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: ETO2197124 Name: MIDHUN MELEDATH
  Address: MELEDATH HOUSE VALANCHERY
Telephone No.: Mobile no: 9544591246
E-mail: midhunmeledath.246@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: 13825099479
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2197124 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: ETO2197124
 
Full Name (as per Passport) : MIDHUN MELEDATH
Date of Birth (DD/MM/YY): 14 Jun 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T6865492 Date of Expiry:
Place of Issue: KOZHIKODE Personal Identification Mark: A MOLE ON THE FOREHEAD AND A SCAR ON THE FOREHEAD

(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.: MELEDATH HOUSE
Street /Lane: VALANCHERY
Village / Post Office / Tehsil: IRIMBILIYAM PO
City / District: MALAPPURAM DIST
State: Kerala
PIN: 679572
Telephone No. with STD code: Mobile: 9544591246
E-mail: midhunmeledath.246@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: Kerala Board: Kerala
English %: 90 English %: 90
Aggregate Percentage: 89 Aggregate Percentage: 97
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 193 96.5
Chemistry 200 197 98.5
Mathematics 200 198 99
English 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 98
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: NIT CALICUT
Tel. No.: Tel. No.: 04952286106
Email Id.: Email Id.: director@nitc.ac.in
Board: University: NIT CALICUT 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 61
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
THINK AND LEARN PVT LTD ( BYJUS ) BUSINESS DEVOLEPMENT ASSOCIATE    
       
       
 
What are your hobbies ? Travelling, Swimming, Cricket
What are your strengths ? Leadership, Team Player, Quick learner
What are your weaknesses ? I cannot say NO, Do not like interference while on a work
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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