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: ETO2167412 Name: VEEDHI DEVI ASHOK
  Address: H.NO.15-81 RAMAIHA STREET
Telephone No.: Mobile no: 9692229477
E-mail: deviashokv@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 ETO2167412 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: ETO2167412
 
Full Name (as per Passport) : VEEDHI DEVI ASHOK
Date of Birth (DD/MM/YY): 25 Aug 1992 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: K169628 Date of Expiry: 22 Nov 2021
Place of Issue: VISAKHAPATNAM Personal Identification Mark: A mole on a upper lip

(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.: H.NO.15-81
Street /Lane: RAMAIHA STREET
Village / Post Office / Tehsil: KOTHAPETA
City / District: EAST GODAVARI DISTRICT
State: Andhra Pradesh
PIN: 533223
Telephone No. with STD code: Mobile: 9692229477
E-mail: deviashokv@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2007 Year of Passing: 2009
Board: Andhra Pradesh Board: Andhra Pradesh
English %: 77 English %: 83
Aggregate Percentage: 84 Aggregate Percentage: 90
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 122 81.33
Chemistry 150 132 88
Mathematics 300 289 96.33
English 100 85 85
Physics, Chemistry & Mathematics combined Percentage: 88.55
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: AKULA SRIRAMULU COLLEGE OF ENGINEERING
Tel. No.: Tel. No.: 918819297035
Email Id.: Email Id.: asrcoe_tnk@yahoo.co.in
Board: University: JNTU KAKINADA 
Year of Joining:
Year of Joining: 2009
Year of Passing: Percentage: Year of Passing: 2013 Percentage: 65
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
SWAN ENVIRONMENTAL PVT LTD SERVICE ENGINEER 14 Aug 2013 17 Aug 2017
BEYA FOR ENVIRONMENTAL CONSULTNACY PROJECT ENGINEER 14 Feb 2019 31 Aug 2019
VIMTA LABS LIMITED ENVIRONMET ENGINEER 16 Dec 2019  
 
What are your hobbies ? Listening to music, Surfing Internet and reading books
What are your strengths ? good in Reliable , Stable, good at team work, and flexible to any environment
What are your weaknesses ? trusting
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form