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: ETO2167719 Name: AKHIL K G
  Address: 181 NEDUVANNOOR
Telephone No.: Mobile no: 9400952019
E-mail: akhilkg09@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ 12.73 ) DD Number: -
Issuing Bank: - Transaction Id: 402718320
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167719 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: ETO2167719
 
Full Name (as per Passport) : AKHIL K G
Date of Birth (DD/MM/YY): 09 Apr 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U6760340 Date of Expiry: 13 Sep 2030
Place of Issue: COCHIN Personal Identification Mark: A BLACK MOLE ON THE LEFT CHEST

(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.: 181
Street /Lane: NEDUVANNOOR
Village / Post Office / Tehsil: CHOWARA P.O
City / District: ERNAKULAM
State: Kerala
PIN: 683571
Telephone No. with STD code: Mobile: 9400952019
E-mail: akhilkg09@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: Kerala Board: Kerala
English %: 90 English %: 85
Aggregate Percentage: 80 Aggregate Percentage: 78
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 200 151 75.5
Chemistry 200 150 75
Mathematics 200 140 70
English 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 73.5
   
   

Diploma:

Graduation:
Diploma Specialization: Electronics and communication Engineering Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: KALAMASSERY POLYTECHNIC COLLEGE Name of College: KMEA COLLEGE OF ENGINEERING
Tel. No.: 25555356 Tel. No.: 2366101
Email Id.: gptckalamassery1951@gmail.com Email Id.: office@kmeacollege.ac.in
Board: STATE BOARD OF TECHNICAL EDUCATION University: KTUĀ 
Year of Joining: 2014
Year of Joining: 2017
Year of Passing: 2017 Percentage: 79 Year of Passing: 2020 Percentage: 65
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
LUKER SERVICE FRANCIS 07 Oct 2020 01 Feb 2021
       
       
 
What are your hobbies ? TRAVELLING,LISTENING MUSIC,
What are your strengths ? STRENGTH TO FACE ANY BAD SITUATION WITH A COOL MIND ,EASLY ACCOMODATE WITH ANY SITUATION,QUICK ADAPTATION FOR ANY SITUATION
What are your weaknesses ? STAGE FEAR,
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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