Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)

APPLICATION FOR ADMISSION - October 2021


Application Summary
 
Dossier ID: ETO2167303 Name: kumari priti ganguly
  Address: vivek nagar, Gua old thana line
Telephone No.: Mobile no: 7991145385
E-mail: gangulypriti131996@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167303 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 keep a copy of the form for your reference for communicating with the Institute.
Institute will communicate with you once the form is submitted and online payment is done successfully. Please keep all your academic certificates & Annex-I ready with you.

     
     

Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: admissions@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)

APPLICATION FOR ADMISSION - October 2021

Dossier ID: ETO2167303
 
Full Name (as per Passport) : kumari priti ganguly
Date of Birth (DD/MM/YY): 13 Nov 1996 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: mole on neck

(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.: vivek nagar, Gua
Street /Lane: old thana line
Village / Post Office / Tehsil: Gua
City / District: gua
State: Jharkhand
PIN: 833213
Telephone No. with STD code: Mobile: 7991145385
E-mail: gangulypriti131996@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: CBSE Board: CBSE
English %: 92 English %: 66
Aggregate Percentage: 93 Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 70 70
Mathematics 100 71 71
English 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 68.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: RVS college of engineering and technology
Tel. No.: Tel. No.: 9431964353
Email Id.: Email Id.: rvscet@gmail.com
Board: University: kolhan university 
Year of Joining:
Year of Joining: 2014
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 78
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
Thomson's Electronics junior engineer trainee 01 Aug 2018 31 Oct 2020
       
       
 
What are your hobbies ? Dancing , Novel reading , Net surfing
What are your strengths ? my personality and confidence and extrovert nature
What are your weaknesses ? my emotional behaivior
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form