1. 1. PERSONAL DETAILS
Surname :SRIVASTAV First Name :SHASHANK Middle Name :RAUNAK MUKESH
Nationality :INDIAN Date of Birth :18/08/1993 Place of Birth :BIHAR
Weight (kg) :59 Height (cm) :168 BMI : 20.54
Post Applied for : TRAINEE MARINE ENGINEER
Permanent Address : Present Address :
B-7/3,SADBHAVANA BUILDING,SCHEME-2,SEC.-20, B-7/3,SADBHAVANA BUILDING,SCHEME-2,SEC.-20,
KRISHNA NAGAR,CHINCHWAD,PUNE KRISHNA NAGAR,CHINCHWAD,PUNE
PIN Code:411019 Nearest Airport: PUNE PIN Code:411019
Tel No / Mobile No:+91 9960795219 Tel No / Mobile No:+91 9970137317
Email ID:shashanksrivastav18@gmail.com
2. PASSPORT DETAILS
Passport No.
Date of
Issue
Place of Issue Date of Exp. ECNR Blank Pages
Z2641128 15/07/2013 PUNE 14/07/2023 60
3. CONTINUOUS DISCHARGE CERTIFICATE / INDOS
Seaman’s
Book (CDC)
Number Date of Issue Place of Issue Expiry Date Remark
INDOS 11EL2311 25/07/2011 MUMBAI
CDC MUM 248427 07/05/2015 MUMBAI 06/05/2025
4. FAMILY INFORMATION
Family Data Name Occupation Contact Number
Father MUKESH SRIVASTAV
BRANCH MANAGER(H.M
LOGISTIC PUNE)
+91 9970137317
Mother NEELAM SRIVASTAV HOUSE WIFE +91 7756826552
Brother/Sister GAURAV SRIVASTAV STUDENT(BBA) +91 8600362069
MIT GROUP OF INSTITUTIONS PUNE
MAHARASHTRA ACADEMY OF NAVAL EDUCATION
& TRAINING [MANET]
Gat No.140, Loni-Kalbhor, Rajbaug, Pune-Solapur Highway, Pune-412201.

2. 5. ACADEMIC QUALIFICATION
QUALIFICATION
YEAR OF
PASSING
PERCENTAGE
PCM
PERCENTAGE
BOARD / UNIVERSITY
B.TECH MARINE
2015 69.96 Y.C.M.O.U
H.S.C.
2010 69.91 70.33 MAHARASHTRA BOARD
S.S.C.
2008 86.67 88.5 MAHARASHTRA BOARD
6. DETAILS OF B.TECH (MARINE) COURSE:
SEMESTER PERCENTAGE AVERAGE %
SEMESTER 1 68.7
69.96
SEMESTER 2 67.5
SEMESTER 3 72.0
SEMESTER 4 67.8
SEMESTER 5 67.1
SEMESTER 6 71.8
SEMESTER 7 70.0
SEMESTER 8 74.5
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
1651 04/01/2014 KOLKATA
SEACOM MARINE
COLLEGE
Proficiency in Survival Craft /
Rescue Boat / PST / PSC RB
Up gradation
7922 08/01/2014 KOLKATA
SEACOM MARINE
COLLEGE
Elementary / Medical First Aid /
Medicare
7582 11/01/2014 KOLKATA
SEACOM MARINE
COLLEGE
Personal Safety & Social
Responsibility (PSSR)
8692 28/12/2013 UNLIMITED KOLKATA
SEACOM MARINE
COLLEGE
Petroleum Tanker
Familiarization
11426 30/10/2015 UNLIMITED MUMBAI
MUMBAI MARITIME
TRAINING INSTITUTE
Chemical Tanker
Familiarization
9270 06/11/2015 UNLIMITED MUMBAI
MUMBAI MARITIME
TRAINING INSTITUTE
Certificate of DC (Oil) 5286 09/12/2015 29/10/2020 MUMBAI IMEI MUMBAI
Certificate of DC (Chemical) 2868 12/01/2016 5/11/2020 MUMBAI IMEI MUMBAI
8. OTHER CERTIFICATES
Sr.No. Details of the Certificates
01 NATIONAL KNOWLEDGE DISCOVERY EXAMINATION
02 TILAK MAHARASHTRA VIDYAPEETH
09. 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:SHASHANK RAUNAK SRIVASTAV Signature ___________