MIT GROUP OF INSTITUTIONS PUNE
MAHARASHTRA ACADEMY OF NAVAL EDUCATION
& TRAINING [MANET]
Gat No.140, Loni-Kalbhor, Rajbaug, Pune-Solapur Highway, Pune-412201. 1. PERSONAL DETAILS
Last Name : Gherade First Name : Sandip Middle Name : Mahadev Nationality : Indian Date of Birth : 26th Jan, 1995 Place of Birth : Mumbai, Maharashtra Weight (kg) : 65 Height (cm) : 162 BMI : 24.3
Post Applied for : Trainee Marine Engineer
Permanent Address : Room no. 04, Chawl no. 16, Present Address : Room no. 04, Chawl no. 16,
‘A’ ward, Mohite Patil Nagar, ‘A’ ward, Mohite Patil Nagar, Mankhurd, Mumbai. Mankhurd, Mumbai.
PIN Code: 400 043 Nearest Airport: Mumbai. PIN Code: 400 043 Mobile No: 820-***-****,810-***-****. Mobile No: 820-***-****, 810-***-****. Email ID: *******.*******@*****.***
2. PASSPORT DETAILS
Passport No. Date of Issue Place of Issue Date of Exp. ECNR Blank Pages P1205560 12/07/2016 Mumbai 11/07/2026 - 36
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Book (CDC)
Number Date of Issue Place of Issue Expiry Date Remark INDIAN
MUM
303749
09/04/2018
Mumbai
(India)
08/04/2028 -
INDOS 14EL1707 19/09/2014
Mumbai
(India)
- -
4. FAMILY INFORMATION
Full Name of Next of Kin: Mahadev Ramchandra Gherade. Relationship : Father Address of Next of Kin: Room no. 04, Chawl no. 16, ‘A’ ward, Mohite Patil Nagar, Mankhurd, Mumbai. Pin: 400 043.
Tel No. : 959-***-****
Family
Data
Name Occupation Contact Number/e-mail ID
Father Mahadev Ramchandra Gherade Employee 959-***-**** Mother Ashabai Mahadev Gherade Home maker 959-***-**** Sister Laxmi Mahadev Gherade Home maker 959-***-**** 5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF
PASSING
PERCENTAGE
PCM
PERCENTAGE
BOARD/UNIVERSITY
B.Tech Marine
Engineering
2018 -
INDIAN MARITIME
UNIVERSITY
12
th
2013 74% 68.33% MAHARASHTRA BOARD
10
th
2011 91.45%
MAHARASHTRA BOARD
6. DETAILS OF B.TECH MARINE ENGINEERING COURSE:
Semester
Percentage
Average %
Semester 1 74.86%
71.5%
Semester 2 69.43%
Semester 3 68.36%
Semester 4 68.36%
Semester 5 71.2 %
Semester 6 68.7%
Semester 7 70%
Semester 8 81%
Swimming, Exercise, Playing and Watching Cricket.
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is true and correct to the best of my knowledge and belief; further, that no Certificate issued to me has ever been Revoked or Suspended.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: Sandip Gherade Signature
7. STCW AND OTHER COURSES
Details of Courses &
Certificates
Number
Dt. Of
Issue
Pl. of Issue
Issued by
Elementary First Aid 008**********-**/01/2017 Mumbai T.S.Rehman Personal Safety And Social
Responsibility
010**********-**/01/2017 Mumbai T.S.Rehman
Fire Prevention And Fire
Fighting
001**********-**/01/2017 Mumbai T.S.Rehman
Personal Survival Techniques 007**********-**/01/2017 Mumbai T.S.Rehman Security Training For Sea
Farers With Designated Security
Duties
20/01/2017
Mumbai
T.S.Rehman
8. HOBBIES AND INTEREST
9. OTHER CERTIFICATES
Sr.No.
Details of the Certificates
1. Certificate Of Participation In smooth conduct of Zila-Parishad & Panchayat Samiti Election as Additional Security Force.
2. Certificate Of Participation In Republic Day Parade and Guard of Honour 10. DECLARATION