CHECK LIST FOR PROFORMA 'A'

Name of the Institute/Workshop :

Name of the Course :Approved Marine Engineering Apprenticeship

under 10+2 Schemes/ATS/4 years Degree

Course as Marine Engineer

Date of Commencement of course :

Sr.
No. / Name of the candidate / Marks in PCM / Age limit below 20 years / % of Marks in / Rem-arks
Phy / Chem / Ma-
ths / Total / % / Date of birth / Age as on
Y M D /

Eng HSC SSC

/ [to be filled by DGS]

All the above information has been verified by me and found to be true.

[ Signature of Head of institute]

CHECK LIST FOR PROFORMA 'A'

Name of the Institute/Workshop :

Name of the Course : One year pre-sea training in Marine Engineering

for Graduate Engineers

Date of Commencement of course :

Sr.
No. / Name of the candidate / Educational Qualification
[Specify degree] / % of mar-
ks / Date of birth / Age not exceeding 24 yrs
Y M D / % Marks in English
SSC HSC B.E/
B.TEC / Colle-ge appro-ved
by AICTE
or not / Remarks

All the above information has been verified by me and found to be true.

[ Signature of Head of institute]

CHECK LIST FOR PROFORMA 'A'

Name of the Institute/Workshop :

Name of the Course : Two years pre-sea training in Marine

Engineering for Diploma holders

Date of Commencement of course :

Sr.
No. / Name of the candidate / Education-
al Qualific-ation
[Specify diploma] / % of marks / Date of birth / Age not exceeding 22/23 yrs
Y M D / % Marks in English
SSC HSC DIP / Colle-
ge app-roved
by
AICTE
or not / Rema-rks

All the above information has been verified by me and found to be true.