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 2022


Application Summary
 
Dossier ID: ETO2191027 Name: Akhilesh Kumar
  Address: Vill- Loharkha, p.o- janta, P.s- piyar, distt- Muzaffarpur, St- Bihar, pincode- 843115 Loharkha- Hattha Road
Telephone No.: Mobile no: 7550201045
E-mail: AKAKHILESH888@GMAIL.COM  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13667280075
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2191027 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 2022

Dossier ID: ETO2191027
 
Full Name (as per Passport) : Akhilesh Kumar
Date of Birth (DD/MM/YY): 07 Jan 1995 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Mole on chin

(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.: Vill- Loharkha, p.o- janta, P.s- piyar, distt- Muzaffarpur, St- Bihar, pincode- 843115
Street /Lane: Loharkha- Hattha Road
Village / Post Office / Tehsil: Vill- Loharkha, P.O- Janta
City / District: Muzaffarpur
State: Bihar
PIN: 843115
Telephone No. with STD code: Mobile: 7550201045
E-mail: AKAKHILESH888@GMAIL.COM  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing: 2013
Board: Bihar Board: Bihar
English %: 30 English %: 51
Aggregate Percentage: 60 Aggregate Percentage: 60
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 61 61
Chemistry 100 70 70
Mathematics 100 64 64
English 100 51 51
Physics, Chemistry & Mathematics combined Percentage: 65
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: Dr MGR educational and research institute chennai
Tel. No.: Tel. No.: 04423782176
Email Id.: Email Id.: contact@drmgrdu.ac.in
Board: University: Dr. Mgr University 
Year of Joining:
Year of Joining: 2013
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 71
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 ? Cricket playing, swimming, bike riding
What are your strengths ? Ready to learn new skills, team work
What are your weaknesses ? Some time talking so much
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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