Name of the Candidate (As per CDC)^*

Date of Birth^*

Nationality^*

Indos No.^*

Passport No.^*

Date Of Issue

Place Of Issue^*

CDC Number^*

Date Of Issue

Place Of Issue^*

Training Course(Grade)^*

Training Institute Name^*

Training Institute Address^*

Course Joining Date^*

Course Completion Date^*

Pre Sea TAR book Number^*

Address^*- (Landmark, City, PIN code, )

Mobile Number^*

WhatsApp Number

Email^*

a) FG (GME/DME/B.E./B.TECH/ATS Certificate/ College Degree Certificate/ Provisional Certificate/ Passing out Certificate (Any One)

b) ETO – ETO Certificate

c) NCV – NCV Passing out Certificate.

Select one

Collection

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