Alumin

Registation Form

Name :

Date Of Birth:

Batch:

Year Of Passing :

Roll Number :

Indos Number:

Contact Number:

Email:

Address:

Sea Services :

Sr. No.:

RPSL/Company Name:

Rank:

Vessel Name:

Flag:

Sign on Shore:

Sign on Ship:

Sign off Ship:

Sign off Shore:

Attached Doc:

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