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: ETO2167364 Name: Abul Hasan Khan
  Address: B801, Casa vibrante, opposite hills and dales next to hill green school
Telephone No.: Mobile no: 9657716497
E-mail: abul1230@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 ETO2167364 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: ETO2167364
 
Full Name (as per Passport) : Abul Hasan Khan
Date of Birth (DD/MM/YY): 30 Dec 1997 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: S7904356 Date of Expiry: 11 Sep 2028
Place of Issue: pune Personal Identification Mark: mole on 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.: B801, Casa vibrante, opposite hills and dales
Street /Lane: next to hill green school
Village / Post Office / Tehsil: pune
City / District: pune
State: Maharashtra
PIN: 411060
Telephone No. with STD code: Mobile: 9657716497
E-mail: abul1230@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: CBSE Board: Maharashtra
English %: 81 English %: 56
Aggregate Percentage: 74 Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 55 55
Mathematics 100 54 54
English 100 56 56
Physics, Chemistry & Mathematics combined Percentage: 56.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: Sinhgad academy of engineering
Tel. No.: Tel. No.: 02026934441
Email Id.: Email Id.: snkamat.sae@sinhgad.edu
Board: University: Savitribai Phule pune university 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 61
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 ? learning about stocks, Basketball, running
What are your strengths ? fast learner, can work under pressure
What are your weaknesses ? sometimes stubborn
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form