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: ETO2167499 Name: Muhammed Haseeb Awwummante Valappil
  Address: AV House Mattool Central
Telephone No.: Mobile no: 9995473067
E-mail: muhammed.haseeb.av@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 ETO2167499 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: ETO2167499
 
Full Name (as per Passport) : Muhammed Haseeb Awwummante Valappil
Date of Birth (DD/MM/YY): 09 Mar 1993 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: N0315717 Date of Expiry: 05 Jul 2025
Place of Issue: Kozhikode Personal Identification Mark: A mole on the forehead

(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.: AV House
Street /Lane: Mattool Central
Village / Post Office / Tehsil: Mattool
City / District: Kannur
State: Kerala
PIN: 670302
Telephone No. with STD code: Mobile: 9995473067
E-mail: muhammed.haseeb.av@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2008 Year of Passing: 2010
Board: Kerala Board: Kerala
English %: 90 English %: 90
Aggregate Percentage: 90 Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 136 68
Chemistry 200 147 73.5
Mathematics 200 126 63
English 100 91 91
Physics, Chemistry & Mathematics combined Percentage: 68.17
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: MACE Venjaramoodu
Tel. No.: Tel. No.: 04722870786
Email Id.: Email Id.: info@mace.edu.in
Board: University: University of Kerala 
Year of Joining:
Year of Joining: 2010
Year of Passing: Percentage: Year of Passing: 2014 Percentage: 65
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
ZTE Telecom Transmission Engineer 01 Apr 2015 14 Oct 2015
Huawei Technologies NOC Engineer 26 Oct 2015 07 Apr 2017
IPsoft Network Administrator 02 May 2019 05 Jan 2021
 
What are your hobbies ? Singing, Playing Football, Cricket and Travelling
What are your strengths ? I am team player
What are your weaknesses ? Being too honest
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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