Chief Mate Admission form

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Chief Mate Admission form

All field mark with * is mandatory

Full Name*

CDC Number*

Batch Commencement*

Exam Appearing For*
UKPh.IPh.IINCV MATESINGAPORE

Passport No.*

Next Attempt*

Previous Attempt*

Subject/s Undertaken*

Written:
NAVIGATIONNAV. ARCH.-ICARGO STOWAGE & HANDLINGNAV. ARCH.-IIENGINEERING KNOWLEDGE

Oral:
FUNCTION IFUNCTION IIFUNCTION III

Ref. From*
FriendBrochureFacebookGoogleWebsite

Permanent Address(As per ID proof submitted below)*

Contact*

Email*

Next Of KIN Details-

Name *

Contact*

Relation*

Mode Of Payment*
IMPSNEFT/RTGSGoogle Pay

Payment Reference Details*

Passport Size Photo(with professional background) *

Passport Copy (First & last page- scan & submit in one pdf)*

Copy Of CDC (First & last page- scan & submit in one pdf)*

Declaration

I hereby declare that all the above information is true to my knowledge and correct. I also understand that any incorrect information posted herewith would lead me into a legal integration with the administration under the relevant Penal Acts of Govt. Of India.

I have hereby read & agree to the Terms & Conditions for admission.

Signature*

* please scan a image of signature in white background paper and upload the scanned file here.