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 :
  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: 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: GTUĀ 
Year of Joining:
Year of Joining: 2013
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 ________________

 
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