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: ETO2167376 Name: PATEL FAISAL WARIS
  Address: 14 KADUJI NAGAR , AKOTA
Telephone No.: Mobile no: 7600918266
E-mail: pfaisal071@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 ETO2167376 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: ETO2167376
 
Full Name (as per Passport) : PATEL FAISAL WARIS
Date of Birth (DD/MM/YY): 02 Jun 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: R9398624 Date of Expiry: 14 Feb 2028
Place of Issue: AHMEDABAD Personal Identification Mark: NO

(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.: 14
Street /Lane: KADUJI NAGAR , AKOTA
Village / Post Office / Tehsil: VADODARA
City / District: VADODARA
State: Gujarat
PIN: 390020
Telephone No. with STD code: Mobile: 7600918266
E-mail: pfaisal071@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing:
Board: Gujarat Board:
English %: 66 English %:
Aggregate Percentage: 68 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: Electrical Engineering Degree Specialization: Electrical Engineering
Name of Polytechnic: RMS POLYTECHNIC Name of College: PARUL INSTITUTE OF TECHNOLOGY
Tel. No.: 9099063242 Tel. No.: 02668260401
Email Id.: rmspoly642@gmail.com Email Id.: pit@paruluniversity.ac.in
Board: GUJARAT TECHNOLOGICAL UNIVERSITY University: GUJARAT TECHNOLOGICAL UNIVERSITY 
Year of Joining: 2012
Year of Joining: 2015
Year of Passing: 2015 Percentage: 67 Year of Passing: 2018 Percentage: 64
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
BARODA DISTRICT CO-OPERATIVE MILK PRODUCERS UNION LTD. APPRENTICE GRADUATE ENGINEER 23 Sep 2019 22 Sep 2020
       
       
 
What are your hobbies ? TRAVELLING,READING,HIKING,LEARNING,CAMPING
What are your strengths ? HARDWORKING,FAST DECISION MAKING,HONEST,FLEXIBILITY,LOYALTY
What are your weaknesses ? SENSITIVE
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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