Admission Application Form

First Name

Middle Name

Last Name

Mobile

Date of Birth

Age

Blood Group

Gender

Email Id

Marital status

Nationality

Mother Tongue

Aadhar Card Number

Pan Card Number

Place of birth

Category

Height (Cms)

Weight (Kgs)

Name

Occupation

Company

Designation

Income

Mobile No

Name

Occupation

company

Designation

Income

Mobile No.

House No / Building No

Village / Post Office / Tehsil

City / District

Pincode

State

Country

Tel. No With STD Code

House No / Building No

Village / Post Office / Tehsil

City / District

Pincode

State

Country

Tel. No With STD Code

Passport No

Date of Issue

Place of Issue

Valid Upto

Qualification

Year Of Joining

Result Status

Year Of Passing

English Percentage

Final Year Percentage

Aggregate Percentage

School / College

Board / University

Class X

Class XII/Diploma

Degree

Qualification : Class X

Year Of Joining

Result Status

Year Of Passing

English Percentage

Final Year Percentage

Aggregate Percentage

School / College

Board / University

Qualification : Class XII/Diploma

Year Of Joining

Result Status

Year Of Passing

English Percentage

Final Year Percentage

Aggregate Percentage

School / College

Board / University

Qualification : Degree

Select degree

Year Of Joining

Result Status

Year Of Passing

English Percentage

Final Year Percentage

Aggregate Percentage

School / College

Board / University

PCM

Subject

Marks Obtained

Total Marks

Percentage

Physics

Chemistry

Mathematics

Grand Total

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PCM

Physics

Chemistry

Mathematics

Grand Total

Subject : Physics

Marks Obtained

Total Markss

Percentage

Subject : Chemistry

Marks Obtained

Total Markss

Percentage

Subject : Mathematics

Marks Obtained

Total Markss

Percentage

Subject : Grand Total

Marks Obtained

Total Markss

Percentage

IMU CET Details

IMU Registration Number

Hall Ticket Number

Rank

Hobbies & Other Achievements

Other Details

I intend to meet the expenses of course through

Where did you hear about SHIPPING CORPORATION OF INDIA LAND AND ASSETS.

Reference

Name of Person

Designation

Company Name

Upload Documents

Photograph (PNG/JPEG)

Signature (PNG/JPEG)

Aadhar-Card Front Copy (PDF)

Aadhar-Card Back Copy (PDF)

Passport (PDF)

12th Marksheet/HSC Certificate (PDF)

Diploma / Degree Certificate (PDF)

Amount to be paid: Rs 500

Fill The Application Form Given Below

Physical Details

Father's / Guardian Details

Mother's Details

Permanent Address

( Click here for copy to Correspondence Address)

Correspondence Address

Passport Details

Academic Qualification

Academic Qualification

PCM

PCM

IMU CET Details

Hobbies & Other Achievements

Other Details

Reference

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