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MERCHANT NAVY ENTRANCE TEST 2022

Interested to Join*: *

Courses: *

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Full Name (in Capital Letters) (As given in the records of Board/University): *

Father`s Name: *

Mother`s Name: *

Street Address: *

Pin: *

City: *

State: *

Contact No: *

Alternate No:

Email: *

Other Details

Date of Birth: *

Nationality: *

Place of Birth: *

Sex: * MaleFemaleOther

Marital Status: *

Blood Group: *

Height: *

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Passport Details

Passport No.

Place of Issuance

Date of Issuance

Date of Expiry

Education Details

Name of the School from where you passed 10th:*

Name of the School from where you passed 12th:

Name of the Institute/College(Diploma/Degree)

Exam	Board/University	Year of Passing	Subjects/Stream	Percentage (%)	Marks in English
10th
12th
Diploma/Degree

NOTE: If appearing for 10+2 board write "appearing" in the column above. If awaiting result for 10+2 board write "awaiting result" in the column above.

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Acknowledgment

I hereby declare that I have read and understood the conditions of eligibility for the course to which I seek admission. I fulfill the minimum eligibility criteria and I have provided necessary information in this regard. In the event of any information being found incorrect or misleading my candidature shall be liable to cancella-tion at any time and I shall not be entitled to refund of any fee paid by me to the academy. The original certificates will be produced at the time of Interview.