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: ETO2191593 Name: abhijith m
  Address: Thazhathu puthen veedu vadamon
Telephone No.: Mobile no: 8921546463
E-mail: abhijithm365@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: 13709747205
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2191593 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: ETO2191593
 
Full Name (as per Passport) : abhijith m
Date of Birth (DD/MM/YY): 29 Mar 2000 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: anchal Personal Identification Mark: black mole on right lower arm

(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.: Thazhathu puthen veedu
Street /Lane: vadamon
Village / Post Office / Tehsil: anchal
City / District: kollam
State: Kerala
PIN: 691306
Telephone No. with STD code: Mobile: 8921546463
E-mail: abhijithm365@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Kerala Board: Kerala
English %: 100 English %: 100
Aggregate Percentage: 100 Aggregate Percentage: 95
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 200 100
Chemistry 200 200 100
Mathematics 200 200 100
English 100 100 100
Physics, Chemistry & Mathematics combined Percentage: 100
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: College of Engineering Karunagappally
Tel. No.: Tel. No.: 04762666160
Email Id.: Email Id.: principal@ceknpy.ac.in
Board: University: Kerala technological university 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 85
Medium of Instruction: Medium of Instruction: face to face

Note: Diploma/Degree courses must be recognised by any State or Central Government or the AICTE.

Other Qualification, if any -
certified in field technician and computer peripherals by ASAP

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? doing electrical diy mobile photography
What are your strengths ? consistent in learning focused-continuous learning
What are your weaknesses ? creative writing
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form