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: ETO2192123 Name: Nitesh Chandrakant Jadhao
  Address: Shivaji nagar karanja lad, District-Washim Near BUS-stand
Telephone No.: Mobile no: 7620726090
E-mail: niteshjadhao70@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: 13675084667
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2192123 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: ETO2192123
 
Full Name (as per Passport) : Nitesh Chandrakant Jadhao
Date of Birth (DD/MM/YY): 23 May 1997 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Karanja 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.: Shivaji nagar karanja lad, District-Washim
Street /Lane: Near BUS-stand
Village / Post Office / Tehsil: KARANJA LAD
City / District: WASHIM
State: Maharashtra
PIN: 444105
Telephone No. with STD code: Mobile: 7620726090
E-mail: niteshjadhao70@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: Maharashtra Board:
English %: 75 English %:
Aggregate Percentage: 79 Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
English
Physics, Chemistry & Mathematics combined Percentage:
   
   

Diploma:

Graduation:
Diploma Specialization: Electrical Engineering Degree Specialization: Electrical Engineering
Name of Polytechnic: Goverment Polytechnic Washim Name of College: Yashwantrao chavan college of Engineering Nagpur
Tel. No.: 7058433288 Tel. No.: 7058433288
Email Id.: niteshjadhao70@gmail.com Email Id.: niteshjadhao70@gmail.com
Board: MAHARASHTRA STATE BOARD OF TECHNICAL EDUCATIO University: Rashtrasant Tukadoji maharaj nagpur university NAGPUR 
Year of Joining: 2013
Year of Joining: 2016
Year of Passing: 2016 Percentage: 85 Year of Passing: 2019 Percentage: 65
Medium of Instruction: english 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
CHR INDUSTRIES QUALITY CONTROL INCHARGE    
       
       
 
What are your hobbies ? GYMING, TRAVELLING,LEARN NEW THING
What are your strengths ? MULTITASKING,FLEXIBILITY,DEDICATION
What are your weaknesses ? LITTLE IMOTIONAL
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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