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APPLICATION FORM FOR MERCHANT NAVY

APPLICATION FOR ADMISSION IN MARINE TRAINING

CET 2017-2018


Applied Post
PERSONAL INFORMATION
Applicant Name Date Of Birth
Father's Name
Please do not add Mr, Dr etc
Mother's Name
Please do not add Mrs, Smt, Dr etc
Gender Male     Female Any Criminal Activity Yes       No
Nationality Father's Occupation
Applicant Email ID Parent's Phone
Family's Annual Income Passing year of last Qualification
Examination Center Center Code is:
Reservation(If Any)
Upload Photo File size allowed 50kb.
Upload Signature File size allowed 20kb.
Correspondence Address
Address City/Village
Post Office
State District
Country Contact No.
Pincode
Same as above
Permanent Address
Address City/Village
Post Office
State District
Country Contact No.
Pincode
EDUCATIONAL QUALIFICATION
Exam Passed School/College Year of passing Subjects with percentage %age
10th
12th(PCM)
Subjects English Math Physics Chemistry Hindi
%age
12th(PCB)
Subjects English Biology Physics Chemistry Hindi
%age
12th(Commerce/Arts)
Graduate/Diploma
Other(8th, etc.)
PHYSICAL ENDURANCE
Height(In cm) Weight(In kgs)
Color Blindness Eye Vision
DECLARATION

I declare that the particulars furnished above are true to the best of my knowledge and belief and whenever called for the records shall be furnished.

I agree to above declaration.