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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
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Dossier ID: ETO2167362 |
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Full Name (as per Passport) : BIBHAS DUTTA |
Date of Birth (DD/MM/YY): 30 Jul 1997 |
Nationality: INDIAN |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Passport No.: |
Date of Expiry: |
Place of Issue: Durgapur Abl Township |
Personal Identification Mark: NIL |
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(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 -
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House / Building No.: HN 23 MAMRA BAZAR |
Street /Lane: BIDHANPALLY |
Village / Post Office / Tehsil: A.B.L TOWNSHIP |
City / District: DURGAPUR |
State: West Bengal |
PIN: 713206 |
Telephone No. with STD code: |
Mobile: 7407283554 |
E-mail: bibhasdutta583@gmail.com |
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Academic Record - |
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Class X: - |
Class XII: - |
Year of Passing: 2013 |
Year of Passing: |
Board: ISCE |
Board: |
English %: 72 |
English %: |
Aggregate Percentage: 70 |
Aggregate Percentage: |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
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Chemistry |
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Mathematics |
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English |
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Physics, Chemistry & Mathematics combined Percentage: |
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Diploma: |
Graduation: |
Diploma Specialization: Electrical Engineering |
Degree Specialization: Electrical Engineering |
Name of Polytechnic: SHREE RAMAKRISHNA SHILPA VIDYAPITH |
Name of College: ASANSOL ENGINEERING COLLEGE |
Tel. No.: 255571 |
Tel. No.: 2253056 |
Email Id.: srsv.suri@yahoo.in |
Email Id.: principal.aecwb@gmail.com |
Board: W.B.S.C.T.E |
University: M.A.K.A.U.TÂ |
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Year of Passing: 2018 |
Percentage: 74 |
Year of Passing: 2021 |
Percentage: 84 |
Medium of Instruction: ENGLISH |
Medium of Instruction: ENGLISH |
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Note: Diploma/Degree courses must be recognised by any State or Central Government or the AICTE. |
Other Qualification, if any -
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Work Experience, if any - |
Name of the Firm |
Designation |
From |
To |
INFI LEAGUE MOTOSPORT |
ELECTRICAL DESIGN ENGINEER |
04 Aug 2020 |
04 Sep 2020 |
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What are your hobbies ? PLAYING BATMINTON AND COMPUTER GAMES |
What are your strengths ? PUNCTUAL,HARDWORKING,ADAPTABLE TO ANY SITUATION |
What are your weaknesses ? TALKATIVE |
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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___________________ |
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Date ________________ |
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