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: ETO2199818
 
Full Name (as per Passport) : Dushyant Sihag
Date of Birth (DD/MM/YY): 24 May 1996 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Jaipur Personal Identification Mark: white mark on right leg 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.: B-111
Street /Lane: Jamunapuri Murlipura Scheme Sikar Road Jaipur
Village / Post Office / Tehsil: Jaipur
City / District: jaipur
State: Rajasthan
PIN: 302039
Telephone No. with STD code: Mobile: 7092880052
E-mail: dushyantsihag007@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: CBSE Board: CBSE
English %: 95 English %: 92
Aggregate Percentage: 91 Aggregate Percentage: 83
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 82 82
Chemistry 100 85 85
Mathematics 100 72 72
English 100 92 92
Physics, Chemistry & Mathematics combined Percentage: 79.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: SRMIST
Tel. No.: Tel. No.: 914427455510
Email Id.: Email Id.: infodesk@srmist.edu.in
Board: University: SRMISTĀ 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 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 ? Gyming, cycling, adventure
What are your strengths ? quick learner
What are your weaknesses ? making quick opinions
 
 
Declaration

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

Signature of Candidate

 

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Date ________________