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: ETO2199953 Name: Satyam Kumar
  Address: E1 Kankanbagh-2, patna
Telephone No.: Mobile no: 9113460050
E-mail: satyamkumarray1998@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: 13894754498
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2199953 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: ETO2199953
 
Full Name (as per Passport) : Satyam Kumar
Date of Birth (DD/MM/YY): 25 Apr 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Patna Personal Identification Mark: Mole on back shoulder

(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.: E1
Street /Lane: Kankanbagh-2, patna
Village / Post Office / Tehsil: Patna
City / District: Patna
State: Bihar
PIN: 800027
Telephone No. with STD code: Mobile: 9113460050
E-mail: satyamkumarray1998@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2017
Board: CBSE Board: NIOS
English %: 95 English %: 67
Aggregate Percentage: 85 Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 50 50
Chemistry 100 73 73
Mathematics 100 69 69
English 100 67 67
Physics, Chemistry & Mathematics combined Percentage: 64
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: Bhillai Institute of Technology
Tel. No.: Tel. No.: 07882359297
Email Id.: Email Id.: bit@bitdurg.ac.in
Board: University: Chhatisgarh Swami Vivekanand Technical University 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 68
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 ? Listening music, playing Cricket
What are your strengths ? Punctuality, Hard work, Focus to do work, Positive attitude towards work
What are your weaknesses ? My weaknesses are if i am doing any work. I do not want any one interruption on that.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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