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Payment Details

1. Online payments: Enter the reference number EXACTLY as given in the payment acknowledgment by the Bank. Click here for Online Payment
2. Cash Payments: Enter the receipt number given in the challan counterfoil. If you do not have an acknowledgment number, please call 0832-2520986.Scan and mail a copy of the challan counterfoil to ims@imsgoa,org.
3. Payment to be made at any branch of HDFC Bank. Candidate should download, print out and fill the HDFC payment challan. Click here to Download HDFC Cash Deposit Slip
4. In case of Cash payment, immediately send the scanned copy of deposit-slip to aao@imsgoa.org

Mode of Payment

Bank Branch /City

Note: For payments by cash please write the HDFC Bank branch name. For online payments please type N.A.

Full Name of the Applicant

1.  Name to be as given in Class X certificate with all initials expanded.
2. Your Diploma/Degree should carry the same name.
3.  First Name: It is the name given to you.
4.  Middle Name: Any other name,but not the surname
5.  Surname: It is the family name which is common to all members.
6.  If there is no middle name, it has to be left blank.
7.  If there is no surname, i.e. you are known by a single word name, then middle name and surname to be left blank.

Applicant Photo (Latest passport size colour photograph, Dimensions: 120 x 160, JPEG format and file size less then 20 KB)

Address Information

Parent’s Details

Combined Annual Income of Both Parents (Please consult your parents before filling combined annual income of parents)

Personal Details

Age in Years and months as on 02 DECEMBER 2021

Date of Birth
Gender

Marital Status

Do you have a passport?

Note

1. You can apply without having a passport at present.
2. You are advised to apply for a passport immediately. No admission without a passport.

Any Close Relative working in Merchant Navy? (Father, Brother, Uncle)

Will You Be Able To Find A Placement With A Shipping Company On Your Own?

If ‘Yes’ you have to produce a placement letter from the company at time of interview.

Educational Details

NOTE: Please fill up all the Educational Qualification’s that you posses – Class X, Class XII, Diploma Engineering, Graduate Engineering.

Class X:

Class XII:

Stream in class XII (Select ‘NA’ if not studied Class XII)
ScienceVocationalOthersNA

Diploma Engineering

Diploma Stream (Select ‘NA’ If Not Studied Diploma)
MechanicalNaval ArchitectureElectricalElectrical and ElectronicsShipbuildingMarineNA

Degree in Engineering

Degree Stream
MechanicalNaval ArchitectureMechanical and AutomationMechanical and other streamMarine Engineering
Name of University
Full Name Of College/Institute
Month/Year of passing/Appeared (Format MM/YYYY)
Percentage of marks in English

Percentage marks of all Degree semesters:

Note: If result is awaited for any semester, please write ‘RA’ for that Semester.

1. % of marks rounded off to full integer to be filled in. 

2. Those having CPA/CGPA single digit grades have to convert it to %. 

3. Conversion formula has to be printed on the reverse of the marksheet OR has to be certified by the College Principal and submitted during document verification. 

4. Aggregate % has to be calculated by totaling marks obtained (for the semester results declared) and divided by Maximum marks. It is NOT an average of all the percentages obtained semester wise.

Degree Aggregate Percentage
Name & Address of College/Institute (Degree)

Other Information

NOTE: All attainments to be supported by Documents at the time of Document Verification.

Do you have any work experiance?

Have you been a part of NCC/NSS/Scouts?

How did you know about us?

Please select all the sources of information about IMS GOA

Other Sources