CAMPBELL SHIPPING PVT. LTD.

601/6th Floor, 444 The Corporate Lounge, Linking Road, Khar West, Mumbai – 400 052
RPSL License No. MUM 144 Valid until: 15th September 2019 Affix recent
Tel: +91 9769005796 / +91 22 61456789Hmail: manning@campbellshipping.com Photograph

APPLICATION FORM - TRAINEE

Rank applied Available From City

Name

Date of Birth Tel (Resi) (Code) Mobile

Address

Email Skype ID

Document Type and Number Place of Issue Issue Date Expiry Date
Passport
CDC

Family Members Name Age Occupation

Father
Mother
Siblings

Class Year School / College / Institute Board / University %age

Xth Std
XIIth Std
Degree
Pre-Sea

State your hobbies and Interest

Referred by

Write in short: Why I want to join Shipping

Write in short: Why I want to join Campbell Shipping

I Hereby state that the above information is complete and true.

Date Signature

CSPL FORM 1B REVISON 2 04/10/2018