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


Application Summary
 
Dossier ID: ETO2167323 Name: BIPUL PANDEY
  Address: 548D GANGANAGAR
Telephone No.: Mobile no: 8178338665
E-mail: vipul.vips92@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167323 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 check that the following documents are accompanying this application :
  1. Three identical recent passport size photographs (including one attached on the form)
  2. Attested Copies of Class X, XII mark sheet, Age Proof
  3. Attested Copies of Graduation Semester/ Year wise Grade Sheet
  4. Attested Copies of Graduation Certificates
  5. Format of Annex-1 to be printed on college/institute letterhead and submitted along with application form
  6. CGPA / DGPA to percentage conversion letter (if applicable)
  7. Print the application form duly filled
  8. Send the hard copy of application form along with necessary documents to TMI, Induri
  9. Send filled application forms to Admissions Cell (ETO), Tolani Maritime Institute, Induri Village, Talegaon Chakan Road, Talegaon Dabhade, Pune, PIN- 410507

     
     

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: ETO2167323
 
Full Name (as per Passport) : BIPUL PANDEY
Date of Birth (DD/MM/YY): 20 Aug 1992 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: V0219568 Date of Expiry: 24 Feb 2030
Place of Issue: LUCKNOW Personal Identification Mark: BLACK MARK ON LEFT SIDE OF FORHEAD

(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.: 548D
Street /Lane: GANGANAGAR
Village / Post Office / Tehsil: BASHARATPUR
City / District: GORAKHPUR
State: Uttar Pradesh
PIN: 273004
Telephone No. with STD code: Mobile: 8178338665
E-mail: vipul.vips92@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2009 Year of Passing: 2011
Board: ISCE Board: ISCE
English %: 60 English %: 59
Aggregate Percentage: 67 Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 83 83
Chemistry 100 90 90
Mathematics 100 86 86
English 100 59 59
Physics, Chemistry & Mathematics combined Percentage: 86.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: ANAND ENGINEERING COLLEGE AG
Tel. No.: Tel. No.: 9105355444
Email Id.: Email Id.: registraraec@sgei.org
Board: University: Dr. APJ Abdul Kalam Techinical  
Year of Joining:
Year of Joining: 2011
Year of Passing: Percentage: Year of Passing: 2015 Percentage: 61
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
FIS TEAM MEMBER D2 20 Jul 2017 24 Jan 2018
RIPPL ENGINEERS ELECTRICAL SENIOR ENGINEERING 10 Aug 2018 15 Oct 2020
       
 
What are your hobbies ? PLAYING CRICKET
What are your strengths ? HARD WORKING AND GOOD TEAM MEMBER
What are your weaknesses ? TRUST PEOPLE VERY EASYLY
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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