The Institute of Marine Engineers(India) KOCHI

REGISTER A NEW COURSE

i. Select Course

Competency Courses

Combo Courses

Simulator Course

Modular Courses

Value Added Courses

Select Course^*

Batch^*

Minimum Payable Fee (INR)

Total Fee (INR)

Select Combo^*

Batch^*

Total Fee (INR)

ii. Personal details

Name (as per COC)^*

BSID Number^*

Email^*

Date of Birth^*

Nationality^*

iii. Documents Details

Indos No.^*

Passport No.^*

Passport Date of Issue

Passport Date of Expiry^*

CDC Number^*

CDC Date Of Issue

CDC Date Of Expiry^*

COC Number^*

COC Date of Issue

COC Place of Issue^*

COC Date of Expiry^*

iv. Academic Details

COC Grade (Presently holding)^*

IMEI Membership Number (If Member)

Detail of Sea Service

v. Contact Details

Address^*- (Landmark, City, PIN code, )

Contact Number^*

Alternate Contact Number

Next of Kin and his/ her contact number^*

vi. Upload documents

BSID

INDos(pdf)

CDC.pdf (Front page, last page and relevant stamped pages)

Passport.pdf

COC.pdf

Sea Service Testimonials

Sea Service Records in the applicable format

Photograph in jpg format.

Signature

Partial Payment Full Payment

Current Payable Amount - Rs.

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Training Course(Grade)		Training Institute Name		Training Institute Address
Course Joining Date		Course Completion Date		Pre Sea TAR book Number

Address - (Landmark, City, PIN code, )		Mobile Number		WhatsApp Number
Email