Member Registration Form

Pay & Submit Details (Note: This membership is valid for the next 6 months from the date of confirmation.)

*Membership is free for retired seafarers, girls, and students.

Name:

Category: -- Select Category -- Seafarer RPSL Institute Student Retired Seafarer Ship Owner Female

Rank:

Indos Number:

Address:

Email:

Phone:

Membership Amount:

Reason for Free Membership:

Upload Profile Photo:

Scan & Pay ₹499

Scan this QR with any UPI app

Upload Payment Screenshot:

Submit Form