1. 1. PERSONAL DETAILS
Surname :KUMAR First Name :PRASHANT Middle Name :
Nationality : INDIAN Date of Birth :01/09/1989 Place of Birth :ANGADPUR(W.B)
Weight (kg) :72 Height (cm) : 185
Post Applied for : TRAINEE MARINE ENGINEER (T.M.E)
Permanent Address :G-20B NEW COLONY DVC
DTPS DURGAPUR-7. DISTRICT BURDWAN
Present Address : G-20B NEW COLONY DVC
DTPS DURGAPUR-7. DISTRICT BURDWAN
WESTBENGAL WESTBENGAL
PIN Code:713207 Nearest Airport:DUMDUM PIN Code: 713207
Tel No / Mobile No:+918944812372 Tel No / Mobile No:+918944812372
Email ID:prashant.kumar972@gmail.com
2. PASSPORT DETAILS
Passport No.
Date of
Issue
Place of Issue Date of Exp. ECNR Blank Pages
L5342725 23/10/2013 KOLKATA 22/10/2023 32
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Book (CDC)
Number Date of Issue Place of Issue Expiry Date Remark
Indian MUM253405 13-10-2015 MUMBAI 12-10-2025
INDOS 07GL3996 03-12-2007 INDIA
4. FAMILY INFORMATION
Full Name of Next of Kin : SURESH KUMAR Relationship : FATHER
Address of Next of Kin: G-20B NEW COLONY DVC DTPS
DURGAPUR-7. DISTRICT BURDWAN, WESTBENGAL
Tel No. : +919476323764
Family Data Name Contact Number/e-mail ID
Father SURESH KUMAR +919476323764
Mother SANGITA SINHA +917501671782
Brother/Sister SOURAV RANJAN +919691573764
Other
INTERNATIONAL MARITIME INSTITUTE
13, Knowledge Park-1,Surajpur Kasna Road,
Greater Noida.-201310
Ph no-0120-2326311/2326312/2326313

2. 5. ACADEMIC QUALIFICATION
QUALIFICATION YEAR OF PASSING PERCENTAGE BOARD/UNIVERSITY
G.M.E 2015 61 D.G SHIPPING
B.TECH 2014 72 WBUT
H.S.C. 2010 71 B.S.EB PATNA
S.S.C. 2005 63 CBSE
6. DETAILS OF B.TECH (MECHANICAL) COURSE:
SEMESTER PERCENTILE AVERAGE %
SEMESTER 1 6.33
72 %
SEMESTER 2 6.62
SEMESTER 3 7.43
SEMESTER 4 8.73
SEMESTER 5 8.89
SEMESTER 6 8.48
SEMESTER 7 8.04
SEMESTER 8 7.95
7. STCW AND OTHER COURSES :
Details of Courses &
Certificates
Number Dt. Of Issue Dt. Of Expiry Pl. of Issue
Issued
by
Advanced / Basic Fire
Fighting
FPFF-5724 6/06/2015 05/06/2021 GREATER NOIDA IMI
Proficiency in Survival
Craft / Rescue Boat / PST /
PSC RB Up gradation
PST-4385 13/06/2015 12/06/2021 GREATER NOIDA IMI
Elementary / Medical First
Aid / Medicare
EFA-4321 28/01/2015 27/01/2021 GREATER NOIDA IMI
Personal Safety & Social
Responsibility (PSSR)
PSSR-
4350
24/01/2015 23/01/2021 GREATER NOIDA IMI
SECURITY TRAINING
FOR SEAFARERS WITH
DESIGNATED SECURITY
DUTIES(STSDSD)
ST-0902 15/07/2015 14/07/2021 GREATER NOIDA IMI
Petroleum Tanker
Familiarization
Chemical Tanker
Familiarization
Gas Tanker Familiarization
8. OTHER CERTIFICATES
Sr.No. Details of the Certificates

3. 9. DANGEROUS CARGO ENDORSEMENTS
Dangerous Cargo
Endorsements
Grade /
Level
I / II
Number
Date of
Issue
Place of
Issue
Date Of
Expiry
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 _21_/_01_/_2016__ Name PRASHANT KUMAR Signature