 |
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: ETO2167358 |
Name: TANDEL BHAUTIKKUMAR DHANSUKHBHAI |
| |
Address: A-101,SURYAM FLATS MAHALAXMI NAGAR |
| Telephone No.: |
Mobile no: 9265069976 |
| E-mail: bhautiktandel58@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 ETO2167358 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 : |
- Three identical recent passport size photographs (including one attached on the form)
- Attested Copies of Class X, XII mark sheet, Age Proof
- Attested Copies of Graduation Semester/ Year wise Grade Sheet
- Attested Copies of Graduation Certificates
- Format of Annex-1 to be printed on college/institute letterhead and submitted along with application form
- CGPA / DGPA to percentage conversion letter (if applicable)
- Print the application form duly filled
- Send the hard copy of application form along with necessary documents to TMI, Induri
- 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: ETO2167358 |
| |
| Full Name (as per Passport) : TANDEL BHAUTIKKUMAR DHANSUKHBHAI |
| Date of Birth (DD/MM/YY): 22 Dec 1995 |
Nationality: INDIAN |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Passport No.: T3079353 |
Date of Expiry: 07 May 2029 |
| Place of Issue: SURAT |
Personal Identification Mark: BIRTHMARK ON LEFTSIDE OF NECK |
|
(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.: A-101,SURYAM FLATS |
| Street /Lane: MAHALAXMI NAGAR |
| Village / Post Office / Tehsil: CHALA |
| City / District: VAPI |
| State: Gujarat |
| PIN: 396191 |
| Telephone No. with STD code: 02609925500580 |
Mobile: 9265069976 |
| E-mail: bhautiktandel58@gmail.com |
|
| |
Academic Record - |
|
| Class X: - |
Class XII: - |
| Year of Passing: 2011 |
Year of Passing: 2013 |
| Board: Gujarat |
Board: Gujarat |
| English %: 74 |
English %: 60 |
| Aggregate Percentage: 72 |
Aggregate Percentage: 55 |
| |
|
| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
|
MARKS SECURED |
PERCENTAGE (%) |
| Physics |
150 |
94 |
62.67 |
| Chemistry |
150 |
93 |
62 |
| Mathematics |
100 |
60 |
60 |
| English |
100 |
60 |
60 |
| Physics, Chemistry & Mathematics combined Percentage: |
61.56 |
|
| |
|
| |
|
Diploma: |
Graduation: |
| Diploma Specialization: |
Degree Specialization: Electrical Engineering |
| Name of Polytechnic: |
Name of College: SHROFF S R ROTARY INSTITUTE OF CHEMICAL TECHNOLOGY |
| Tel. No.: |
Tel. No.: 9712177799 |
| Email Id.: |
Email Id.: hr@srict.in |
| Board: |
University: GTU |
|
|
| Year of Passing: |
Percentage: |
Year of Passing: 2018 |
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 |
| FLOURISH PHARMA |
MAINTANANCE ENGINEER |
07 Sep 2018 |
30 Dec 2019 |
| BRUCKE PHARMA |
MAINTANANCE ENGINEER |
21 Feb 2020 |
25 Mar 2020 |
| AGUSTO FORMULATION |
MAINTANANCE ENGINEER |
08 Jul 2020 |
31 Dec 2020 |
|
| |
| What are your hobbies ? SPORTS,WEIGHT TRAINING,RIDING,DRAWING |
| What are your strengths ? HARDWORKING,OPENMINDED,LEADERSHIP |
| What are your weaknesses ? PRESENTATION SKILLS |
| |
| |
| Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
| |
___________________ |
| |
Date ________________ |
| |