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: ETO2167418 Name: Akshay Mohan
  Address: Bhavani Bhavan Pudurkkara
Telephone No.: Mobile no: 7559909566
E-mail: akshay8168@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 ETO2167418 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: ETO2167418
 
Full Name (as per Passport) : Akshay Mohan
Date of Birth (DD/MM/YY): 26 Dec 1996 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: M9127520 Date of Expiry: 18 May 2025
Place of Issue: Cochin Personal Identification Mark: Wound scar on left forehead

(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.: Bhavani Bhavan
Street /Lane: Pudurkkara
Village / Post Office / Tehsil: Ayyanthole
City / District: Thrissur
State: Kerala
PIN: 680003
Telephone No. with STD code: 04872360815 Mobile: 7559909566
E-mail: akshay8168@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: ISCE Board: Kerala
English %: 86 English %: 83
Aggregate Percentage: 91 Aggregate Percentage: 94
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 184 92
Chemistry 200 192 96
Mathematics 200 190 95
English 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 94.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: Government Engineering College Idukki Kerala
Tel. No.: Tel. No.: 04862233250
Email Id.: Email Id.: gec.idukki@gmail.com
Board: University: APJ Abdul Kalam KTUĀ 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 67
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 -
MEP Engineering

Work Experience, if any -

Name of the Firm Designation From To
JS Technical Services Electrical Maintenance Engineer 08 Jan 2020 18 Sep 2020
       
       
 
What are your hobbies ? Watching Movies Football
What are your strengths ? Communication Fast Learner
What are your weaknesses ? Little Impatient
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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