RLINS APPLICATION

1. Course Details

Course: ^*

2. Personal Details

First Name ^*

Middle Name

Last Name ^*

Gender ^*

Date of Birth ^*

Email ID ^*

Mobile Number ^*

Passport No.

(Passport)Date of Expiry

Nationality

Religion

Community

3. Contact Information

Address

Address ^*

City ^*

Pin Code ^*

Pin Code is required

State ^*

Country ^*

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 ^*

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

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)

Name of the College ^*

Name of the University ^*

Overall %/CGPA (up to pre-final/final Sem)^*

English Percentage ^*

Month & Year of Passing ^*

College Approved By AICTE ^*

7. Bank Details

Name of the Bank ^*

Amount ^*

UTR No.^*

Payment Mode ^*

8. How did you come to know about RLINS?

- Through -

Shiksha

Google Search

Newspaper

Relatives

RLINS Staff

Alumni

Online Application FormGraduate Marine Engineering (GME)