The Institute of Marine Engineers (India)
IMEI House, Plot No. 94, Sector 19, Nerul, Navi Mumbai 400706
Tel. : +91 22 27701664, Fax : +91 22 27711663 Email : membership@imare.in
                 APPLICATION FOR ELECTION TO MEMBERSHIP
                         
PLEASE FILL IN BLOCK LETTERS
Application For Election (Select a grade) :         
  • Please see the attached Eligibility Criteria for Election to various grades of membership.
  • The Institute decision of grade of membership will be final and binding.
Name (in full)
               First name           Middle name       Surname

 
 

 
          Date OF Birth :   
Address For Correspondence  
State :   Pin Code :  
Telephone :Office :  Res : 
Fax :Office :  Res :  
Email :Office :  Res :   
Mobile Phone :   
INDOSS NO
 
For official use
1. Degree or Diploma Year Pick a date
Institute
2. Pre Sea Training  Year  Pick a date
Institute
3. Apprenticeship or Practical Training   Year  Pick a date
Institute
4. M.O.T. Certificate held Date of examination passed : Pick a date
Certificate No. : Date of issue : Pick a date
5. Experience and Past Employment

(A) Employment at sea since qualifying for current MOT certificate

               Rank           From            To Name of Shipping Company
 















(B) Employment ashore     

               Designation           From            To  Name of Employer

















Reference kindly give name of two members who know you personally
Members Name (in Block Letters) : Membership No. :
Members Name (in Block Letters) : Membership No. :
 Note :   In case you do not have any reference please submit xerox copies of following along with your application form -
  • Academics Certificates as specified in the attached criteria, as applicable
  • M.O.T. Certificate
  • C.D.C. / Ship Service Record Book or letter from Employer (in case of experience other than sea service)
  • Certificate or Rank and Certificate of Service (For Navy and Coast Guard personnel)
                 Fees may be paid by cash, by cheque or online(Click For Online Payment). Cheques to be made payable to,

             The Institiute Of Marine Engineers (India). Please write your name and membership number (if any), at the
             back  of cheque.  For amount of fees payable kindly refer to eligibility criteria document.
  • I enclose herewith payment of amounts as detailed below by Cash / Cheque No.
Dated :   Pick a date   Drawn on :  
Entrance fee     Rs. :     For Grade :  
Subscription fee  Rs. :     For Grade :  
Life Membership fee (if opted for)  Rs. :  
Total  Rs. :  
Click For Eligibility Criteria
 
 

Kindly tick the above Boxes to confirm. If all the boxes are not tick your application will not be accepted.

Name    Date    Place  
        
Regd. Office : Institute of Marine Engineers (India), 1012, Maker Chambers-V, Nariman Point, Mumbai - 400021
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