Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)

APPLICATION FOR ADMISSION - October 2021


Application Summary
 
Dossier ID: ETO2167295 Name: ROHITH DIVAKARAN
  Address: ERAVIMANGALAM ILLOM AYARKUNNAM
Telephone No.: Mobile no: 8138923009
E-mail: rohannamboothiri21@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167295 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
Date ________________ Date ________________
 

 

Please quote your dossier id and full name for any future correspondence
Please keep a copy of the form for your reference for communicating with the Institute.
Institute will communicate with you once the form is submitted and online payment is done successfully. Please keep all your academic certificates & Annex-I ready with you.

     
     

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)

APPLICATION FOR ADMISSION - October 2021

Dossier ID: ETO2167295
 
Full Name (as per Passport) : ROHITH DIVAKARAN
Date of Birth (DD/MM/YY): 01 Dec 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Z5965558 Date of Expiry: 05 Oct 2030
Place of Issue: COCHIN Personal Identification Mark: A MOLE AT LEFT FOREFINGER

(Note: If you do not have passport, you may apply for it as early as possible as passport is required for obtaining Seaman’s Discharge Certificate, mandatory for boarding a ship.)

Addresses & Contact Details -

House / Building No.: ERAVIMANGALAM ILLOM
Street /Lane: AYARKUNNAM
Village / Post Office / Tehsil: AYARKUNNAM
City / District: KOTTAYAM
State: Kerala
PIN: 686564
Telephone No. with STD code: 04819747542626 Mobile: 8138923009
E-mail: rohannamboothiri21@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: CBSE Board: Kerala
English %: 80 English %: 80
Aggregate Percentage: 75 Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 151 75.5
Chemistry 200 135 67.5
Mathematics 200 128 64
English 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 69
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: PONJESLY COLLEGE OF ENGINEERING
Tel. No.: Tel. No.: 04652259680
Email Id.: Email Id.: ponjeslyce@yahoo.co.in
Board: University: ANNA UNIVERSITY 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 67
Medium of Instruction: Medium of Instruction: ENGLISH

Note: Diploma/Degree courses must be recognised by any State or Central Government or the AICTE.

Other Qualification, if any -

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? DRIVING,LISTENING MUSICS
What are your strengths ? AMBITIOUS,CARING
What are your weaknesses ? CREATIVE WRITING
 
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

 

Date ________________

 
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