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: ETO2167321
 
Full Name (as per Passport) : Suryadev singh
Date of Birth (DD/MM/YY): 14 Apr 1994 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: R7559623 Date of Expiry: 14 Jan 2028
Place of Issue: Dehradun Personal Identification Mark: Cut mark in left hand fingure

(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.: Vilaspur kandli ghanghora dehradun
Street /Lane: Vilaspur kandli
Village / Post Office / Tehsil: Ghanghora
City / District: DehraduN
State: Uttaranchal
PIN: 248141
Telephone No. with STD code: Mobile: 7618590379
E-mail: suryadev014@gmail.com  
 

Academic Record -

  
Class X: - Class XII: -
Year of Passing: 2010 Year of Passing:
Board: CBSE Board:
English %: 50 English %:
Aggregate Percentage: 60 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: Iftm university moradabad Name of College: Abes engineering college ghaziabad
Tel. No.: 2360817 Tel. No.: 9999889341
Email Id.: info@iftmuniversity.ac.in Email Id.: info@abes.ac.in
Board: Iftm university moradabad University: Uptu 
Year of Joining: 2011
Year of Joining: 2014
Year of Passing: 2014 Percentage: 80 Year of Passing: 2017 Percentage: 60
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
       
       
       
 
What are your hobbies ? Playing games,listening to music,reading newspaper
What are your strengths ? I am optimistic sincere puntual to my work
What are your weaknesses ? I am not good at handwriting i am working in it.
 
 
Declaration

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

Signature of Candidate
 

___________________
 

Date ________________