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: ETO2191724 Name: DIVEKAR SANCHIT KISHORE
  Address: 6, DEVKA NIWAS,BHASKAR MHATRE MARG THAKUR PAKHADI, EKSAR ROAD.
Telephone No.: Mobile no: 9969676263
E-mail: divekarsanchit02@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: 13657697057
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2191724 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: ETO2191724
 
Full Name (as per Passport) : DIVEKAR SANCHIT KISHORE
Date of Birth (DD/MM/YY): 02 Dec 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U5780473 Date of Expiry:
Place of Issue: MUMBAI Personal Identification Mark: MOLE ON RIGHT SHOULDER

(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.: 6, DEVKA NIWAS,BHASKAR MHATRE MARG
Street /Lane: THAKUR PAKHADI, EKSAR ROAD.
Village / Post Office / Tehsil: BORIVALI-WEST.MUMBAI 400092
City / District: MUMBAI
State: Maharashtra
PIN: 400092
Telephone No. with STD code: Mobile: 9969676263
E-mail: divekarsanchit02@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: Maharashtra Board: Maharashtra
English %: 65 English %: 69
Aggregate Percentage: 76 Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 45 45
Chemistry 100 62 62
Mathematics 100 62 62
English 100 69 69
Physics, Chemistry & Mathematics combined Percentage: 56.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: M H SABOO SIDDIK COLLEGE OF ENGINEERING
Tel. No.: Tel. No.: 23012921
Email Id.: Email Id.: aimhssce@gmail.com
Board: University: MUMBAI UNIVERSITY 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 61
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 -
CCNA QUALIFIED

Work Experience, if any -

Name of the Firm Designation From To
Ubiquity Technical Services Pvt. Ltd. Technical Support Engineer    
       
       
 
What are your hobbies ? Trekking, Listening to Music, Travelling
What are your strengths ? Flexibility, Taking initiative, Focused, Self Control.
What are your weaknesses ? Taking too many risk, Being to detail oriented, Aggressive.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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