*. PERSONAL DETAILS
Surname : Singh First Name : Prashant Middle Name : Kumar
Nationality : Indian Date of Birth : 15 Nov 1996 Place of Birth : Gadaipur Weight (kg) : 78 Kgs Height (cm) : 180cms BMI : 24.1 Post Applied for : Trainee Marine Engineer(TME)
Permanent Address : 126K, Gadaipur, Ghazipur, Present Address : S/N 54, Lane no. 10, Tuljabhavani Teh. Jakahnia, P.O. Gadaipur Nagar, near Khradi by pass, Uttar pradesh (India) Pune, Maharashtra
PIN Code: 275204 Nearest Airport: PIN Code: 411018 Tel No / Mobile No: 727-***-**** Tel No / Mobile No: 701-***-**** Email ID: *********@*****.***
2. PASSPORT DETAILS
Passport No.
Date of
Place of Issue
Date of Exp. ECNR
Issue Blank Pages
P3538484 13/07/2016 Jaipur 12/07/2026 36
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Number
Date of Issue
Place of Issue Expiry Date
Remark
Book (CDC)
Indian
INDOS
4. FAMILY INFORMATION
Full Name of Next of Kin : Mr. Yashwant singh Relationship : Father Address of Next of Kin: 126K, Gadaipur, Ghazipur, Teh. Jakahnia, Tel No. : 947-***-****
P.O. Gadaipur, Uttar pradesh (India), 275204
Family Data Name Occupation Contact Number/e-mail ID Father Mr. Yashwant Singh Retd. Hon. Captain(Army) ************@*****.*** Mother Mrs. Seema Singh Housemaker ***********@*****.*** Sister Ms. Trishna singh Business Analyst(Adobe India) **************@*****.*** Any Relatives in Marine Field - Yes
MUM 303647 07/04/2018 MUMBAI 06/04/2028
14EL1734 19/09/2014 MUMBAI -
NO
Plot no. 2, Airhe near Kendrachal CPWD
Near Lamhi, Near gita building materia
Varanasi (Uttar Pradesh)
Babatpur, Varanasi 221007
**************@*****.***
5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF
PERCENTAGE
PCM
PASSING PERCENTAGE BOARD / UNIVERSITY
B.TECH MARINE 2018 71.46 - Indian Maritime University(IMU)
COLLEGE - MAHARASHTRA ACADEMY NAVAL EDUCATION AND TRAINING, Pune
DIPLOMA - - - -
H.S.C. 2014 76.6 72 CBSE
SCHOOL - KENDRIYA VIDYALAYA NO. 5, Jaipur
S.S.C. 2012 79.8 - CBSE
SCHOOL - KENDRIYA VIDYALAYA NO. 5, Jaipur
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER PERCENTAGE AVERAGE %
SEMESTER 1 68.29%
SEMESTER 2 67.57%
SEMESTER 3 73..45%
SEMESTER 4 70.54%
SEMESTER 5 75.54% 71.46%
SEMESTER 6 72%
SEMESTER 7 73.1%
SEMESTER 8 71.25%
7. STCW AND OTHER COURSES
Details of Courses &
Number
Dt. Of Dt. Of Pl. of
Issued by
Certificates Issue Expiry Issue
Elementry First Aid (EFA) SMCC/EFA/3416 03/01/2017 - Howrah(WB)
Seacom Marine
College
Personal Safety & social
Responsibilities(PSSR) SMCC/PSSR/2906 07/01/2017 - Howrah(WB) Seacom Marine
College
Fire Prevention & Fire
Fighting(FPFF) SMCC/FPFF/1052 11/01/2017 - Howrah(WB) Seacom Marine
College
Personal survival
Technique(PST) SMCC/PST/1358 14/01/2017 - Howrah(WB) Seacom Marine
College
STSDSD Course SMCC/STSDSD/4135 17/01/2017 - Howrah(WB) Seacom Marine
College
8. HOBBIES & INTEREST
Photography, Singing, Reading Books, Cinematography, Football 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 31 / 08 / 2018 Name Prashant Kr. Singh Signature 17 / 06 / 2019