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Entrance Test Application Form of Merchant Navy

This document contains an application form for entrance into the Sealanes Maritime Academy merchant navy program. The form requests information such as name, date of birth, height, weight, nationality, address, mobile number, email, educational qualifications, and a declaration signed by the candidate and guardian. It also contains an admit card section for the candidate to fill out with their name, father/guardian's name, date of birth, and signature. The admit card notes the entrance exam and interview date and time, as well as the candidate's roll number and examination center.

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abhijit kumar
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547 views2 pages

Entrance Test Application Form of Merchant Navy

This document contains an application form for entrance into the Sealanes Maritime Academy merchant navy program. The form requests information such as name, date of birth, height, weight, nationality, address, mobile number, email, educational qualifications, and a declaration signed by the candidate and guardian. It also contains an admit card section for the candidate to fill out with their name, father/guardian's name, date of birth, and signature. The admit card notes the entrance exam and interview date and time, as well as the candidate's roll number and examination center.

Uploaded by

abhijit kumar
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

SEALANES MARITIME ACADEMY

(A UNIT OF OHM EDUCATIONAL TRUST) Reg.No.161


Entrance Test Application Form of Merchant Navy
In office use only
Roll No.-SMA/EXA/14/S

_____________________________________________________
1.Post Applied For (Choose only one)

SEA MAN DECK RATING ENGINE RATING

2. Name of Candidates:

3.Father’s Name:

4.Date of Birth: D D M M Y Y Y Y Height Weight

5.Nationality:

6.Mailing Addres:

DIST:- STATE:- PIN CODE:-

7.Mob. No.:-________________________________ e-mail address:______________________________________________________

8.Educational Qualification:

Passed Year Subject Percentage


Exam.Passed
10”
10+2

Declaration: I hereby declare that above mentioned information are true and correct to the best of my knowledge and belief.

Place:_________________________________ _______________________________________ __________________________________

Date:_________________________________ Signature of the Guardian Signature of Candidate


ADMIT CARD
(FILLED BY THE CANDIDATE)
1.Post Applied for (Choose only one):
SEA MAN DECK RATING ENGINE RATING
2.Name of Candidates:

Father’s/ Guardian’s Name:

Date of Birth
D D M M Y Y Y Y Height Weight

Signature of Candidate_________________ Entrance & Interview, Date & Time: _________________


Roll No:-SMA/EXA/:

Examination Center

___________________________________
Authorized Signature

Note :- In case of any Confusion or problem ,Please contact on:-09838367256, 0551-6506070

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