AEMTC - Anglo-Eastern Maritime Training Centre



	All Courses



	Cadet Training



	D. G. Approved



	DNV Courses



	Dry Cargo Operation



	Electrical & Automation



	Engineering Courses



	Environmental Management



	MAN PrimeServ Academy Approved



	Management & Human Resource



	Nautical Institute Accreditation



	Navigation Courses



	Other Deck Officers Courses



	Ratings Training



	Rightship RISQ



	Safety & Quality



	SIRE 2.0



	Tanker Operation



	Wartsila Approved



	WIN GD Approved

OPITO ONLINE BOOKING (PART A)

Application for

( Kindly refer Appendix I before filling the entry form )

Course Name*

Course Date *

Currently course is not scheduled.

Capt.MrMs Name ^*

Middle Name

Surname *

Current Rank Held *

Date of Birth

Place of Birth

Nationality

Permanent address:*

Pin code:

Telephone number
(with STD code)

Mobile *
(specify the country code)

Email *

Address in Mumbai:*

Pin code:

Telephone number
(with STD code)

Academic qualifications:

If holding OPITO approved course certificate or refresher certificate fill in the data

Course name :

Certificate number:

Date of expiry:

Vantage Number:

Note: please check for extension to an expired certificate as/ if applicable. Where an extension is granted, the effective start date of the new refresher training certificate will be the expiry date of the individual's corresponding, current certificate. Refer OPITO international ER guidelines - to apply for dispensation, please fill request for dispensation form.

Present company / address & contact details*

Reference person:*

Next of kin and contact details:

Food habits:*

Veg

Non-veg

Please specify if any support services required on chargeable basis:

Personal identifications

a. Documents Name:

b. Documents Number:

c. Date Of Issue:

d. Place Of Issue:

e. Date Of Expiry:

Mode of Payment*

	Payment to be made by self
	Payment to be made by company

Enter code in the field below