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: ETO2196255 Name: ABHISHEK PUROHIT
  Address: pradeep purohit MANDIR
Telephone No.: Mobile no: 8209021120
E-mail: PUROHIT2196@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: 13795523182
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2196255 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: ETO2196255
 
Full Name (as per Passport) : ABHISHEK PUROHIT
Date of Birth (DD/MM/YY): 21 Jan 1996 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: STITCH MARK ON RIGHT KNEE

(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.: pradeep purohit
Street /Lane: MANDIR
Village / Post Office / Tehsil: mandholi, nim ka thana
City / District: SIKAR
State: Rajasthan
PIN: 332713
Telephone No. with STD code: Mobile: 8209021120
E-mail: PUROHIT2196@GMAIL.COM  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing: 2013
Board: CBSE Board: CBSE
English %: 86 English %: 81
Aggregate Percentage: 80 Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 66 66
Mathematics 100 47 47
English 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 60
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: JIET
Tel. No.: Tel. No.: 09799999181
Email Id.: Email Id.: info@jietjodhpur.ac.in
Board: University: RAJASTHAN TECHNICAL UNIVERSITY 
Year of Joining:
Year of Joining: 2013
Year of Passing: Percentage: Year of Passing: 2017 Percentage: 62
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 -
PARTICIPATED IN SGFI, WON MULTIPLE MEDALS IN SWIMMING NATIONALS AND cross country swimming, SAILED AND WON OPTIMIST BOAT REGIONAL TOURNAMENT.

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? SWIMMING,BASKETBALL,CHESS,VOLLEYBALL, RUBIKS PUZZLES, documentaries
What are your strengths ? PATIENCE, PERSEVERANCE,TEAM PLAYER,adaptability, acclimatization
What are your weaknesses ? HAVE A HABIT OF BEING succinct
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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