*. PERSONAL DETAILS
Surname : SRIVASTAVA First Name : KRITAGYA Middle Name :
Nationality : INDIAN Date of Birth : 09/08/1996 Place of Birth : JODHPUR Weight (kg) : 72 Height (cm) : 189 BMI : 20
Post Applied for : TRAINEE MARINE ENGINEER
Present Address : A202 NHAI Residential Enclave
Sector -17 Opposite Keshav Kunj Appartment
Permanent Address : Plot no.36 Amar Villa, Air
Force Area, Central Scheme
Dwarka Jodhpur
New Delhi Rajasthan
PIN Code:110075
Nearest Airport: INDRA
GANDHI INTERNATIONAL
AIRPORT
PIN Code: 342001
Tel No / Mobile No: 886*******, 751-***-**** Tel No / Mobile No: 886*******, 751-***-**** Email ID: adircz@r.postjobfree.com
2. PASSPORT DETAILS
Passport No.
Date of
Issue
Place of Issue Date of Exp. ECNR Blank Pages
Z5319048 24/01/2019 New Delhi 23/01/2029 60
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Book (CDC)
Number Date of Issue Place of Issue Expiry Date Remark INDOS 15EL1248 04/09/2015 INDIA - -
CDC MUM374852 08/04/2019 MUMBAI 07/04/2029
4. FAMILY INFORMATION
Full Name of Next of Kin : Mr.Pankaj Vishal Relationship : Father Address of Next of Kin: A202 NHAI Encalve, Sector 17 Pocket D Dwarka, New Delhi 110075
Tel No. : 886*******
MIT GROUP OF INSTITUTIONS PUNE
MAHARASHTRA ACADEMY OF NAVAL EDUCATION
& TRAINING [MANET]
Gat No.140, Loni-Kalbhor, Rajbaug, Pune-Solapur Highway, Pune-412201. Family Data Name Occupation Contact Number/e-mail ID Father Mr.Pankaj Vishal General Manager in
National Highway
Authority Of India
Mother Mrs.Anchita Vishal Home Maker 880*******
Sister Manasweeni Srivastava Student 783-***-****
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF
PASSING
PERCENTAGE
PCM
PERCENTAGE
BOARD / UNIVERSITY
B.TECH MARINE 2019 - - IMU
H.S.C. 2014 71.4% 76.66 NIOS
S.S.C. 2012 72.2% - CBSE
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER
PERCENTAGE AVERAGE %
SEMESTER 1 61.54
SEMESTER 2 63.10 67.05
SEMESTER 3 61.72
SEMESTER 4 67.45
SEMESTER 5 69.18
SEMESTER 6 64.70
SEMESTER 7 72.20
SEMESTER 8 76.50
7. STCW AND OTHER COURSES
Details of Courses &
Certificates
Number
Dt. Of
Issue
Dt. Of
Expiry
Pl. of
Issue
Issued by
Personal Surviving
Techniques
CST/076/004/018 28/07/2018
28/07/2023
DELHI SIMS
Fire Prevention And
Fire Fighting
CST/076/004/018 28/07/2018
28/07/2023
DELHI SIMS
Elementary First Aid CST/076/004/018 28/07/2018
-
DELHI SIMS
Personal Safety &
Social Responsibility
(PSSR)
CST/076/004/018 28/07/2018
-
DELHI SIMS
Security Training For
Seafarers With
Designated Security
Duties
STSDSD/948/295/018 06/10/2018
-
DELHI
SIMS
BASIC TRAINING FOR
OIL AND
CHEMICALTANKER
OPERATION
BTOCTCO/101************ 20/07/2019
-
DELHI SIMS
DANGEROUS CARGO ENDORSEMENT CERTIFICATE
Certificate of
Proficiency in Basic
Oil And Chemical
Tanker Cargo
Operations
COPDGSOAC1910221
02/12/19
Unlimited
DG Shipping
HOBBBIES AND INTRESTS-
8. OTHER CERTIFICATES
Sr.No.
Details of the Certificates
1 MIT ADT PERSONA FEST – 2018 (Band Competition ) 1 st
prize
2 NAUGHTICA 2017 and 2018 (Band Competition) 1
st
prize
3 MIT ADT PERSONA FEST – 2017 (Computer Gaming ) 1 st
prize
4 DWARKA CRICKET LEAUGUE – 2013
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 Kritagya Srivastava Signature To play - Piano, computer games, cricket and football