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: ETO2198940 Name: PRADEEP RAJ
  Address: C-2 S.K.D. PUBLIC SCHOOL
Telephone No.: Mobile no: 7908148301
E-mail: pradeep.raj3851@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: 13862843452
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2198940 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: ETO2198940
 
Full Name (as per Passport) : PRADEEP RAJ
Date of Birth (DD/MM/YY): 16 Apr 1998 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: CUT MARK ON TOP OF NOSE

(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.: C-2
Street /Lane: S.K.D. PUBLIC SCHOOL
Village / Post Office / Tehsil: SUNDARPUR, KORI, SANDESH
City / District: BHOJPUR
State: Bihar
PIN: 802164
Telephone No. with STD code: Mobile: 7908148301
E-mail: pradeep.raj3851@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: CBSE Board: Bihar
English %: 95 English %: 65
Aggregate Percentage: 95 Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 63 63
Mathematics 100 92 92
English 100 65 65
Physics, Chemistry & Mathematics combined Percentage: 74
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: SIKKIM MANIPAL INSTITUDE OF TECHNOLOGY
Tel. No.: Tel. No.: 9933304177
Email Id.: Email Id.: arun.s@smit.smu.edu.in
Board: University: SIKKIM MANIPAL UNIVERSITY 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 90
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
ROBERT BOSCH (AUTOMOTIVE) SOFTWARE ENGINEER    
       
       
 
What are your hobbies ? TRAVELLING, SWIMMING
What are your strengths ? I USED TO BECOME FAMILIER EASLIY WITH NEW PEOPLE
What are your weaknesses ? Too detail oriented
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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