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: ETO2167515 Name: JUDY KUNJAMMA RAJU
  Address: POONIYIL VALIYAKULAM
Telephone No.: Mobile no: 9446528585
E-mail: kjudyraju@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 397315565
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167515 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: ETO2167515
 
Full Name (as per Passport) : JUDY KUNJAMMA RAJU
Date of Birth (DD/MM/YY): 28 Aug 1992 Nationality: INDIAN
Gender (M/F): Female Marital Status (Single/Married): Single
Passport No.: N9777984 Date of Expiry: 11 Apr 2026
Place of Issue: COCHIN Personal Identification Mark: A mol on the right side of 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.: POONIYIL
Street /Lane: VALIYAKULAM
Village / Post Office / Tehsil: KURISHUMOODU
City / District: KOTTAYAM
State: Kerala
PIN: 686104
Telephone No. with STD code: Mobile: 9446528585
E-mail: kjudyraju@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2008 Year of Passing: 2010
Board: CBSE Board: CBSE
English %: 78 English %: 87
Aggregate Percentage: 90 Aggregate Percentage: 92
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 93 93
Chemistry 100 95 95
Mathematics 100 95 95
English 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 94.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: COLLEGE OF ENGINEERING TRIVANDRUM
Tel. No.: Tel. No.: 04712515502
Email Id.: Email Id.: principal@cet.ac.in
Board: University: UNIVERSITY OF KERALA 
Year of Joining:
Year of Joining: 2011
Year of Passing: Percentage: Year of Passing: 2015 Percentage: 80
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 -
M.Tech Control Systems

Work Experience, if any -

Name of the Firm Designation From To
BOSCH Associate Software Engineer 20 Sep 2018 30 Apr 2020
       
       
 
What are your hobbies ? Gardening, craft works
What are your strengths ? Self motivated, reliable and hardworking, optimistic
What are your weaknesses ? Inexperience with job related skills
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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