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: ETO2199205 Name: ARUN REGHUNATHAN PILLAI NATH
  Address: PATHRAMKUNNATH PALLIPPURAM
Telephone No.: Mobile no: 9605260040
E-mail: arunrn23@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: 13870927204
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2199205 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: ETO2199205
 
Full Name (as per Passport) : ARUN REGHUNATHAN PILLAI NATH
Date of Birth (DD/MM/YY): 17 Jul 1998 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U7379513 Date of Expiry:
Place of Issue: COCHIN Personal Identification Mark: MOLE ON RIGHT CHIN

(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.: PATHRAMKUNNATH
Street /Lane: PALLIPPURAM
Village / Post Office / Tehsil: PALLIPPURAM P O
City / District: CHERTHALA
State: Kerala
PIN: 688541
Telephone No. with STD code: Mobile: 9605260040
E-mail: arunrn23@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: CBSE Board: Kerala
English %: 66 English %: 71
Aggregate Percentage: 72 Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 144 72
Chemistry 200 132 66
Mathematics 200 107 53.5
English 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 63.83
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: VISWAJYOTHI COLLEGE OF ENGINEERING AND TECHNOLOGY
Tel. No.: Tel. No.: 04852262977
Email Id.: Email Id.: vjcvklm@gmail.com
Board: University: APJ ABDUL KALAM TECHNOLOGICAL UNIVERSITY 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 69
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 ? PLAYING FOOTBALL , LISTENING MUSICS
What are your strengths ? LEADERSHIP , SELFMOTIVATION
What are your weaknesses ? EMOTIONAL ATTACHMENT
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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