Admission Form

 Enter your Name:
 Date fo Birth (dd/mm/yy):
Address :
Village :
Post :
P/S :
Dist :
State :
Pin Code :
Email Address:
Mobile No. (10 digits only):
Height: Weight(kgs)
School/ College:
Year Passed (10+2):
Overall Percentage:
Course Applied for:
Family Background:
Father's Name
Mother's Name
Number of Brothers
Number of Sisters
Detailed Query: (255 Chars. Max.)

1. Icertify that information contained in this application form is the best of my knowledge and belief, have not withheld any material / information that would effect my application / selection should an information be found incorrect, i understand the board of Rajat Maritime Academy reverse the right to terminate my training without any refund of my fees and the board of Rajat maritime Academy will be liable to compensate me in any way.

2. I am aware that i may be subjected to urine, drug, medical test for selection and at anytime during my training and if urine/drug test found possitive or i am found medically unfit, my training my be terminated and i agree to bear all expenses toward traning / treatment as the Rajat maritime Academy board may deeem it.

3. I agree to produce the original if all my certificates at the time of my interview and whenever required.

4. I have read and understood the contents of the prospectus and agreee by all terms and condition contained therein.

5. i am aware and agree that after selection and joining Rajat Maritime Academy should withdraw to any reason, no money will be refunded.




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