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: ETO2197086
 
Full Name (as per Passport) : AKSHAY
Date of Birth (DD/MM/YY): 14 Dec 1996 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T7257674 Date of Expiry:
Place of Issue: CHANDIGARH Personal Identification Mark: MOLE ON LEFT HAND

(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.: 559 R
Street /Lane: MODEL TOWN
Village / Post Office / Tehsil: PANIPAT
City / District: PANIPAT
State: Haryana
PIN: 132103
Telephone No. with STD code: Mobile: 9802626265
E-mail: akshaykundu26@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: CBSE Board: CBSE
English %: 76 English %: 81
Aggregate Percentage: 82 Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 91 91
Mathematics 100 88 88
English 100 79 79
Physics, Chemistry & Mathematics combined Percentage: 86.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: GURU NANAK DEV ENGINEERING COLLEGE
Tel. No.: Tel. No.: 01612502700
Email Id.: Email Id.: principal@gndec.ac.in
Board: University: I.K. GUJRAL PUNJAB TECHNICAL UNIVERSITY 
Year of Joining:
Year of Joining: 2014
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 74
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 ? KABADDI,MUSIC
What are your strengths ? TAKING INITIATIVE , CONTINUOUS LEARNING
What are your weaknesses ? SELF CRITICISM
 
 
Declaration

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

Signature of Candidate

 

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Date ________________