Welcome to MOLMI Application Form.

Please fill up fields below and click on submit button.
Fields marked in * are compulsory.
 

How did you come to know about us ? :  *
First Name :  *
Last Name :  *
Birth Date :  *
Birth Place : 
Nationality : 
Applying for the Post Of :  *
Ready to join from :  *
Experience on Vessel Types : 
CAPESIZE BULKER CONTAINER
HEAVY LIFT OPEN HATCH BULKER
LNG LPG
PANAMAX PRODUCT TANKER
VLCC CHEMICAL TANKER
PURE CAR CARRIER SELF UNLOADER
TRAINING SHIP OTHER VESSEL TYPES
ECNR endorsed in Passport (YES/NO) :
Yellow Fever Vaccination Date :
Yellow Fever Vaccination Place :
INDOS No :
  Number
 		 Country
 		 Date Issued
(DD-MM-YYYY)		 Valid till
(DD-MM-YYYY)		 Place Issued
 
Passport
Seaman Book
USA C1/D Visa
Present Address :
  :
  :
Pin code :
Phone / Mobile : *
Email ID : *
                         

In case of difficulty / any queries, Please contact:


MOL Maritime (India) Pvt. Ltd.

Unit No. 52, 5th Floor,
Kalpataru Square,
Kondivita Lane, Next to Hotel VITS,
Off. Andheri Kurla Road,
Andheri (East), Mumbai - 400059.
Tel: (022) 61507000, 6696 0999
Fax: (022) 6696 0888

Email ID: molmi@molmi.com
Website: http://www.molmi.info