PROFILE

*.

PASSPORTDETAILS

PASSPORT

NO

DATEOF

ISSUE

PLACEOF

ISSUE

DATEOF

EXP

ECNR BLANK

PAGES

S6829862 07/08/2018 MUMBAI 06/08/2028 16

3.CDC/INDOS

SEAMANSBOOK NUMBER DATEOF

ISSUS

PLACEOF

ISSUE

EXPIRY

DATE

REMARK

Surname–JAISWAL

FirstName-HARSH Middle-MANOJ

Nationality-INDIAN DateofBirth-27/08/2000 PlaceofBirth- SantaCruz,Maharashtra

Weight-80kg Height-180cm

PermanentAddress-21/2ParshuramSadan,2ndFloor,

Sangitawadi,ShivMandirRoad,DombivliEast421201

DistrictThaneStateMaharashtra

Permanent Address- 21/2

Parshuram Sadan,2ndFloor,

Sangita wadi, Shiv Mandir

Road,DombivliEast421201

District Thane State

Maharashtra

Nearestairport-Mumbai,Pune Telephone–965-***-****,

970-***-****

Email:adrx30@r.postjobfree.com Dombivli,Thane,Maharashtra CDC(INDIA) MUM

408969 28/01/2020

MUMBAI

27/01/2030

INDOSNO 18NL2673 14/03/2018

4.FAMILYDETAILS

FULLNAMENEXTTOKIN-MANOJ

JAISWAL

RELATIONSHIP-FATHER

PermanentAddress-21/2Parshuram

Sadan,2ndFloor,Sangitawadi,ShivMandir

Road,DombivliEast421201DistrictThane

StateMaharashtra

CONTACT-970-***-****

NAME OCCUPATION CONTACTNUMBER

FATHER MANOJJAISWAL BUSINESSMEN 970-***-****

MOTHER SANGEETA

JAISWAL

HOUSEMAKER 989-***-****

MYSELF HARSHJAISWAL STUDENT 965-***-****

5.ACADEMICQUALIFICATIONS

QUALIFICATION YEAROF

PASSING

PERCENTAGE CLASS BOARD/UMIVERSITY INSTITUTEN

S.S.C 2015 88% FIRST MUMBAIDIVISIONAL

BOARD

SISTERNIVE

ENGLISHSC

H.S.C 2017 65% SECOND MUMBAIDIVISIONAL

BOARD

S.K.SOMAIY

VIDYAMAND

D.N.S.(DIPLOMA

INNAUTICAL

SCIENCE)

2019 ANNAMALI(CHENNAI) INTERNATIO

MARITIME

ACADEMY

6.STCWANDOTHERCOURSES

DETAILSOFCOURSE

ANDCERTIFICATES

NUMBER DT.OF

ISSUE

DT.OF

EXPIRY

PLOF

ISSUE

ISSUES

BY

FIREFIGHTINGAND

FIREPREVENTION

(FPFF)

406************

30/04/2019 UNLIMITED

CHENNAI IMA

PERSONALSURVIVAL

TECHNIQUES(PST)

406************

30/04/2019 UNLIMITED

CHENNAI IMA

ELEMENTRY/MEDICAL

FIRSTAID/MEDICARE

406************

30/04/2019 UNLIMITED

CHENNAI IMA

PERSONALSAFETY

&SOCIAL

RESPONSIBILITY(PSSR)

406************

30/04/2019 UNLIMITED

CHENNAI IMA

SECURITYTRAINING

FORSEAFARERSWITH

DESIGNATED

SECURITYDUTIES

(STS)

406************

25/05/2019 UNLIMITED

CHENNAI IMA

BASICTRAININGFOR

OILANDCHEMICAL

TANKERCARGO

OPERATIONS

UNLIMITED

STEERINGSIMULATOR

TRAINING

40602611218DNS/2018134 31/08/2019 UNLIMITED CHENNAIIMA SHIP-IN-CAMPUS

FAMILIARISATION

40602611218DNS/2018134 31/08/2019 UNLIMITED CHENNAIIMA ISPSCODEANDISM

CODE

40602611218DNS/2018134 31/08/2019 UNLIMITED CHENNAIIMA HOBBIESANDINTREST-ATHLETIC,PUBLICSPEAKING,DEBATES, SPORTSFREAK

7.ACHIEVEMENTSANDCERTIFICATES

SR.NO DETAILSOFCERTIFICATES

1 IIT-JEE,NEET,NDA

2 STOODSECONDINDROPROBALLHELDATHARYANAANDTHIRDPLACEAT BOISAR

3 DROPROBALLATSTATEANDNATIONALLEVELANDKABADDI,CRICKET, VOLLEYBALLATD.S.OLEVEL

8.DECLARATION

Ihearbyaffirmthataltheinformationprovidedbymeinthisapplicationistrueand correcttothebestofmyknowledgeandbelief,further,thatnocertificateissuedtomehas evenbeen

revokedorsuspended

Date- Name-HARSHJAISWAL

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