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: ETO2167348 Name: JADHAV GIRIJA BAJIRAO
  Address: 692/33, B ward, Chayya, Shivrainagari, Sambhajinagar, Kolhapur Near Old NCC office
Telephone No.: Mobile no: 8237207940
E-mail: girijajadhav49@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 ETO2167348 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: ETO2167348
 
Full Name (as per Passport) : JADHAV GIRIJA BAJIRAO
Date of Birth (DD/MM/YY): 22 Nov 1997 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Passport No.: S0446045 Date of Expiry: 07 Mar 2028
Place of Issue: Pune Personal Identification Mark: Mark on left hand

(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.: 692/33, B ward, Chayya, Shivrainagari, Sambhajinagar, Kolhapur
Street /Lane: Near Old NCC office
Village / Post Office / Tehsil: Kolhapur
City / District: Kolhapur
State: Maharashtra
PIN: 416011
Telephone No. with STD code: Mobile: 8237207940
E-mail: girijajadhav49@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: Maharashtra Board:
English %: 72 English %:
Aggregate Percentage: 84 Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
English
Physics, Chemistry & Mathematics combined Percentage:
   
   

Diploma:

Graduation:
Diploma Specialization: Electronics and Telecommunication Engineering Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Ashokrao Mane Polytechnic Name of College: Sinhgad College of Engineering
Tel. No.: 02302407740 Tel. No.: 02024354705
Email Id.: principal@amietv.org Email Id.: principal.scoe@sinhgad.edu
Board: Maharashtra State Board of Technical Education University: Savitribai Phule Pune University  
Year of Joining: 2013
Year of Joining: 2016
Year of Passing: 2016 Percentage: 84 Year of Passing: 2019 Percentage: 74
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
Capgemini, India Pvt Ltd Software Engineering 21 Nov 2019  
       
       
 
What are your hobbies ? Learning new things, To make decorative things, Cooking
What are your strengths ? Good Communication Skiil, Quick Decision Making Skill , Good Co-ordination Skill, Enthusiastic
What are your weaknesses ? shopping
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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