Dubai International Maritime Awards a enon Soe Aa OhAD EAC A ROLL eS 2006 () aan outreach Centre Clty of Glasgow College, UK Member of the International Association of Maritime Institutions (1AM) 5S) een’ Photograph of Form No,__ Date: . 37mmx37mm APPLICATION FORM FOR GP Il (Ratings) / QC.RTG one tobe pasted here Batch N Name of Candidate: Father’s Name: Date of Birth: Nationality /CNIC Postal Address Marital Status: —_______ Ta No: _________ Mobite: E-mail Address : Alternate (Res) Address Signature of Guardian: DECLARATION Thereby declare that above particulars, to the best of knowledge and believe are correct. False statement if any willbe rejected and may render presecution under the law, I undertake to pay full Tuition Fee and other recurring expenses to “Maritime Training Institute” accordingly, which will not be returned, {inany ease or circumstances. hereby undertake to indemnify the MARITIME TRAINING INSTITUTE, its servants and agents, against any claims arising of any accient, Injury or death whatsoever, occurring (0 or sustained during the course atthe MARITIME TRAINING INSTITUTE or any other place of training and [ undergo this course on my ‘own accord, Signature of Candidate —Boeaments to be attached: Hoyas List 1 Copy of Matric Certificate 1 Copy of C.NLC. mages me O Copy of Domicile O Copy of PR.C 1 Copy of Passport 1 Copy of Character Certificate TI “Mariners Fuirway-43 Timber Pond, Keamari,P. 0. Box No 4668 Karachi - 75620, ‘Tel: PABX: +92-21-3285-8050 to 3285-8053 (4 Lines) Fax: +92-2]-3285-8054 E-mail: mahmoodi@mintship.com URL: htlp:/;vwwntiedu.pke