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: ETO2167366 Name: Rimmalapudi Sri Hari
  Address: 1-77 No 2 school street
Telephone No.: Mobile no: 9553270322
E-mail: rimmalapudisrihari9@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 390868902
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167366 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: ETO2167366
 
Full Name (as per Passport) : Rimmalapudi Sri Hari
Date of Birth (DD/MM/YY): 07 May 1997 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: A mole on the left part nose

(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.: 1-77
Street /Lane: No 2 school street
Village / Post Office / Tehsil: Tapeswaram
City / District: East Godavari District
State: Andhra Pradesh
PIN: 533340
Telephone No. with STD code: Mobile: 9553270322
E-mail: rimmalapudisrihari9@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: Andhra Pradesh Board:
English %: 60 English %:
Aggregate Percentage: 8 Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
English
Physics, Chemistry & Mathematics combined Percentage:
   
   

Diploma:

Graduation:
Diploma Specialization: Electrical and Electronics Engineering Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: VSM College of Engineering Name of College: BVC College of Engineering
Tel. No.: 9959177888 Tel. No.: 9392522444
Email Id.: vsmcollege66@gmail.com Email Id.: acebvce@bvcgroup.in
Board: SBTET University: JNTUKĀ 
Year of Joining: 2013
Year of Joining: 2017
Year of Passing: 2016 Percentage: 72 Year of Passing: 2020 Percentage: 69
Medium of Instruction: English 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 ? Playing
What are your strengths ? Self motivation
What are your weaknesses ? Being to honest
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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