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: ETO2167725
 
Full Name (as per Passport) : Chauhan chandraprakash harilal
Date of Birth (DD/MM/YY): 08 Oct 1994 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Mumbai Personal Identification Mark: Mole on 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.: S-24
Street /Lane: Akurli road
Village / Post Office / Tehsil: Kandivali East
City / District: Mumbai
State: Maharashtra
PIN: 408101
Telephone No. with STD code: Mobile: 8454918478
E-mail: chauhanchandu8@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2010 Year of Passing: 2012
Board: Maharashtra Board: Maharashtra
English %: 50 English %: 72
Aggregate Percentage: 83 Aggregate Percentage: 65
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 58 58
Chemistry 100 62 62
Mathematics 100 67 67
English 100 72 72
Physics, Chemistry & Mathematics combined Percentage: 62.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: Viva institute of technology
Tel. No.: Tel. No.: 02258765968
Email Id.: Email Id.: chauhanchandu8@gmail.com
Board: University: Mumbai University 
Year of Joining:
Year of Joining: 2013
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 60
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
Rbi on contract      
POSOCO      
       
 
What are your hobbies ? Cricket
What are your strengths ? Learning always new
What are your weaknesses ? Hockey
 
 
Declaration

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

Signature of Candidate

 

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Date ________________