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: ETO2167554 Name: KISHORE JAYAKUMAR
  Address: 14/199 1st street venkateswara nagar
Telephone No.: Mobile no: 9789040162
E-mail: runner.kishore@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 399454547
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167554 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

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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: ETO2167554
 
Full Name (as per Passport) : KISHORE JAYAKUMAR
Date of Birth (DD/MM/YY): 30 Jul 1996 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Z4274699 Date of Expiry: 26 Jun 2027
Place of Issue: CHENNAI Personal Identification Mark: Scar in left toe

(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.: 14/199
Street /Lane: 1st street venkateswara nagar
Village / Post Office / Tehsil: polichalur
City / District: chennai
State: Tamil Nadu
PIN: 600074
Telephone No. with STD code: Mobile: 9789040162
E-mail: runner.kishore@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: CBSE Board: Tamil Nadu
English %: 80 English %: 83
Aggregate Percentage: 84 Aggregate Percentage: 87
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 98 98
Chemistry 100 93 93
Mathematics 100 91 91
English 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 94
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Instrumentation
Name of Polytechnic: Name of College: EASWARI ENGINEERING COLLEGE
Tel. No.: Tel. No.: 04443923041
Email Id.: Email Id.: helpdesk@eec.srmrmp.edu.in
Board: University: ANNA UNIVERSITY 
Year of Joining:
Year of Joining: 2014
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 70
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 -
no

Work Experience, if any -

Name of the Firm Designation From To
Tata Consultancy Service Assistant system engineer 12 Jul 2018 31 Oct 2019
Amazon Development Centre India Ltd Device Associate 11 Nov 2019 08 Jan 2021
       
 
What are your hobbies ? photography, pencil shading, travelling
What are your strengths ? optimism, socialism, quick learner
What are your weaknesses ? stubborn, creativity, stage presentations
 
 
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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