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: ETO2167459 Name: VIGNESH HARIDAS
  Address: 9/819 C Saroj Kemberi Road Pandikudy
Telephone No.: Mobile no: 8714307350
E-mail: amvignesh.h11@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 ETO2167459 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: ETO2167459
 
Full Name (as per Passport) : VIGNESH HARIDAS
Date of Birth (DD/MM/YY): 14 Oct 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T8887353 Date of Expiry: 16 Sep 2029
Place of Issue: Karingachira Personal Identification Mark: Light black spot near to the right elbow

(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.: 9/819 C Saroj
Street /Lane: Kemberi Road Pandikudy
Village / Post Office / Tehsil: Mattancherry
City / District: Ernakulam
State: Kerala
PIN: 682002
Telephone No. with STD code: Mobile: 8714307350
E-mail: amvignesh.h11@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: CBSE Board: CBSE
English %: 80 English %: 82
Aggregate Percentage: 82 Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 95 95
Mathematics 100 87 87
English 100 82 82
Physics, Chemistry & Mathematics combined Percentage: 86.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: Rajagiri School of Engineering and Technology
Tel. No.: Tel. No.: 04842660999
Email Id.: Email Id.: office@rajagiritech.edu.in
Board: University: APJ Abdul Kalam Technological University 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 66
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 ? Football, Travelling, Gaming
What are your strengths ? Team Player, Daily learner
What are your weaknesses ? Public Speaking
 
 
Declaration

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

Signature of Candidate

 

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Date ________________

 
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