POSITION : TRAINEE MARINE ENGINEER
NAME (As in School Leaving
Certificate) :
LAST NAME
FIRST NAME
DATE OF BIRTH (dd/mm/yyyy) :
GENDER:
MARITAL STATUS :
EYE-SIGHT:
HEIGHT (cm) :
WEIGHT (kg) :
MIDDLE NAME
CONTACT DETAILS
MAILING ADDRESS:
STATE:
EMAIL:
COUNTRY:
(a)
PINCODE:
(b)
CONTACT PHONE NO
STD-CODE
PHONE NUMBER
MOBILE NUMBER
EDUCATIONAL DETAILS
10TH CLASS :
TOTAL (%)
12TH CLASS (10 + 2) :
TOTAL (%)
DIPLOMA (IF APPLICABLE) :
ENGLISH (%)
ENGLISH (%)
PHYSICS (%)
TOTAL %
CHEMISTRY (%)
MATHS (%)
STREAM
GRADUATION :
( MECHANICAL ENGINEERING
ONLY)
B E / B Tech
FINAL YEAR (%)
WHETHER AICTE
APPROVED COLLEGE
IF AWAITING RESULT
3RD to 7TH SEMESTER AVG %
FAMILY DETAILS
FATHER'S NAME:
OCCUPATION:
MOTHER'S NAME:
OCCUPATION:
DETAILS OF OTHER FAMILY MEMBERS:
NAME
RELATION
AGE
OCCUPATION
DECLARATION
I hereby declare that all statements made in this application are true, complete and correct to the best of my
knowledge and belief. I understand that in the event of any information being false or incorrect, my candidature/
appointment is liable to be rejected.
DATE:
TME Form
SIGNATURE: