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: ETO2167372 Name: TUSHAR
  Address: D-170 NEW MODEL TOWN EXTENSION
Telephone No.: Mobile no: 8295829183
E-mail: SINGHTUSHAR689@GMAIL.COM  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 390470952
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167372 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: ETO2167372
 
Full Name (as per Passport) : TUSHAR
Date of Birth (DD/MM/YY): 14 Nov 1993 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U7445777 Date of Expiry: 11 Oct 2030
Place of Issue: CHANDIGARH Personal Identification Mark: CUT ON LEFT HAND WRIST

(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.: D-170
Street /Lane: NEW MODEL TOWN EXTENSION
Village / Post Office / Tehsil: HISAR
City / District: HISAR
State: Haryana
PIN: 125001
Telephone No. with STD code: Mobile: 8295829183
E-mail: SINGHTUSHAR689@GMAIL.COM  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2010 Year of Passing: 2012
Board: Haryana Board: Haryana
English %: 87 English %: 67
Aggregate Percentage: 84 Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 74 74
Chemistry 100 54 54
Mathematics 100 48 48
English 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 58.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: BRCM COLLEGE OF ENGINEERING AND TECHNOLOGY
Tel. No.: Tel. No.: 9896271453
Email Id.: Email Id.: Infocollege@brcm.edu.in
Board: University: MAHARISHI DAYANAND UNIVERSITY 
Year of Joining:
Year of Joining: 2012
Year of Passing: Percentage: Year of Passing: 2016 Percentage: 66
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
BRG IRON AND STEELS PVT LIMITED, GET 25 Jul 2017 20 Aug 2018
       
       
 
What are your hobbies ? PLAYING CRICKET,CHESS,READING NEWSPAPER
What are your strengths ? HONEST,PUNCTUAL AND TEAMWORK
What are your weaknesses ? TOO SENSITIVE FOR MY WORK
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form