Application Form ShippingMGT
Application Form ShippingMGT
MUMBAI
APPLICATION
I, the undersigned apply myself for being enrolled as a STUDENT / ORDINARY / ASSOCIATE / FELLOW MEMBER of the Institute and furnish the undermentioned particulars. Course seeking Associateship/Fellowship/Post Graduate Diploma in Shipping Class / Correspondence Admission to Management - First / Final Year Name in Full MR./MS./MRS./CAPT. (In Block letter) Present address in Full Permanent address (in Block letters) (for all correspondence) in block letters
Educational Qualifications
For Employed Persons: Name & address in full of the Employers Present:
Date of joining
Date of leaving
Nature of Work
Position held
Previous
Particulars of Examinations Passed, if any, of this Institute NOTES: 1. All applicants should produce ORIGINAL OR DULY ATTESTED COPIES OF THE DOCUMENTS in support of their Date of Birth and Educational Qualifications while Submitting this application for verification purpose. 2. Applicants for Membership should produce along with this application a certificate from their present employers showing the date of entering their service and present position held. I have read the Rules and Regulations of the Institute and hereby undertake to abide by them and any other terms and Conditions that may be laid down. Place: Date
Signature of Applicant
NOTE:
Application for admission should be accompanied by cost of the Prospectus downloaded Rs. 100/- for students in India and US $ 20/- for students outside India.
SPONSORSHIP (for Members only - to be signed by Members of the Institute) I hereby recommend Shri/Smt./Kum. For Registration as an Ordinary/ Associate/ Fellow Member of Narottam Morarjee Institute of Shipping and confirm that he/she is a fit and proper person for admission to the membership of the Institute. Signature Proposer Seconder
Name
Category of Membership of this Institute FOR OFFICE USE ONLY Fees Paid: Enrolment Fee Subscription Tuition Fee Library Deposit Library Fee ATKT Fee Exam. Fee Fee for Marks List Cost of Prospectus Cost of Question Papers Total: Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________ Rs._____________________________
Amount Received Rs.___________________ ____________________________ ____________ Receipt No. Dated Admitted Accountant Assistant Secretary Library Card No. Director
Correspondence
erification purpose.
present employers