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: ETO2167346
 
Full Name (as per Passport) : Kaustav Ganguly
Date of Birth (DD/MM/YY): 04 Jun 1996 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Kaustav Ganguly

(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.: 42/2
Street /Lane: Panchanan Tala Road
Village / Post Office / Tehsil: Kolkata
City / District: Kolkata
State: West Bengal
PIN: 700041
Telephone No. with STD code: Mobile: 7890002243
E-mail: gangulykaustavganguly@gmail.com  
 

Academic Record -

  
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2015
Board: ISCE Board: ISCE
English %: 76 English %: 75
Aggregate Percentage: 66 Aggregate Percentage: 61
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 65 65
Mathematics 100 63 63
English 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 65.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: University of Engineering and Management
Tel. No.: Tel. No.: 913323577644
Email Id.: Email Id.: vc@uem.edu.in
Board: University: Autonomus 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 71
Medium of Instruction: Medium of Instruction: Full Time

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 ? Photography and Travelling
What are your strengths ? Electronics and Programming
What are your weaknesses ? Cats. I am allergic to cats.
 
 
Declaration

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

Signature of Candidate
 

___________________
 

Date ________________