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: ETO2167331
 
Full Name (as per Passport) : BHORE VIVEK VINAYAKRAO
Date of Birth (DD/MM/YY): 25 Sep 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: MOLE ON TOP BACK OF SPINAL

(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.: H.NO. 1-29-451/1 NEAR KAKAD POLICE
Street /Lane: SUWARNKAR NAGAR
Village / Post Office / Tehsil: JALNA
City / District: JALNA
State: Maharashtra
PIN: 431203
Telephone No. with STD code: Mobile: 9049024921
E-mail: vivekbhore369@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: Maharashtra Board:
English %: 78 English %:
Aggregate Percentage: 76 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: Electronics Engineering Degree Specialization: Electrical Engineering
Name of Polytechnic: MATSYODARI SHIKSHAN SANSTHA COLLAGE OF POLYTECHNIC Name of College: ALARD COLLEGE ENGINEERING AND MANGEMENT
Tel. No.: 02482262055 Tel. No.: 02066523700
Email Id.: msscet.tpo@gmail.com Email Id.: info@alardinspitutes.org
Board: MSBTE MAHARASTRA University: SPPU PUNEĀ 
Year of Joining: 2013
Year of Joining: 2016
Year of Passing: 2016 Percentage: 68 Year of Passing: 2020 Percentage: 62
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 CRICKET
What are your strengths ? FLEXIBILITY IN WORK
What are your weaknesses ? PRESENTATION SKILLS
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________