AMET City College

Salutation:

Ms Mr Capt

Name:

Date of Birth:

Indos no:

Email Id:

Mobile / Whatsapp No:

Alternate/ Landline No:

Address 1 (Current):

Address 2 (Communication):

City:

State:

PIN Code:

Medical Certificate expiry date:

Wish to join:

Merchant Navy (fresher) Post Sea Courses

Mention Preferred Course:

Blood Group:

Qualification:

Current Rank:

Total Sailing Time ( in months):

Accommodation Arrangement by:

AMET City College Candidate

Preferred Course Starting Date (Between) :

Preferred Course Ending Date (Between) :

Documents Sent by e-mail (ametcitycollege@gmail.com):