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: ETO2167614 Name: RAHUL SINGH SIKARWAR
  Address: GALI NO.3 NEAR HARIOM BABA KA MANDIR
Telephone No.: Mobile no: 8109440356
E-mail: SSVSIKARWAR@GMAIL.COM  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 401069237
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167614 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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___________________

   
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: ETO2167614
 
Full Name (as per Passport) : RAHUL SINGH SIKARWAR
Date of Birth (DD/MM/YY): 30 Aug 1992 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: CUT MARK ON RIGHT EYE SIDE

(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.: GALI NO.3
Street /Lane: NEAR HARIOM BABA KA MANDIR
Village / Post Office / Tehsil: VIJAY NAGAR AAMKHO LASHKAR
City / District: GWALIOR
State: Madhya Pradesh
PIN: 474001
Telephone No. with STD code: Mobile: 8109440356
E-mail: SSVSIKARWAR@GMAIL.COM  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2008 Year of Passing: 2010
Board: Madhya Pradesh Board: Madhya Pradesh
English %: 76 English %: 50
Aggregate Percentage: 74 Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 75 75
Mathematics 100 75 75
English 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 68.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: SHRI RAM COLLEGE OF ENGINEERING AND MANAGEMENT
Tel. No.: Tel. No.: 07532304622
Email Id.: Email Id.: INFO@SRGOC.ORG
Board: University: RAJIV GANDHI TECHNICAL UNIVERSTY BHOPALĀ 
Year of Joining:
Year of Joining: 2010
Year of Passing: Percentage: Year of Passing: 2014 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 -
THREE MONTHS OF VOCATIONAL TRAINING IN CENTRAL AIR CONDITIONING COURSE

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? TRAVELLING ,PLAYING CRICKET
What are your strengths ? SELF CONFIDENCE, DECISON MAKER
What are your weaknesses ? PRESENTATION SKILLS
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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