BIMT | Behara institute of maritime training

Personal details

Stream*

First Name*

Middle Name

Last Name

Gender*

Date of Birth*

Place Of Birth*

Address*

City*

State*

Pincode*

Contact Details

WhatsApp No.

Mobile*

Email*

Academic Details

English Percentage/ Grade*

Aggregate Percentage/ Grade*

School/College*

Board/University*

Passport Details

Passport Number

Issued Date

Expiry Date

NOTE :If You have completed the Seamen training then add the details of INDOS AND CDC DETAILS ,otherwise not required those details

INDOS Details

Indos Number

CDC Details

CDC Number

Issued Date

Expiry Date

Other Details

How did you get to know about BIMT*
1) Advertisements 2) Internet 3) Career Presentations fair 4) Education Consultant 5) Family / Relative / Friend 6) Others Write option & tell us your experience:

Note

1. All Fields Marked ‘*’ are Mandatory
2. Originals of all documents submitted above shall be produced at the time of interview/admission
3. On submitting the above form an application number will be generated. Kindly use it for any future communication.
4. Our admission team shall revert shortly with your eligibility and further admission process shortly.
5. Once your eligibility is confirmed by us, you can make payments of Application Fee and Registration Fee online through payment gateway.