01.

PERSONAL DETAILS

Surname : Bhosekar First Name : Akshay Middle Name : Anil

Nationality : Indian Date of Birth : 13/05/1996 Place of Birth : Jaysingpur

Weight (kg) : 65 Height (cm) : 178 BMI :20.5

Post Applied for : Trainee Marine Engineer

Permanent Address : House No.-145,Ghalwad Present Address : House No.-145,Ghalwad

Road, Dhavali ,Sangli, Maharashtra Road, Dhavali ,Sangli, Maharashtra

PIN Code: 416410 Nearest Airport: Pune PIN Code: 416410

Tel No / Mobile No: 9130734363 Tel No / Mobile No: 9130734363
Email ID: akshaybhosekar1008@gmail.com

02. PASSPORT DETAILS

Date of
Passport No. Place of Issue Date of Exp. ECNR Blank Pages
Issue
T3321689 05/04/2019 PUNE 04/04/2029 36

03. CONTINUOUS DISCHARGE CERTIFICATE / INDOS

Seaman’ s Number Date of Issue Place of Issue Expiry Date Remark

Book (CDC)

INDIAN KOL116684 25/07/2019 KOLKATA 24/07/2029

INDOS 18EL3273 08/10/2018 INDIAN
04.ACADEMIC QUALIFICATION

YEAR OF ENGLISH PCM BOARD /

QUALIFICATION PERCENTAGE/GRADE
PASSING PERCENTAGE PERCENTAGE UNIVERSITY

Graduate 2019 71.8% (B) - - Directorate

Marine general
Engineering shipping
B.E 2018 61% - - Shivaji
MECHANICAL University
Kolhapur
H.S.C. 2014 72% 71% 71.4% Maharashtra
State Board
S.S.C. 2012 79% 70% - Maharashtra
State Board

05. STCW COURSES

Details of Courses & Dt. Of Pl. of

Number Dt. Of Issue Issued by
Certificates Expiry Issue

Basic Safety Training MARITIME

401007307190092 23/03/2019 Chennai
(STCW-BASIC) FOUNDATION
Security Training For
Seafarer With
MARITIME
Designated Security 401007148190072 09/03/2019 Chennai
Duty FOUNDATION
(STSDSD)
Oil Tanker MARITIME
401007076190072 08/10/2019 Chennai
Familarisation FOUNDATION
Chemical Tanker MARITIME
401007076190072 08/10/2019 Chennai
Familarisation FOUNDATION
Gas Tanker MARITIME
401007075190052 15/10/2019 Chennai
Familarisation FOUNDATION

06. OTHER CERTIFICATES

Sr.No. Details of the Certificates

01) Got first prize in Project Competition in first year mechanical engineering
02) Got first prize in Paper presentation in National Event
03) Got second prize in Badminton Game in National Level Event at DKTE
04) Complete one week industrial training in Kirloskar Brother Ltd, Kirloskarwadi
05) Complete one week industrial training in Hi-Tech Engineering, Shirol
06) Got first prize in Graduate marine Engineering

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 Akshay A Bhosekar Signature _______________