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: ETO2167342 Name: Premkumar Sureshbhai Tandel
  Address: 107, Jalaram Complex link road Dungri Near High School
Telephone No.: Mobile no: 7046901066
E-mail: tandelprem5765@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 ETO2167342 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: ETO2167342
 
Full Name (as per Passport) : Premkumar Sureshbhai Tandel
Date of Birth (DD/MM/YY): 13 Dec 1998 Nationality: India
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Adhar card

(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.: 107, Jalaram Complex link road Dungri
Street /Lane: Near High School
Village / Post Office / Tehsil: Dungri
City / District: Valsad
State: Gujarat
PIN: 396375
Telephone No. with STD code: Mobile: 7046901066
E-mail: tandelprem5765@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: Gujarat Board: Gujarat
English %: 82 English %: 58
Aggregate Percentage: 77 Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 111 74
Chemistry 150 111 74
Mathematics 100 55 55
English 100 58 58
Physics, Chemistry & Mathematics combined Percentage: 67.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: Government Engineering college Bharuch
Tel. No.: Tel. No.: 02642227054
Email Id.: Email Id.: bharuch-dte@gujrat.gov.in
Board: University: Gujrat Technological University  
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 70
Medium of Instruction: Medium of Instruction: Gujrat state

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 ? Drawing human faces, landscape painting, dancing, Travelling
What are your strengths ? Leadership is my biggest strength.
What are your weaknesses ? I do not tolerate liars.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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