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: ETO2167741
 
Full Name (as per Passport) : ANGA SURESH
Date of Birth (DD/MM/YY): 04 Jun 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U3295509 Date of Expiry: 27 Sep 2030
Place of Issue: Vijayawada Personal Identification Mark: A black mole on the left timple

(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.: 3-176
Street /Lane: Sc colony,main road
Village / Post Office / Tehsil: R.pampalle village
City / District: Kurnool
State: Andhra Pradesh
PIN: 518543
Telephone No. with STD code: Mobile: 8919204946
E-mail: sureshanga99@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: Andhra Pradesh Board: Andhra Pradesh
English %: 90 English %: 90
Aggregate Percentage: 92 Aggregate Percentage: 92
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 133 88.67
Chemistry 150 134 89.33
Mathematics 300 276 92
English 100 90 90
Physics, Chemistry & Mathematics combined Percentage: 90
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: Krishna chaitanya institute of technology and sciences
Tel. No.: Tel. No.: 08596200330
Email Id.: Email Id.: info@kits-anna.com
Board: University: JNTUKĀ 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 75
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 ? Playing chess and watching motivational videos
What are your strengths ? Time punctuality
What are your weaknesses ? Believe everyone
 
 
Declaration

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

Signature of Candidate

 

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Date ________________