Merchant Navy Application 2019

Name
:
Address
:
Date of Birth
:
Email
:
Mobile
:
slider image slider image slider image slider image slider image

Online Application form for Merchant Navy 2019

APPLICATION FORM
Application for GP Rating/Deck Cadet/Engine Cadet: *
Course Code:
DD No : Issuing Bank:
Ref. ID.
A) PERSONAL PARTICULARS:
Name (in full): *
Address:
Postcode
Town / City:
State*:
Telephone (Home)*:
Mobile Phone:
Date of Birth (dd/mm/yyyy):     *
Citizenship:
Place of Birth:
Religion:
Email Address: *
Gender:
Age: *
Weight (kg):
Passport
B) ACADEMIC QUALIFICATION FOR GP RATING/DECK CADET /ENGINE CADET:
School Exam Result - 10+2
Year:
Subject Grades Obtained / % Of Marks
English Language
Mathematics
Physics
Chemistry
School Exam Result - 10+2
Year:
Subject Grades Obtained / % Of Marks
English Language
Mathematics
Physics / Science
Academic Qualification for engineering Candidate TME Programe (B.Tech. Mech/EEE/Automobile)
Qualification B.Tech. Mech EEE Automobile
Year % Of Marks
C) QUESTIONS:
1) Are you a swimmer?
Answer:
2) Are you wearing visual aids (spectacles or contact lens)?
Answer:
If "Yes", please advise the degree of your visual aid :
3) Are you colour blind?
Answer:
4) Are you suffering from any illness that may hinder you from attending any course?
Answer:
5) Extra Curricula Acitivities:
1
2
3
4
5.3) Sports
Representing
6) Hobbies:
Answer:
D) PARENTS / GUARDIAN INFORMATION:
Father / Guardian's Name *
Occupation: *
Telephone (Home):  *
Mobile Phone:  *
E)EMERGENCY CONTACT DETAILS FOR NEXT OF KIN
Name:
Address:
Telephone (Home):  
Mobile Phone:  
Relationship:
F) INSTRUCTIONS TO APPLICANTS
1) This form must be completed and submitted via email to (info@merchantnavy.co) and a printed copy is to be brought along on the      interview day (if you are successful) together with certified photocopies of the following documents:-
G) DECLARATION
Signature
I confirm and certify that the information given above are true.
Instruction
To All Candidates:
1. Candidates need to fill their application form carefully.
2. Course selection should be as per the eligibility criteria mentioned in website.
3. Candidates need to courier the hardcopy of application form along with DD of Rs.600 which is supposed to be taken in favour of “Capella Maritime Career Institute, payable at New Delhi “.
4. After receiving application form candidates will be informed for Written Test /Interview in due course by way of e-mail/courier/phone.
5. At the time of examination candidates need to carry all the relevant documents (10th, 12th / B.Tech).
6. After examination, shortlisted candidate will be notified by e-mail/phone/courier.