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 2022


Application Summary
 
Dossier ID: ETO2191238 Name: TANDEL RUTIKKUMAR BHIKHUBHAI
  Address: 874 JIVAN JYOT FALIYA
Telephone No.: Mobile no: 9016339671
E-mail: rutiktandel5130@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200.00 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 13625084523
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2191238 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 2022

Dossier ID: ETO2191238
 
Full Name (as per Passport) : TANDEL RUTIKKUMAR BHIKHUBHAI
Date of Birth (DD/MM/YY): 20 Apr 2000 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: ONE 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.: 874
Street /Lane: JIVAN JYOT FALIYA
Village / Post Office / Tehsil: KAKWADI/ POST OFFICE-KAKWADI
City / District: VALSAD
State: Gujarat
PIN: 396385
Telephone No. with STD code: Mobile: 9016339671
E-mail: rutiktandel5130@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Gujarat Board: Gujarat
English %: 78 English %: 70
Aggregate Percentage: 70 Aggregate Percentage: 73
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 113 75.33
Chemistry 150 109 72.67
Mathematics 100 60 60
English 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 69.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: GOVERNMENT ENGINEERING COLLEGE VALSAD
Tel. No.: Tel. No.: 02632241960
Email Id.: Email Id.: gec-valsad-dte@gujarat.gov.in
Board: University: GUJARAT TECHNOLOGICAL UNIVERSITY 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 70
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 ? DANCING, CRICKET
What are your strengths ? DEDICATION, PATIENCE, DISCIPLINE
What are your weaknesses ? WHEN SOMEONE ASK FOR HELP I CAN NOT SAY NO
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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