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: ETO2198845 Name: Suvan Karkera
  Address: 10-156/8, Ramleela Suvarnalane 9th cross, Ujjodi
Telephone No.: Mobile no: 7892179166
E-mail: suvank9@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: 13859394779
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2198845 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: ETO2198845
 
Full Name (as per Passport) : Suvan Karkera
Date of Birth (DD/MM/YY): 30 May 1999 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U3830121 Date of Expiry:
Place of Issue: Bengaluru Personal Identification Mark: Mole near right eyebrow

(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.: 10-156/8, Ramleela
Street /Lane: Suvarnalane 9th cross, Ujjodi
Village / Post Office / Tehsil: Kankanady Post
City / District: Mangalore
State: Karnataka
PIN: 575002
Telephone No. with STD code: Mobile: 7892179166
E-mail: suvank9@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Karnataka Board: Karnataka
English %: 92 English %: 81
Aggregate Percentage: 93 Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 85 85
Chemistry 100 58 58
Mathematics 100 60 60
English 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 67.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: Canara Engineering College
Tel. No.: Tel. No.: 7892179166
Email Id.: Email Id.: canarait@gmail.com
Board: University: visveswaraiah Technological University 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 73
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
       
       
       
 
What are your hobbies ? Art and craft
What are your strengths ? Team work
What are your weaknesses ? Lack of experience
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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