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: ETO2167581 Name: TANDEL UPENKUMAR KANTILAL
  Address: 268 GANESH CHOWK
Telephone No.: Mobile no: 9726068903
E-mail: tandeltinku111@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 ETO2167581 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: ETO2167581
 
Full Name (as per Passport) : TANDEL UPENKUMAR KANTILAL
Date of Birth (DD/MM/YY): 05 Apr 1995 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: P8697301 Date of Expiry: 30 Apr 2027
Place of Issue: SURAT Personal Identification Mark: LEFT HAND IN BLACK SPOT

(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.: 268
Street /Lane: GANESH CHOWK
Village / Post Office / Tehsil: DHOLAI
City / District: NAVSARI
State: Gujarat
PIN: 396110
Telephone No. with STD code: Mobile: 9726068903
E-mail: tandeltinku111@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2010 Year of Passing: 2012
Board: Gujarat Board: Gujarat
English %: 54 English %: 39
Aggregate Percentage: 72 Aggregate Percentage: 55
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 84 56
Chemistry 150 90 60
Mathematics 100 49 49
English 100 39 39
Physics, Chemistry & Mathematics combined Percentage: 55
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: MGITER NAVSARI
Tel. No.: Tel. No.: 02637656313
Email Id.: Email Id.: npvmgiter@gmail.com
Board: University: GTU AHMEDABAD 
Year of Joining:
Year of Joining: 2012
Year of Passing: Percentage: Year of Passing: 2016 Percentage: 64
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 ? SWIMMING,PLAYING,READING
What are your strengths ? HARD WORKING,BELIVE IN YOUR SELF
What are your weaknesses ? EASELY TRUST OTHER PERSON
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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