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: ETO2167497 Name: AKGHIL SUBRAMANIYAN
  Address: UMMAPARAMBIL HOUSE KEEZHMAD ROAD
Telephone No.: Mobile no: 9747473718
E-mail: Akghilsubramaniyan84@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1212.73 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 397091972
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167497 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: ETO2167497
 
Full Name (as per Passport) : AKGHIL SUBRAMANIYAN
Date of Birth (DD/MM/YY): 04 Jan 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T6683748 Date of Expiry: 23 Jun 2026
Place of Issue: COCHIN Personal Identification Mark: A black mole on the left hand

(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.: UMMAPARAMBIL HOUSE
Street /Lane: KEEZHMAD ROAD
Village / Post Office / Tehsil: KEEZHMAD
City / District: Ernakulam
State: Kerala
PIN: 683112
Telephone No. with STD code: Mobile: 9747473718
E-mail: Akghilsubramaniyan84@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: Kerala Board: Kerala
English %: 80 English %: 83
Aggregate Percentage: 82 Aggregate Percentage: 69
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 107 53.5
Chemistry 200 121 60.5
Mathematics 200 106 53
English 100 83 83
Physics, Chemistry & Mathematics combined Percentage: 55.67
   
   

Diploma:

Graduation:
Diploma Specialization: Electronics Engineering Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: GOVERNMENT POLYTECHNIC COLLEGE KOTHAMANGALAM Name of College: KMEA ENGINEERING COLLEGE ALUVA
Tel. No.: 2814325 Tel. No.: 7902929294
Email Id.: info@gptckothamangalam.ac.in Email Id.: office@kmeacollege.ac.in
Board: STATE BOARD OF TECHNICAL EDUCATION University: APJ ABDUL KALAM KERALA TECHNOLOGICAL UNIVERSITY  
Year of Joining: 2014
Year of Joining: 2017
Year of Passing: 2017 Percentage: 75 Year of Passing: 2020 Percentage: 70
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 ? Football, Swimming
What are your strengths ? Quick learner, Hard working
What are your weaknesses ? Shyness
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form