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


Application Summary
 
Dossier ID: ETO2167309 Name: LAKSHMANAKUMAR B
  Address: 379/1/A2/A North car street
Telephone No.: Mobile no: 7812019841
E-mail: lakshmanakumar1598@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167309 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 check that the following documents are accompanying this application :
  1. Three identical recent passport size photographs (including one attached on the form)
  2. Attested Copies of Class X, XII mark sheet, Age Proof
  3. Attested Copies of Graduation Semester/ Year wise Grade Sheet
  4. Attested Copies of Graduation Certificates
  5. Format of Annex-1 to be printed on college/institute letterhead and submitted along with application form
  6. CGPA / DGPA to percentage conversion letter (if applicable)
  7. Print the application form duly filled
  8. Send the hard copy of application form along with necessary documents to TMI, Induri
  9. Send filled application forms to Admissions Cell (ETO), Tolani Maritime Institute, Induri Village, Talegaon Chakan Road, Talegaon Dabhade, Pune, PIN- 410507

     
     

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

Dossier ID: ETO2167309
 
Full Name (as per Passport) : LAKSHMANAKUMAR B
Date of Birth (DD/MM/YY): 17 Jun 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T2155364 Date of Expiry: 05 Aug 2029
Place of Issue: Madurai Personal Identification Mark: Center of the stomach

(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.: 379/1/A2/A
Street /Lane: North car street
Village / Post Office / Tehsil: Thiruthangal
City / District: Virudhunagar
State: Tamil Nadu
PIN: 626130
Telephone No. with STD code: Mobile: 7812019841
E-mail: lakshmanakumar1598@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: Tamil Nadu Board: Tamil Nadu
English %: 74 English %: 74
Aggregate Percentage: 87 Aggregate Percentage: 81
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 85 85
Chemistry 100 84 84
Mathematics 100 83 83
English 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 84
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: Ramco Institute of Technology
Tel. No.: Tel. No.: 04563233400
Email Id.: Email Id.: rit.rjpm@gmail.com
Board: University: Anna university  
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 63
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
Enthu Technology Solutions India Pvt LTD Technical Engineer 23 May 2019 01 Nov 2021
       
       
 
What are your hobbies ? Playing badminton
What are your strengths ? Creativity and flexibility
What are your weaknesses ? Creative writing
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form