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[ 3 Days Free Trial ]

A) PERSONAL PARTICULARS
Name Telephone Nos
Date/Place Of Birth Age
Present Address Email Address

B) EDUCATION
School
Year Passed (10+2)  
Overall Percentage (% age) In PHY Chem Maths Eng
If graduate
year Passed		 %age of Marks  
 

C) FAMILY BACKGROUND
Father's full name Profession Salary
Mother's full name Profession Salary
Numbers of Brother's Sisters Any one in merchant navy
Loan Scholorship Required        
D) OTHER –  
E) Can you Swim? Metres
F) Do you have good command over Written/Spoken English

G) Passport No. Issued At Valid Upto
H) Height (Cms) Weight  
I) Food Married  
J) Eye Sight Glasses Non Glasses Color Blind
K) Came to know through If Other, Specify
 
Please ensure the following attested copies are enclosed.
1. SCHOOL LEAVING CERTIFICATE
2. MARKSHEET FOR 10+2
3. INDEMNITY BOND
4. MEDICAL CERTIFICATES FROM YOUR DOCTOR, INCLUDING EYESIGHT ANDCOLOUR VISION
5. PSYCHOMETRIC TEST
6. COLOUR PHOTOGRAPHS - 16 NOS
7. PASSPORT COPY WITH PAGES OF PHOTOGRAPH , ECNR NOT REQUIRED , PARENTS DETAILS
8. A SHORT WRITEUP OF 500 WORDS WHY YOU WANT TO JOIN MERCHANT NAVY AND WHY RAKTSS ?
 
FOR OFFICAL USE : CRITERIA AND REMARKS:
12th or P C M E %Age

SPOKEN ENGLISH -           
FREE 3 DAYS COURSE
* SELECTION FOR THE FREE TRIAL IS AS PER THE DECISION OF RAKTSS PANEL AND IS FINAL
SELECTOR’S SIGNATURE
 
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