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: ETO2167325 Name: BAJARE SHARDUL JAYANTA
  Address: 610 guruwar peth satara satara
Telephone No.: Mobile no: 9840793899
E-mail: iamshardul.bajare@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 ETO2167325 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: ETO2167325
 
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
Street /Lane: guruwar peth satara satara
Village / Post Office / Tehsil: SATARA CITY
City / District: satara
State: Maharashtra
PIN: 415002
Telephone No. with STD code: Mobile: 9840793899
E-mail: iamshardul.bajare@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing:
Board: Maharashtra Board:
English %: 71 English %:
Aggregate Percentage: 71 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: Karmveer Bhaourao Patil College Of Engineering And Polytechnic Satara Name of College: AMET UNIVERSITY CHENNAI
Tel. No.: 02162230636 Tel. No.: 04427472804
Email Id.: iamshardul.bajare@gmail.com Email Id.: office@ametuniv.ac.in
Board: MSBTE University: AMET UNIVERSITY CHENNAIĀ 
Year of Joining: 2013
Year of Joining: 2016
Year of Passing: 2016 Percentage: 68 Year of Passing: 2019 Percentage: 70
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
IMPLANT TRAINNING STUDENT 01 Jan 2018 06 Jan 2018
ALBION MARINE PVT LTD INTERN 01 Jan 2019 30 Apr 2019
SHALGAR INDUSTRIES TRAINEE ENGINEER 01 Jun 2019 31 Oct 2020
 
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 ________________

 
Print Summary and Application Form