Sponsorship Form 2019 - 2020

Please read the below instructions before filling the online application forms
  • 1. All candidates should read and understand the Eligibility Criteria & Prospectus before filling AN Line Shipping Pvt. Ltd.application form.

  • 2. Any candidate who does not meet the eligibility criteria but continues to fill the application form will not be allowed to proceed to the stage of interview. Also, such candidates will not be entitled to obtain any refund of his registration fees of Rs. 1100/-.

  • 3. All information provided in this application form, is to be true and complete in all respect. If it is found that any misrepresentation or omission of information is done by the candidates it will be considered sufficient for withdrawal of the offer and dismissal from the course at any stage.

Course Selection
Please indicate the course you wish to apply for
before proceeding to fill up the form:
*
Batch Year You want to apply for :
Personal Information
Name (in full): *
Address:
Postcode
Town / City:
State*:
Telephone (Home)*:
Mobile Phone:
Date of Birth (dd/mm/yyyy):     *
Citizenship:
Place of Birth:
Religion:
Email Address: *
Gender:
Age: *
Weight (kg):
Passport
Academic Qualification
School Exam Result - 10
Year:
Subject Grades Obtained / % Of Marks
English Language
Mathematics
Physics
Chemistry
School Exam Result - 10+2
Year:
Subject Grades Obtained / % Of Marks
English Language
Mathematics
Physics / Science
Academic Qualification
Qualification B.Tech. Mech EEE Automobile
Year % Of Marks
C) QUESTIONS:
1) Are you a swimmer?
Answer:
2) Are you wearing visual aids (spectacles or contact lens)?
Answer:
If "Yes", please advise the degree of your visual aid :
3) Are you colour blind?
Answer:
4) Are you suffering from any illness that may hinder you from attending any course?
Answer:
5) Extra Curricula Acitivities:
1
2
3
4
5.3) Sports
Representing
6) Hobbies:
Answer:
Parents / Guardian Information
Father / Guardian's Name *
Occupation: *
Telephone (Home):  *
Mobile Phone:  *
Emergency Contact Details
Name:
Address:
Telephone (Home):  
Mobile Phone:  
Relationship:
Instructions to Applicants
1) This form must be completed and submitted via email to (anlineshipping@gmail.com) and pay a fess of 1100 rs in next step to complete your registration

Approvals and Accreditation