MARITIME EDTECH
ACADEMY
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MARITIME EDTECH ACADEMY
+
Upload your recent photo
Online Application Form
Name of the Student :
*
Select Program :
*
Select Program :
6 Months Preparatory Program
3 Months Crash Course
Father's Name :
*
Mother's Name :
*
Residential Address :
*
Address for Correspondence :
*
Candidate's Phone number :
*
Get OTP
Parent's Phone number :
*
Verify Otp :
*
Verify OTP
Resend OTP in
Resend OTP
...
DOB :
*
Gender :
*
Male
Female
Others
Please check gender
Email id :
*
Passport No. : (If available)
Community :
*
Community :
BC
MBC
SC
ST
OC (Other Caste)
Nationality :
*
Annual Income :
*
Blood Group :
*
Educational Qualifications
*
Exam Passed
Board of Education
Year of Passing
Marks (%)
Overall Percentage (%)
English
Physics
Chemistry
Maths
10th Std
12th Std
10th Std Mark sheet (attach scanned copy –max file size 2 MB) :
12th Std Mark sheet (attach scanned copy –max file size 2 MB) :
How did you hear about us?
*
Select an option
Online
Newspaper
TV
Friends
Date :
*
Declaration
*
I hereby declare that the information given by me in the application is true, complete and correct to the best of my knowledge. I am aware that the fees paid once will not be refunded.
Please check declaration
Please Verfiy OTP Before Submitting The Form
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