ANGLO-EASTERN MARITIME TRAINING CENTRE

Nationality ^*

INDOS No ^*

National ID/Number/Permanent ID^*

Date of Birth ^*

Surname / Last Name (as per passport)

Given Name (as per passport) ^*

Middle Name

Name (To be mentioned as required on the certificate) ^*

Passport No ^*

CDC / Discharge Book Number ^*

Rank ^*

C.O.C held

Phone (with STD code)

Mobile ^*

Email ^*

Company Serving with

Mode of Payment ^*

Payment to be made by self

Payment to be made by company

Payment Methods

Online Payment

Cheque

Demand Draft

Cash

Valid Tanker Endorsement (If booking tanker courses)

Queries / Remarks

Please find below the list of documents required to register for this course.

Passport Copy

Indos Copy

1 Passport Size Photos

CDC Copy

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