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: ETO2167473
 
Full Name (as per Passport) : SAKTHIVEL VEMBU
Date of Birth (DD/MM/YY): 24 Oct 1999 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: MOLE ON LEFT HAND LITTLE FINGER

(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.: 9A/464
Street /Lane: IRUDHAYAMMAL NAGAR
Village / Post Office / Tehsil: THOOTHUKUDI
City / District: THOOTHUKUDI
State: Tamil Nadu
PIN: 628002
Telephone No. with STD code: Mobile: 8667551352
E-mail: sakthivembu123@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2015 Year of Passing:
Board: Tamil Nadu Board:
English %: 85 English %:
Aggregate Percentage: 91 Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
English
Physics, Chemistry & Mathematics combined Percentage:
   
   

Diploma:

Graduation:
Diploma Specialization: Electrical and Electronics Engineering Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: GOVERNMENT POLYTECHNIC COLLGE TUTICORIN Name of College: UNIVERSITY VOC COLLEGE OF ENGINEERING THOOTHUKUDI
Tel. No.: 04612311647 Tel. No.: 04612311545
Email Id.: gpctuticorin@gmail.com Email Id.: deanautut@annauniv.edu
Board: STATE University: ANNA UNIVERSITY 
Year of Joining: 2015
Year of Joining: 2018
Year of Passing: 2018 Percentage: 86 Year of Passing: 2021 Percentage: 71
Medium of Instruction: ENGLISH 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 ? GARDENING
What are your strengths ? Always going through the righteous procedures.
What are your weaknesses ? Expecting everyone to follow the rules.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________