Professional Documents
Culture Documents
APPLICATION FORM
(To be filled in Block Letters)
This is a 2 page form. Please fill, print, scan and send the application form along with scanned copies
of the relevant documents as mentioned in item (2) at the end of the form by email to:
imtc.mumbai@wilhelmsen.com.
Personal Data:
*Full Name (Surname, First Name)
Y A D A V B H A R A T
*Father’s/ Guardian’s Name
s u d a r s h a n k u m a r y a d a v
*Date of Birth(dd/mm/yyyy) *Age (as on 1st May ’18) *Sex
2 5 1 0 1 9 9 9 1 8 0 5 M
*Correspondence address (*Pin Code is mandatory)
h o u s e n o 1 5 6 6 s e c t o r 4
r e w a r i 1 2 3 4 0 1
(mandatory)
PIN CODE* 1 2 3 4 0 1
*Telephone No (with STD Code): *Mobile No.: +91
n o t a v a i l a b l e 9 9 9 1 3 5 3 3 8 1
*Email ID (mandatory):
s i d d h a r t h d v 7 7 @g m a i l . c o m
Father’s / Guardian’s Occupation
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(If Results are awaited, fill “RA” in the above % boxes)
Are any of your relatives/friends serving in the Merchant Navy? If Yes, who? (If relative – state relationship)
Y MA T E R N A L U N C L E
Describe in your own words, why you are the right candidate for a career at sea:
I am a hard working student you can check that by comparing my 10th and 12th class marks. In 12th std.
my score in physics and maths were 95 and 88 respectively . I also have intermediate knowledge about
computers.I am not homesick also two of my family members are already in merchant navy so I know what
is expected of me in the job. I am physically fit and love to workout .
I started studying at RPS Rewari in 8th standard till my 12th std. but my school never encouraged any
extracurricular activity it was always about studying although I had hobbies which I did after school
Note:
1. Please read the eligibility criteria & instructions carefully on our website:www.imtcmumbai.org
2. Attach scanned copies of the following documents only in pdf format:
● Marksheet copies of 12th Std (if results declared).
● Marksheet of 10 Std.
th
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