Section 1 of 1
F100 - Application form (DG approved Courses)
Every time you join a course, in AMET CITY COLLEGE you have to fill up a form, even if you are doing several courses back to back
Date of Birth
Date of Birth
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Salutation
Salutation
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Date
Time
Capt
Dr
Mr
Ms
Other:
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Name
Name
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Email id
Email id
Question Type
Short answer
Paragraph
Multiple choice
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File upload
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Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Contains
Doesn't contain
Email
URL
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Mobile Number
Mobile Number
Question Type
Short answer
Paragraph
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Alternate Mobile Number
Alternate Mobile Number
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Short answer
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Time
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Address Line 1
Address Line 1
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Paragraph
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File upload
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Date
Time
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Address Line 2
Address Line 2
Question Type
Short answer
Paragraph
Multiple choice
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Dropdown
File upload
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Rating
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Multiple choice grid
Checkbox grid
Date
Time
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City
City
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
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Checkbox grid
Date
Time
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State
State
Question Type
Short answer
Paragraph
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Checkbox grid
Date
Time
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PIN Code
PIN Code
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
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New
Multiple choice grid
Checkbox grid
Date
Time
Number
Text
Length
Regular expression
Greater than
Greater than or equal to
Less than
Less than or equal to
Equal to
Not equal to
Between
Not between
Is number
Whole number
Answer key
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Wish to join
Wish to join
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
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File upload
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New
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Checkbox grid
Date
Time
1061 VICT
2111 2nd mates
5111 oilchem
5121 Gas
6411
6421
ROSC
ARPA
ECDIS
RANSCO
MFA
RMFA (Write Details of MFA in the remarks column)
MC (Write Details of MFA in the remarks column)
Other:
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Answer key
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Blood Group
Blood Group
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
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Rating
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Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Passport Number
Passport Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Aadhar number
Aadhar number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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CDC Number
CDC Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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COC Grade and Number
COC Grade and Number
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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Academic Qualification
Academic Qualification
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
(0 points)
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Current Rank
Current Rank
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Total Sailing Time ( in months)
Total Sailing Time ( in months)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Mode of Payment Bank Details: ACADEMY OF MARITIME EDUCATION - TRAINING Kotak Mahindra Bank, Adyar Branch,Account Number - 04630010015186IFSC Code - KKBK0000463
Mode of Payment Bank Details: ACADEMY OF MARITIME EDUCATION - TRAINING Kotak Mahindra Bank, Adyar Branch,Account Number - 04630010015186IFSC Code - KKBK0000463
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
NEFT
Credit / Debit Card
Other:
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Answer key
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Preferred Course Start range of Dates between
Preferred Course Start range of Dates between
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
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and
and
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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Multiple choice grid
Checkbox grid
Date
Time
Answer key
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Documents Sent by e-mail (ametdigital@gmail.com)
Documents Sent by e-mail (ametdigital@gmail.com)
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
05 Aadhar Card
06 Passport
07 Photo
08 Academic Qualification
09 PAN Card
10 Medical Certificate
11 INDoS
12 CDC
13 COC
14 BST
16 MFA
Add option
or
add "Other"
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Answer key
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Did you join in the e-learning of the course which you intend to join
Did you join in the e-learning of the course which you intend to join
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
New
Multiple choice grid
Checkbox grid
Date
Time
yes, completed and passed the assessment
Yes, in progress
NO, I will join later
NO, I do not know about it
Add option
or
add "Other"
…
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Remarks
Remarks
Question Type
Short answer
Paragraph
Multiple choice
Checkboxes
Dropdown
File upload
Linear scale
Rating
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Multiple choice grid
Checkbox grid
Date
Time
Answer key
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