RLINS
Online Application Form
Graduate Marine Engineering (GME)
1. Course Details
Course:
*
--Select Course--
GME
2. Personal Details
First Name
*
Middle Name
Last Name
*
Gender
*
--Select--
Male
Female
Date of Birth
*
Day
01
02
03
04
05
06
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08
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31
Month
01
02
03
04
05
06
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08
09
10
11
12
Year
1985
1986
1987
1988
1989
1990
1991
1992
1993
1994
1995
1996
1997
1998
1999
2000
2001
Email ID
*
Mobile Number
*
Passport No.
(Passport)Date of Expiry
Nationality
--Select--
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
*
Pin Code is required
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
Karnataka
Lakshadweep
Madhya Pradesh
Maharashtra
Manipur
Meghalaya
Mizoram
Odisha
Puducherry
Punjab
Punjab
Sikkim
Tamilnadu
Telangana
Tripura
Uttar Pradesh
West Bengal
Country
*
-- Select 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
5. Guardian's Details
Guardian's Name
Guardian's Occupation
Guardian'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
Medium of Instruction
*
Passed in Single Attempt
*
Yes
No
12
th
Standard / Diploma
Board
*
Name of the School/Institution
*
Percentage /CGPA
English Percentage
*
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--
Mechanical & Automation Engineering
Mechanical & Electronics Engineering
Mechanical & Automobile Engineering
Naval Architecture & Ocean Engineering
Naval Architecture & Ship Building Engineering
Marine Engineering
Mechanical Engineering
Other
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
7. Bank Details
Name of the Bank
*
Amount
*
UTR No.
*
Payment Mode
*
--Select Mode--
UPI
NEFT
Internet Banking
8. How did you come to know about RLINS?
- Through -
Shiksha
Google Search
Newspaper
Relatives
RLINS Staff
Alumni
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