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: ETO2167521
 
Full Name (as per Passport) : Tuhin Deb
Date of Birth (DD/MM/YY): 22 Dec 1995 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: R2178387 Date of Expiry: 29 Jun 2027
Place of Issue: GUWAHATI Personal Identification Mark: SCAR ON LEFT HAND SIDE OF FOREHEAD

(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.: PLOT NO-224, RR COLONY
Street /Lane: MAIN ROAD 2
Village / Post Office / Tehsil: RYNJAH
City / District: SHILLONG
State: Meghalaya
PIN: 793006
Telephone No. with STD code: Mobile: 7008037310
E-mail: debtuhin7@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: CBSE Board: CBSE
English %: 85 English %: 93
Aggregate Percentage: 79 Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 65 65
Chemistry 100 67 67
Mathematics 100 55 55
English 100 93 93
Physics, Chemistry & Mathematics combined Percentage: 62.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: SRM Institute of Science and Technology
Tel. No.: Tel. No.: 914427417499
Email Id.: Email Id.: infodesk@srmist.edu.in
Board: University: SRM deemed University 
Year of Joining:
Year of Joining: 2014
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 72
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 ? Driving, listening to music
What are your strengths ? Disciplined, Hard working
What are your weaknesses ? If I am unable to do a work, I will do everything that is possible to finish the work otherwise I become restless.
 
 
Declaration

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

Signature of Candidate

 

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Date ________________