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: ETO2167723
 
Full Name (as per Passport) : Sandee
Date of Birth (DD/MM/YY): 09 Feb 1993 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: chennai Personal Identification Mark: Mole on cheek

(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.: bulding no.19, deepa illam
Street /Lane: AGS colony
Village / Post Office / Tehsil: Chennai
City / District: chennai
State: Tamil Nadu
PIN: 500042
Telephone No. with STD code: Mobile: 8464001444
E-mail: ak@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2010 Year of Passing: 2012
Board: Assam Board: Tamil Nadu
English %: 88 English %: 88
Aggregate Percentage: 88 Aggregate Percentage: 88
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 86 86
Chemistry 100 84 84
Mathematics 100 81 81
English 100 87 87
Physics, Chemistry & Mathematics combined Percentage: 83.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: DMI COLLEGE OF ENGINEERING
Tel. No.: Tel. No.: 044235523
Email Id.: Email Id.: dmice@gmail.com
Board: University: Anna University 
Year of Joining:
Year of Joining: 2012
Year of Passing: Percentage: Year of Passing: 2016 Percentage: 68
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
       
       
       
 
What are your hobbies ? Sleeping
What are your strengths ? Eating
What are your weaknesses ? Nothing
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________