PERSONAL DETAILS
POSITION :
DECK CADET
NAME
(As in School Leaving Certificate) :
LAST NAME FIRST NAME MIDDLE NAME
DATE OF BIRTH
(dd/mm/yyyy)
:
01
02
03
04
05
06
07
08
09
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
/
01
02
03
04
05
06
07
08
09
10
11
12
/
1984
1985
1986
1987
1988
1989
1990
1991
1992
1993
GENDER
:
MALE
FEMALE
MARITAL STATUS
:
UNMARRIED
MARRIED
VISION
(Eye-Sight)
:
6/6
6/9
6/12
6/18
6/6
6/9
6/12
6/18
NO
YES
LEFT RIGHT COLOR-BLIND
HEIGHT
(cms)
:
WEIGHT
(kgs)
:
EDUCATIONAL QUALIFICATION
10TH CLASS
:
TOTAL (%)
ENGLISH (%)
12TH CLASS
(10 + 2) :
TOTAL (%)
ENGLISH (%)
PHYSICS (%)
CHEMISTRY (%)
MATHS (%)
AWAITING
RESULT
GRADUATION
:
or
N/A
BSc
BE/BTech
B Sc
TOTAL (%)
B E / B Tech
TOTAL (%)
AWAITING
RESULT
APPLIED FOR IGNOU OPENNET EXAM :
Yes
No
EDUCATIONAL QUALIFICATION
10TH CLASS
:
TOTAL (%)
ENGLISH (%)
12TH CLASS
(10 + 2) :
TOTAL (%)
ENGLISH (%)
PHYSICS (%)
CHEMISTRY (%)
MATHS (%)
OR
DIPLOMA :
TOTAL (%)
STREAM
GRADUATION :
(MECHANICAL ENGINEERING ONLY)
Yes
No
B E\ B TECH
FINAL YEAR (%)
AICTE APPROVED COLLEGE
OR
Yes
No
AWAITING
RESULT
B E\ B TECH
3RD TO 7TH
SEMESTER AVG (%)
AICTE APPROVED COLLEGE
APPLIED FOR IGNOU OPENNET EXAM :
Yes
No
