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: ETO2167333
 
Full Name (as per Passport) : Mundra Inderjeet Singh Gurvinder Singh
Date of Birth (DD/MM/YY): 06 Sep 1996 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Z6150185 Date of Expiry: 01 Nov 2030
Place of Issue: Mumbai Personal Identification Mark: Mole On left Foot

(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.: Room no.11, chawl no.1, Guru Nanak Nagar
Street /Lane: LBS MARG
Village / Post Office / Tehsil: Ghatkopar west, Mumbai suburban
City / District: Mumbai
State: Maharashtra
PIN: 400086
Telephone No. with STD code: Mobile: 7021744535
E-mail: indr101010@gmail.com  
 

Academic Record -

  
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing:
Board: Maharashtra Board:
English %: 60 English %:
Aggregate Percentage: 66 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: Degree Specialization: Electronics Engineering
Name of Polytechnic: Name of College: Rizvi College of Engineering
Tel. No.: Tel. No.: 02226043866
Email Id.: Email Id.: info@eng.rizvi.edu.in
Board: University: Mumbai University 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 67
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
       
       
       
 
What are your hobbies ? Gyming and Learning about new technologies
What are your strengths ? I have Good leadership skill and i am adaptable to do work in any kind of situations.
What are your weaknesses ? I dont Like to keep work pending for further
 
 
Declaration

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

Signature of Candidate
 

___________________
 

Date ________________