RLINS
Online Application Form
1. Course Details
Course:
*
--Select Course--
Graduate Marine Engineering - GME
Electro Technical Officer - ETO
General Purpose (GP) Ratings
B.Tech (Marine Engineering)
Orientation Course For Catering Personnel(OCCP)
Basic Safety Training(STCW)
Security Training for Seafarers with Designated Security Duties (STSDSD)
Basic Safety Training + STSDSD
Basic Training for Oil and Chemical Tanker Cargo Operations (OCTCO)
2. Personal Details
First Name
*
Middle Name
Last Name
*
Gender
*
--Select--
Male
Female
Date of Birth
*
--Day--
01
02
03
04
05
06
07
08
09
10
11
12
13
14
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19
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25
26
27
28
29
30
31
--Month--
01
02
03
04
05
06
07
08
09
10
11
12
--Year--
1970
1971
1972
1973
1974
1975
1976
1977
1978
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1981
1982
1983
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1987
1988
1989
1990
1991
1992
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1994
1995
1996
1997
1998
1999
2000
2001
2002
2003
2004
2005
2006
2007
Email ID
*
Mobile Number
*
Passport No.
(Passport) Date of Expiry
INDoS No. (if available)
CDC No. (if available)
Nationality
Indian
Religion
--Select--
Hindu
Christian
Muslim
Sikh
Others
Community
--Select--
BC
Gen
MBC
OBC
OC
SC
ST
3. Contact Information
Address
Address
*
City
*
Pin Code
*
State
*
--Select State--
Andaman And Nicobar Islands
Andra Pradesh
Arunachal Pradesh
Assam
Bihar
Chandigarh
Chhattisgarh
Dadra And Nagar Haveli
Daman And Diu
Delhi
Goa
Gujarat
Haryana
Himachal Pradesh
Jammu And Kashmir
Jharkhand
Karnataka
Kerala
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Nagaland
Odisha
Puducherry
Punjab
Punjab
Sikkim
Tamilnadu
Telangana
Tripura
Uttar Pradesh
West Bengal
Country
*
India
4. Parents Details
Father's Name
*
Father's Occupation
Father's Mobile Number
*
Mother's Name
*
Mother's Occupation
Mother's Mobile Number
*
6. Academic Details
10
th
Standard
Board
*
Name of the School
*
English Marks In Percentage
*
Total Percentage /CGPA
*
Month & Year of Passing
*
--Select--
January
February
March
April
May
June
July
August
September
October
November
December
--Select--
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
Medium of Instruction
*
Passed in Single Attempt
*
Yes
No
12
th
Standard
Board
Name of the School/Institution
English Marks In Percentage
Total Percentage /CGPA
Month & Year of Passing
--Select--
January
February
March
April
May
June
July
August
September
October
November
December
--Select--
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
Medium of Instruction
Passed in Single Attempt
Yes
No
Details Of Diploma/Degree
Diploma/Degree
*
(Courses Should be from any Institute approved by State/Central-Government/AICTE)
--Select--
Electrical Engineering
Electronics Engineering
Electrical and Electronics Engineering
Electronics and Communications Engineering
Electronics and Telecommunication
Electronics and Instrumentation
--Select--
Mechanical Engineering
Marine Engineering
Mechanical and Automation Engineering
Mechanical and Electronics Engineering
Mechanical and Automobile Engineering
Naval Architecture and Ocean Engineering
Naval Architecture and Ship building
--Select--
Hospitality & Hotel Administration
Hotel Management & Catering Technology
Catering
Culinary arts
Hospitality & Tourism
Name of the College
*
Name of the University
*
Overall %/CGPA
(up to pre-final/final Sem)
*
English Percentage
*
Month & Year of Passing
*
--Select--
January
February
March
April
May
June
July
August
September
October
November
December
--Select Year--
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
College Approved By AICTE
*
--Select--Yes/NO
Yes
No
Passed in Basic Safety Training(STCW)
*
Yes
No
8. How did you come to know about RLINS?
- Through -
Google Search
Newspaper
Relatives
RLINS Staff
Alumni
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