Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
Electro-Technical Officers Course
(Pre-sea Training & Certification for Merchant Ships)

APPLICATION FOR ADMISSION - March 2021
Dossier ID: ETO2167307
 
Full Name (as per Passport) : BAJARE SHARDUL JAYANTA
Date of Birth (DD/MM/YY): 13 Jan 1996 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T9514053 Date of Expiry: 22 Sep 2029
Place of Issue: PUNE Personal Identification Mark: STICHES MARK ON FOREHEAD RIGHT SIDE

(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.: 610 GURUWAR PETH,SATARA
Street /Lane: GURUWAR PETH, SATARA
Village / Post Office / Tehsil: SATARA CITY
City / District: satara
State: Maharashtra
PIN: 415002
Telephone No. with STD code: Mobile: 9840793899
E-mail: imshardul.bajare@gmail.com  
 

Academic Record -

  
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing:
Board: Maharashtra Board:
English %: 71 English %:
Aggregate Percentage: 70 Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
English
Physics, Chemistry & Mathematics combined Percentage:
   
   

Diploma:

Graduation:
Diploma Specialization: Electrical Engineering Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: KBP POLYTECHNIC SATARA MAHARASHTRA Name of College: AMET UNIVERSITY CHENNAI
Tel. No.: 919309919088 Tel. No.: 04427444625
Email Id.: kbppoly0041@gmail.com Email Id.: office@ametuniv.ac.in
Board: MSBTE University: AMET UNIVERSITY CHENNAI 
Year of Joining: 2013
Year of Joining: 2016
Year of Passing: 2016 Percentage: 68 Year of Passing: 2019 Percentage: 72
Medium of Instruction: ENGLISH 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
Albion Marine Pvt Ltd Inter 12 Jan 2019 31 Mar 2019
Shalgar Industries JE 01 Jun 2019 30 Nov 2020
Implant trainning student 01 Jan 2019 07 Jan 2019
 
What are your hobbies ? Electrical CAD layout design
What are your strengths ? organization and time management to complete work to project deadlines.
What are your weaknesses ? Soft Skills
 
 
Declaration

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

Signature of Candidate
 

___________________
 

Date ________________