DECK CADET SELECTION APPLICATION FORM To be filled in by mlq89969

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									Wilhelmsen Ship Management



                                          DECK CADET SELECTION
                                             APPLICATION FORM
                                         (To be filled in Block Letters)
  Final selection will be subject to                                                             Affix Recent
  qualifying in the CET (OpenNet)                                                                Photograph
    conducted by IGNOU / DG
      Shipping on 30.11.2008



This form consists of 3 pages.
Please print, fill and dispatch the application form (all 3 pages) by post/courier.

Personal Data:
Full Name        (Surname, First Name)



Father’s/ Guardian’s Name



Date of Birth                                                Age (as on 1st Jan ’09)                    Sex
                                                                                                        M F
           (dd/mm/yyyy)                                         (yy/mm)
Correspondence address (*Pin Code is mandatory)




                                                                                                    (mandatory)
                                                                                         PIN
                                                                                        CODE*

Telephone No (with STD Code)                                                      Mobile No. (if any)



Email ID (mandatory)



Father’s / Guardian’s Occupation



Parents’ annual income
  Upto 3 lakhs                     3 to 6 lakhs                  Above 6 lakhs

Siblings - Brother (B)/Sister (S)                                    Height in Cms               Weight in Kgs
 B    =              S     =


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Wilhelmsen Ship Management



CET (Open Net) conducted by IGNOU/DG Shipping (mandatory):
(OPENNET Entrance Test Form 'A' to be downloaded from www.ignou.ac.in/ , filled and sent to IGNOU-refer prospectus)

Applied /Cleared:                 # Enrolment No. (if received):               Date applied:(dd/mm/yyyy)
 Y   E   S       N   O
# If you have not received the Enrolment No., please leave the boxes blank:

@ IGNOU CET Cleared on:


@ Attach copy of passing certificate from IGNOU

*Academic Qualification:

12th Standard Board (CBSE/ISC/HSC/…etc)                           Month/Year of passing/ appeared (mm/yyyy)



Name of School/College and City




12th English %                     12th Overall %                 12th PCM %                     12th PCME %


         (If results are awaited please write “RESULT AWAITED” in the above boxes)
10th Standard Board (CBSE/ICSE/SSC/etc…)                          Month/Year of passing 10th Standard (mm/yyyy)



10th Std English Marks                  10th Std Overall Percentage



**Pre Sea Training Details (if applicable):
Institute and Location:




Month/Year of Passing (mm/yyyy):         %age         No. of papers to clear, if any (Sem 1 and Sem 2)
                                                       S e m 1 :                           S e m 2 :


Are any of your relatives/friends serving in the Merchant Navy?
                               If Yes, who? (If relative – state relationship)
 Y   E   S       N   O


Name of company where serving




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Wilhelmsen Ship Management



Where did you hear about our company (please be specific)?

 Newspaper Advertisement:              Y   E   S   N    O
Name of News Paper:




 Relatives/Friends:        Y   E   S       N   O


   Others:         Y   E       S       N   O

Please specify:




Describe in your own words, why you are the right candidate for a career at sea

………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………..

………………………………………………………………………………………………………………..

General Information:
Extra curricular activities / other achievements

………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………..
………………………………………………………………………………………………………………..


___________________                                                               ___________________
     Date                                                                         Signature of Candidate



Note:   * 1. Attach copies of 10th Std and 12th Std (if applicable) marksheets.
        ** 2. If pre-sea done, attach copies of passing out certificate and marksheet.
          3. Do not send any original documents.
          4. Ensure you have filled all the mandatory sections of the form.
          5. Ensure you have enrolled for the CET (OpenNet) conducted by IGNOU/DG Shipping.
          6. If you have already cleared the IGNOU CET attach a copy of the Passing certificate.




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