srichakramaritimecollege@gmail.com

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Address for Correspondence (In Case of Emergency):*

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Educational Information:*

Name of the School and Year Passing:*

Xth*

XIIth*

Diplamo*

% of Marks in English:*

Xth, XIIth, Diplamo, Degree*

Degree / Technical Education:*

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Name of the College & Address*

Name of University & Address*

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AICTE / UGC approval of College No. and date (if possessed)*

Total % of Marks obtained*

Other Details:*

Name of the sponsoring company

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I agree to do the course without Sponsorship

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Mathematics (X)*

Science (X)*

English (X/XII/Diploma/Degree)*

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