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: ETO2198801 Name: Nooman Imtiyaz Bhatkar
  Address: 501 Juna Phansop
Telephone No.: Mobile no: 8830978024
E-mail: noomanbhatkar39@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: 13857950975
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2198801 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

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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: ETO2198801
 
Full Name (as per Passport) : Nooman Imtiyaz Bhatkar
Date of Birth (DD/MM/YY): 01 Jan 2000 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: V2486713 Date of Expiry:
Place of Issue: Ratnagiri Personal Identification Mark: A small scar above the little finger of the right 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.: 501
Street /Lane: Juna Phansop
Village / Post Office / Tehsil: Juna Phansop
City / District: Ratnagiri
State: Maharashtra
PIN: 415612
Telephone No. with STD code: Mobile: 8830978024
E-mail: noomanbhatkar39@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: Maharashtra Board: Maharashtra
English %: 72 English %: 77
Aggregate Percentage: 82 Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 58 58
Mathematics 100 61 61
English 100 77 77
Physics, Chemistry & Mathematics combined Percentage: 62.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: Finolex Academy of Management and Technology
Tel. No.: Tel. No.: 02352229657
Email Id.: Email Id.: admin@famt.ac.in
Board: University: Mumbai University 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 66
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 ? Playing Chess, TroubleShooting Old Appliances, Badminton, Solving Puzzles.
What are your strengths ? My strength is that I am confident, I am punctual and I always look forward to learning new things.
What are your weaknesses ? My weakness is I am not comfortable until I finish my work in the given time.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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