Wilhelmsen Ship Management Choice of interview Centre:

Mumbai New Delhi Kolkata Chennai Kochi

DECK CADET SELECTION- 2010 APPLICATION FORM (To be filled in Block Letters)
It is mandatory to appear for the CET conducted by Indian Maritime University (IMU). Please register with the IMU.

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This is a 2 page form. Please print the application form on the same page, fill and dispatch by post/courier.

Personal Data: Full Name (Surname, First Name) Fathers/ Guardians Name Date of Birth(dd/mm/yyyy) Age (as on 1st July 10) y y Correspondence address (*Pin Code is mandatory) m m Sex M F

(mandatory) PIN CODE*

Telephone No (with STD Code) Email ID (mandatory) Fathers / Guardians Occupation Height in Cms Weight in Kgs

Mobile No. (if any)

CET conducted by Indian Maritime University (IMU) for details visit www.imu.tn.nic.in Applied: # Enrollment No. (if received): Date applied:(dd/mm/yyyy) Y E S N O

# If you have not received the Enrollment No. from IMU, please leave the boxes blank:

*Academic Qualification: Graduation (BSc /BTech) Name of University Name of College and City Final Year Major Subjects: %age Marks

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Wilhelmsen Ship Management

*12th Standard Board (CBSE/ISC/HSC/etc):

Month/Year of passing/appeared (mm/yyyy)

Name of School/College and City

12th PCM %

12th English %

12th Overall %

(If results are awaited please write RESULT AWAITED in the above boxes)

*10th Standard Board (CBSE/ICSE/SSC/etc): 10th Std English Marks 10th Std Overall %

Month/Year of passing 10th Standard (mm/yyyy)

Pre Sea Training Details (if applicable): Completed /Undergoing

Candidates undergoing pre-sea training should fill in the appropriate details

Institute and Location: Month/Year of Passing: %age Marks Number of Subjects to clear, if any (Sem 1 and Sem 2): S e m 1 : S e m 2 :

(mm/yyyy) (Sem 1) (Sem 2) Are any of your relatives/friends serving in the Merchant Navy? If Yes, who? (If relative state relationship) Y N

Name of company where serving Describe in your own words, why you are the right candidate for a career at sea .. .. .. General Information : Extra curricular activities / other achievements .. .. .. ___________________ Date
th th

___________________ Signature of Candidate

Note: * 1. Attach marksheet copies of 10 Std, 12 Std (if applicable), Graduation (if applicable). 2. Do not send any original documents. 3. Ensure you have made a choice of the exam centre. 4. Ensure you have filled all the mandatory sections of the form. 5. Give details, if you have enrolled for the CET conducted by Indian Maritime University. 6. To avoid rejection, please fill this form properly.

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