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    GP Rating Course Application

    Uploaded by

    aryanshuklapoi
    Application of gpr rating

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    GP Rating Course Application

    Uploaded by

    aryanshuklapoi
    8 views2 pages
    Application of gpr rating

    Original Title

    GP_rating_course_Application

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    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Application of gpr rating

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    8 views2 pages

    GP Rating Course Application

    Uploaded by

    aryanshuklapoi
    Application of gpr rating

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    of 2

    COMMANDER ALI’S ACADEMY OF MERCHANT NAVY

    (An ISO 9001:2015 certified institution; Approved by DG Shipping, Govt. of India)


    Survey No.469, Village Donthi, Shivampet Mandal, Medak District, Telangana - 502334, India.
    Candidate Enquiry: 09867209187, 07091404348 | E-mail: admission@caamn.in

    APPLICATION APPLICATION FOR ADMISSION


    NUMBER Please tick the required course
    Affix recent passport
    DECK CADETS – PRE-SEA TRAINING (3 Months) size photograph here
    (Taken with in six months)
    GP RATINGS – PRE-SEA TRAINING (6 Months)
    CCMC – PRE-SEA TRAINING (6 Months)

    PLEASE COMPLETE THE FORM IN BLOCK LETTERS


    Personal Details:
    FULL NAME (in capitals):
    (As given in the records of Board/University) (Underline Surname)

    Fathers Name (or Mother, if no Father):


    Occupation (in full detail):
    Now stationed at:

    Next of kin or Guardian (with relationship) to


    Address for Correspondence:
    contact in case of emergency:
    Name:
    Relationship:
    Address:

    Pin Code: Pin Code:


    State: State:
    Mobile / Tel. No.: Mobile / Tel. No.:
    Fax No. with STD code: Fax No. with STD code:
    E-mail: E-mail:
    Date of Birth:
    (Attach copy of proof Nationality:
    of date of birth)
    Place of Birth:
    State of Birth: Sex: Male / Female

    Passport No.: (Only if available) Date of Issue:


    Place of Issue: Date of Expiry:
    Marital Status: Height: Cms Weight: Kgs

    Identification Marks (Any Two):

    Color of Eyes: Color of Hair:


    Complexion: Nearest Airport:

    1|Page
    Qualifications:
    Name of School or college where you completed 10th Std. Or 10+2 Std.:

    Name of Board:

    Month & Year of Passing 10 th Std.: Certificate No.:


    Please enter details of results obtained (Enclose copy of 10th Std Marks Memo)
    Subject Percentage Marks Obtained Total % in 10 th STD
    ENGLISH (X STD)
    MATHEMATICS (X STD)
    SCIENCE (X STD)
    Please enter details of results obtained (Enclose copy of 12th Std, Diploma or Degree Marks Memo)
    Subject Percentage Marks Obtained PCM Aggregate %
    PHYSICS (XII STD)
    CHEMISTRY (XII STD)
    MATHEMATICS (XII STD)
    ENGLISH (XII STD)
    Further Information:
    Do you play any Musical Instrument: Yes / No (If Yes) Name of Instrument:

    Please give any further appropriate information to support your application e.g. Achievements, Extra Curricular
    Activities, hobbies, special interests, etc.

    I hereby declare that I have read and understood the conditions of eligibility for the course to which I seek
    admission. I fulfil the minimum eligibility criteria and I have provided necessary information in this regard. In the
    event of any information being found incorrect or misleading my candidature shall be liable to cancellation at any
    time and I shall not be entitled to refund of any fee paid by me to the Academy. The original certificates will be
    produced at the time of interview.

    ________________________ ________________

    Applicants Signature Date


    (N.B. If you need some more copies of this application, please take photocopies)
    FOR ACADEMY USE
    APPLICATION RECEIVED ON INTERVIEW ON
    RESULT OF INTERVIEW PASSED FAILED
    MEDICAL EXAMINATION PASSED FAILED
    CET PASSED FAILED Proof Submitted YES NO
    SELECTED TO JOIN YES NO

    Signature of Director

    2|Page

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