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: ETO2167354 Name: Apurva Mangesh Yadav
  Address: B1201, MAYURESH RESIDENCY, OPPOSITE ASIAN PAINTS,LBS MARG, BHANDUP WEST
Telephone No.: Mobile no: 7208280287
E-mail: apurva6688@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 ETO2167354 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: ETO2167354
 
Full Name (as per Passport) : Apurva Mangesh Yadav
Date of Birth (DD/MM/YY): 16 Nov 1995 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Birth mark on lower back

(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.: B1201, MAYURESH RESIDENCY,
Street /Lane: OPPOSITE ASIAN PAINTS,LBS MARG, BHANDUP WEST
Village / Post Office / Tehsil: Bhandup
City / District: Mumbai Suburban
State: Maharashtra
PIN: 400078
Telephone No. with STD code: Mobile: 7208280287
E-mail: apurva6688@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing:
Board: Maharashtra Board:
English %: 58 English %:
Aggregate Percentage: 64 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: Shreeram polytechnic Name of College: Atharva College of engineering
Tel. No.: 27792854 Tel. No.: 2240294949
Email Id.: sppolyairoli@gmail.com Email Id.: ace@atharvaeducation.com
Board: MSBTE University: Mumbai University 
Year of Joining: 2013
Year of Joining: 2017
Year of Passing: 2016 Percentage: 62 Year of Passing: 2020 Percentage: 62
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 -
I am a diploma holder in IT engineering and Graduated in Electronics and Telecommunication engineering. My diploma college has a bad repo I took 2 gap years and 1 drop

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? Reading,workout,playing guitar and music
What are your strengths ? Patience,determination,passion,respectfulness,integrity
What are your weaknesses ? Radical on organizing things,being honest,straightforward and sometimes my empathetic
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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