Fleet Management Training Institute

Candidates Registration cum Assessment Form (for 5th Engineer)

To be filled in NEATLY in candidates own handwriting, no printing please.
For Office Use only

Category (Recommended/ Campus/ Walk in Campus

Pre-Sea Course : B.E.Marine/GME/HN

Name of istitution CGPA/%
Written Assessment Marks NA Interview Marks
Psych Grade Approved By:
Date Location
Name
Ht (cms) Weight

Date of Birth Recent Passport size

Color Photo
Eye Sight: Signature

Body Mass Index (Wt. in kg)

(Ht in m)2

P.O.B. (City, State)

Family Background:
Father Name
Father's (Age/Profession/ Qualification):
Mother's Name
Mother's (Age/Profession/ Qualification):
Brothers/ Sisters (Name/Age/Profession/Qualification):
/ (State number in the adjacent boxes)
Contact Nos (Provide all - eg. father's no, home landline, etc)
Email Address

Annual income of family: Educational Loan, if any:

Any acquaintance in merchant navy
(provide Name / Rank / Contact details)
Selected in any other campus interview:

Why do you want to join Fleet Management Ltd?

What is your Strength?

What is your Weakness?

 Assessment for 5th Engineer
Educational Qualification:
Class X Year of Passing
Name of Board / School / City

English % Scienc Maths %

Class XII Year of Passing

Name of Board / School / City

English % Physic Chemistry % Maths %

Name Of College/University:

College Marks % 1st Sem 2nd Sem 3rd Sem 4th Sem

5th Sem 6th Sem 7th Sem 8th Sem

Aggregate %

Back Paper(s) if any:

No.Of Earlier Attempts made with FML Written Test Interview

Extra curricular activities / Interests :

Any achievements:

Below section NOT to be filled by the Candidate

Assessment Details
Parameter Scale Score
1 General Appearance & Presentation
2 Aptitude & Attitude
3 Communication skills
4 Officer Like Quality
5 Body Language
6 Remarkable Achievements
7 Academic performance
8 Technical Knowledge
Original Certficates seen
Assessor's Remarks:

Initial
Assessor 1 Suitable / Unsuitable Date / Sign

Assessor 2 Suitable / Unsuitable Date / Sign

Assessor 3 Suitable / Unsuitable Date / Sign

Approved / Rejected

Approved By: Signature

 Assessment for Deck Cadet
Date

Name: Date of Birth/ Age:

Ht: Wt: Body Mass Index (Wt. in kg): Eye Sight:

(Ht in m)2
Educational Qualification:
School Name (10th class) & Year of Passing:

College Name (12th class) & Year of Passing:

School marks (percentage): Class X Class XII (A) Class XII (PCM)

English marks (percentage): Class X Class XII Certificates Seen

Pre Sea Course Attended (if applicable):

Pre Sea Training Institute (if applicable):

Pre Sea Training Duration (if applicable): From : To:

Original Certficates seen Subjects Pending (if any):

Sports:
Extra curricular activities / interests :

Any achievements:

Family Background:
Father's (Age/Profession/ Qualification):

Mother's (Age/Profession/ Qualification):

Brothers/ Sisters (Age/Profession/Qualification):

Annual income of family: Educational Loan, if any:

Personality:
Physical Appearance: Communication:

Knowledge of English: Knowledge of Subject:

Officer Like Qualities (OLQ): Body Language:

General:
Attitude/ Awareness towards sea life:

Any acquaintance in merchant navy

Goal/Career objective in merchant navy:

Previous experience if any:

Selected in any other campus interview:

Additional Remarks:

General Communication Leadership Technical

Psy.Gd. Writtn Assessment Appearance Skills Body Language Qualities Knowledge Total
100 Maximum marks 10 10 10 10 10 50
Marks Obtained

Assessed By:

Signature of Assessor
 Scale Score
1 General Appearance 0 - 10 6
2 Written Assessment (Academic) 0 - 100
3 Knowledge of English 0 - 10
4 (Written) General Knowledge 0 - 10
5 Body Language 0 - 10
6 OLQ 0 - 10
7 Remarkable Achievements 0 - 10
8 PCME (Class XII) 0 - 100
9 SME (Class X) 0 - 100
10 Psychometric Test A-E

Key For 16PF Grades

A Outstanding 9
B+ Very Good 8
B Good 7
B- Above Average / Fairly 6
C Average 5
D Can be taken with cauti 3
E Not Recommended 1

10 + 2 with minimum 70% marks in Physics, Chemistry, Mathematics or aggregate

minimum 50% marks in English at 10 + 2 or in 10th Class