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Name Of Post *
Seaman
Deck rating
Cook
-
Fitter
Welder
Electrician
Candidate's Full Name:
Father's /Husband's Name :
Mother's Name:
Date of Birth :
E Mail:
Gender:
Male
Female
Marital Status :
Married
UnMarried
Religion:
Hindu
Muslim
Christian
Sikh
Budhist
Jain
Parsi
Others
Nationality:
Indian
Others
Category:
GN
SC
ST
OBC
Person With Disability
Contact No. 1:
Contact No. 2:
Visible Mark of Identification on Body:
Postal Address
Town / Village *
Post Office*
Teshil *
District*
City *
State *
Pin Code*
Permanent Address
Upload Your Photo
Upload Your Signature
Upload Your 10th Cetificates.
Education
10th
Passing Year
10+2
Passing Year
Greaduation/
Deploma/
Other
Passing Year
Captcha:
6002
Declaration:
I hereby certify that above particulars mentioned in the application are correct and true to the best of my knowledge and belief. If any particulars mentioned by me is found false at any stage then I shall be liable to be terminated without any notice.
