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: ETO2191362
 
Full Name (as per Passport) : LOKESH SELVAGANAPATHY
Date of Birth (DD/MM/YY): 11 Jun 1999 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: S2798025 Date of Expiry:
Place of Issue: TIRUCHIRAPPALLI Personal Identification Mark: MOLE IN RIGHT HAND SHOULDER

(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.: 2/28
Street /Lane: THATTAR STREET
Village / Post Office / Tehsil: KATTUR
City / District: TIRUVARUR
State: Tamil Nadu
PIN: 610104
Telephone No. with STD code: Mobile: 8667503013
E-mail: lokeshganapathy99@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: Tamil Nadu Board: Tamil Nadu
English %: 90 English %: 88
Aggregate Percentage: 92 Aggregate Percentage: 85
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 84 84
Chemistry 100 87 87
Mathematics 100 94 94
English 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 88.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: GOVERNMENT COLLEGE OF ENGINEERING BARGUR
Tel. No.: Tel. No.: 04343266067
Email Id.: Email Id.: principal503@gmail.com
Board: University: ANNA UNIVERSITY 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 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 ? LEARNING LANGUAGES
What are your strengths ? ADOPTING ANY SITUATION
What are your weaknesses ? INTEROVERT
 
 
Declaration

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

Signature of Candidate

 

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Date ________________