILY INFORMATION

Full Name of Next of Kin

Relationship :

Lovejot Singh

Brother

Family Data

Name

Contact Number/e-mail ID

Father

Lakhwinder singh

788-***-****

Mother

Ravinder kour

788-***-****

Brother/Sister

Lovejot singh

788-***-****

Other

Rajinderpal singh

788-***-****

5. ACADEMIC QUALIFICATION

QUALIFICATION

YEAR OF PASSING

PERCENTAGE

BOARD/UNIVERSITY

B.TECH

2019

75%

PUNJAB TECHNICAL UNIVERSITY

H.S.C.

2014

62%

GOVT. BOYS HIGHER SECONDARY SCHOOL R.S.PURA JAMMU

S.S.C.

2012

53%

MODEL INSTITUTE HIGHER SECONDARY SCHOOL JAMMU

6. DETAILS OF G.M.E COURSE

SEMESTER

PERCENTAGE

AVERAGE %

SEMESTER 1

75 %

SEMESTER 2

7. STCW AND OTHER COURSES

Details of Courses & Certificates

Number

Dt. Of Issue

Dt. Of Expiry

Pl. of Issue

Issued by

Security Training For Seafarer With Designated Security Duties

1010041482000213

03/02/20

Greater Noida

Advanced / Basic Fire Fighting

1010043072000111

31/01/2020

Greater Noida

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

1010043072000111

31/01/2020

Greater Noida

Elementary / Medical First Aid / Medicare

1010043072000111

31/01/2020

Greater Noida

Personal Safety & Social Responsibility (PSSR)

1010043072000111

31/01/2020

Greater Noida

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is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.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 : 25/11/2020 Name : Prabjot Singh Signature :

INTERNATIONAL MARITIME INSTITUTE

13, Knowledge Park-1,Surajpur Kasna Road,

Greater Noida.-201310

Ph no-012*-*******/2326312/2326313

Contact this candidate