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Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)
APPLICATION FOR ADMISSION - March 2021
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Dossier ID: ETO2167305 |
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Full Name (as per Passport) : AJINS JOHNSON E |
Date of Birth (DD/MM/YY): 25 Jan 1997 |
Nationality: Indian |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Passport No.: S6929571 |
Date of Expiry: 10 Sep 2028 |
Place of Issue: |
Personal Identification Mark: A black mole on near left eye |
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(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 -
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House / Building No.: 408 |
Street /Lane: Mattom |
Village / Post Office / Tehsil: Alur |
City / District: Thrissur |
State: Kerala |
PIN: 680602 |
Telephone No. with STD code: 04885235931 |
Mobile: 9497560959 |
E-mail: ajinsjohnson77@gmail.com |
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Academic Record - |
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Class X: - |
Class XII: - |
Year of Passing: 2012 |
Year of Passing: 2014 |
Board: Kerala |
Board: Kerala |
English %: 69 |
English %: 71 |
Aggregate Percentage: 81 |
Aggregate Percentage: 71 |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
200 |
121 |
60.5 |
Chemistry |
200 |
124 |
62 |
Mathematics |
200 |
130 |
65 |
English |
100 |
141 |
141 |
Physics, Chemistry & Mathematics combined Percentage: |
62.5 |
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Diploma: |
Graduation: |
Diploma Specialization: |
Degree Specialization: Electrical and Electronics Engineering |
Name of Polytechnic: |
Name of College: Jyothi engineering college |
Tel. No.: |
Tel. No.: 04884274777 |
Email Id.: |
Email Id.: info@jecc.ac.in |
Board: |
University: CALICUTÂ |
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Year of Passing: |
Percentage: |
Year of Passing: 2018 |
Percentage: 60 |
Medium of Instruction: |
Medium of Instruction: Friend |
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Note: Diploma/Degree courses must be recognised by any State or Central Government or the AICTE. |
Other Qualification, if any -
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Work Experience, if any - |
Name of the Firm |
Designation |
From |
To |
FIRSTLAW |
Thrissur |
19 Oct 2018 |
20 Jul 2020 |
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What are your hobbies ? Dancing, footballer |
What are your strengths ? Hardworking, leadership |
What are your weaknesses ? Nothing more |
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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___________________ |
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Date ________________ |
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