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ACADEMIC QUALIFICATION:
STANDARD PASSING YEAR SUBJECTS MARKS SCHOOL BOARD

10th

10+2

SCIENCE MATHS ENGLISH (PCM %) PHYSICS CHEMISTRY MATHS ENGLISH (PCM%)

EXTRA CURRICULAR ACTIVITIES

CERTIFICATE

DATE OF ISSUE

PLACE OF ISSUE

DATE OF EXPIRY

MEDICAL CERTIFICATE YELLOW FEVER

DOCUMENTS HELD:
DOCUMENTS NO. DOI DOE PLACE OF ISSUE ECNR(YES/N O)

PASSPORT C.D.C

COURSE DETAILS:
COURSES CERTIFICATE NO. DATE OF ISSUE INSTITUTE PLACE OF ISSUE

PRE-SEA TRAINING P.S.S.R P.S.T E.F.A FPFF

VALUE ADDITION COURSES:

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OTF CTF GTF

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REFRENCE

PLACE: CHENNAI __________________________

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DATE: 3/SEP/2011 (NS\ME):__________________________

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