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: ETO2192428
 
Full Name (as per Passport) : ATHMAJA G ASOK
Date of Birth (DD/MM/YY): 11 Dec 1997 Nationality: INDIAN
Gender (M/F): Female Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: BLACK MOLE ON LEFT 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.: KALLUVILA HOUSE KANNANALLOOR PO
Street /Lane: KANNANALLOOR
Village / Post Office / Tehsil: KANNANALLOOR
City / District: KOLLAM
State: Kerala
PIN: 691576
Telephone No. with STD code: 04742502457 Mobile: 8075574078
E-mail: athmaja101@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: Other Board: ISCE
English %: 74 English %: 76
Aggregate Percentage: 82 Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 57 57
Chemistry 100 60 60
Mathematics 100 64 64
English 100 76 76
Physics, Chemistry & Mathematics combined Percentage: 60.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: RAJADHANI INSTITUTE OF ENGINEERING AND TECHNOLOGY
Tel. No.: Tel. No.: 04702775500
Email Id.: Email Id.: Riet@Rajadhanimail.Com
Board: University: KTUĀ 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 68
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
MERCEDEZ BENZ RESEARCH AND DEVELOPMENT NETWORKING    
       
       
 
What are your hobbies ? Drawing , Dancing, reading
What are your strengths ? curiosity
What are your weaknesses ? curiosity, overthinking
 
 
Declaration

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

Signature of Candidate

 

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Date ________________