Seven Islands Maritime Training Institute
Fill The Application Form Given Below
Application form for course : General Purpose Rating (GPR)
Batch : GPR 04
Field Marked with * are Mandatory
First Name
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Physical Details
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Father's / Guardian Details
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Teaching
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Retired
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Agriculture
C.A.
Farmer
Others
Company
Designation
Email
Income
0 - 50,000
50,000 - 1,00,000
1,00,000 -2,00,000
2,00,000- 3,00,000
3,00,000 - 4,00,000
4,00,000 - 5,00,000
6,00,000 - 7,00,000
7 LACS AND ABOVE
Mobile No
Mother's Details
Name
Occupation
Not Working
Business
Govt. Service
Teaching
Doctor
Engineer
Lawyer
Politician
Landlord
Retired
Pharmacist
Agriculture
C.A.
Farmer
Others
company
Designation
Email
Income
0 - 50,000
50,000 - 1,00,000
1,00,000 -2,00,000
2,00,000- 3,00,000
3,00,000 - 4,00,000
4,00,000 - 5,00,000
6,00,000 - 7,00,000
7 LACS AND ABOVE
Mobile No.
Permanent Address
( Click here for copy to Correspondence Address)
House No / Building No
Village / Post Office / Tehsil
City / District
Pincode
State
Country
Tel. No With STD Code
Correspondence Address
House No / Building No
Village / Post Office / Tehsil
City / District
Pincode
State
Country
Tel. No With STD Code
Passport Details
Passport No
Date of Issue
Place of Issue
Valid Upto
Academic Qualification
Qualification
Stream
Year Of Passing
Overall Percentage
English Percentage
School / College
Board / University
Class X/Equivalent
Class XII
Arts
Commerce
Science
3 Years Diploma/ B.E/B.Tech/2 Years I.T.I
Fitters
Mechanic Tractor
Mechanic Diesel
Mechanic Motor Vehicle
Machinist
Turner/Welder
Mechanical
Electrical & Electronics
Automobile
B.E/B.Tech
Academic Qualification
Nav tabs
Class X
Class XII
3 Years Diploma/ B.E/B.Tech
2 Years I.T.I
Tab panes
Qualification :
Class X/Equivalent
Stream
Year Of Passing
Overall Percentage
English Percentage
School / College
Board / University
Qualification :
Class XII
Stream
Year Of Passing
Overall Percentage
English Percentage
School / College
Board / University
Qualification :
3 Years Diploma/ B.E/B.Tech
Stream
Year Of Passing
Overall Percentage
English Percentage
School / College
Board / University
Qualification :
2 Years I.T.I
Stream
Year Of Passing
Overall Percentage
English Percentage
School / College
Board / University
Hobbies & Other Achievements
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Other Details
I intend to meet the expenses of course through
Relative Resources
Bank Loan
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Where did you hear about Seven Islands Maritime Training Institute.
Aspiring Minds
Naukri.com
Friends/Alumni
Shiksha
Internet
Website
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Amount to be paid:
Rs 600
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