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: ETO2196786 Name: Sabarish Kumar N
  Address: 255 Velachery Main Road, Pallikaranai
Telephone No.: Mobile no: 9790723925
E-mail: sabarishnandu16@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: 13812732617
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2196786 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: ETO2196786
 
Full Name (as per Passport) : Sabarish Kumar N
Date of Birth (DD/MM/YY): 19 Oct 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U7943639 Date of Expiry:
Place of Issue: Chennai Personal Identification Mark: One 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.: 255
Street /Lane: Velachery Main Road, Pallikaranai
Village / Post Office / Tehsil: Pallikaranai
City / District: Chennai
State: Tamil Nadu
PIN: 600100
Telephone No. with STD code: Mobile: 9790723925
E-mail: sabarishnandu16@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing:
Board: Tamil Nadu Board:
English %: 63 English %:
Aggregate Percentage: 63 Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

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

Diploma:

Graduation:
Diploma Specialization: Electronics and communication Engineering Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Sri Durga Devi Polytechnic College Name of College: RMD Engineering College
Tel. No.: 04467906890 Tel. No.: 04427925562
Email Id.: sdpc@sdpc.ac.in Email Id.: rmd@rmd.ac.in
Board: Tamil Nadu State Board of Technical Education University: Anna University 
Year of Joining: 2014
Year of Joining: 2017
Year of Passing: 2017 Percentage: 73 Year of Passing: 2020 Percentage: 74
Medium of Instruction: English Medium of Instruction: English

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

Other Qualification, if any -
District level Throwball player in under 14 I have Completed Troubleshooting Courses

Work Experience, if any -

Name of the Firm Designation From To
Zen Electronics Electrical and Electronic Technician    
lucas TVS machine operator    
       
 
What are your hobbies ? Travelling and Music
What are your strengths ? Discipline, Patience, Determination
What are your weaknesses ? Too Detail Oriented
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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