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: ETO2195992 Name: SANJESH CHELLAPPAN
  Address: MUNDAYOTTU CHALIL, 16/864 Palithazham
Telephone No.: Mobile no: 9544282478
E-mail: sanjeshcalicut@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: 13781916609
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2195992 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: ETO2195992
 
Full Name (as per Passport) : SANJESH CHELLAPPAN
Date of Birth (DD/MM/YY): 03 Feb 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: KOZHIKODE Personal Identification Mark: A black mole on the right hand middle finger

(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.: MUNDAYOTTU CHALIL, 16/864
Street /Lane: Palithazham
Village / Post Office / Tehsil: Chelavoor
City / District: Kozhikode
State: Kerala
PIN: 673571
Telephone No. with STD code: Mobile: 9544282478
E-mail: sanjeshcalicut@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: Kerala Board: Kerala
English %: 80 English %: 81
Aggregate Percentage: 84 Aggregate Percentage: 86
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 173 86.5
Chemistry 200 180 90
Mathematics 200 176 88
English 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 88.17
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: Government engineering college wayanad
Tel. No.: Tel. No.: 04935271261
Email Id.: Email Id.: gecwoffice@gmail.com
Board: University: Apj abdul kalam technology university 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 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 -

Work Experience, if any -

Name of the Firm Designation From To
Keltron      
Graduate apprentice Service engineer    
15/01/2021 07/07/2021    
 
What are your hobbies ? Traveling, playing football, reading books
What are your strengths ? Positivity, self confidence, hardworking, leadership
What are your weaknesses ? Perfectionist, I have a trouble to say No, I always focus goal
 
 
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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