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: ETO2167362
 
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

(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.: 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  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: ISCE Board:
English %: 72 English %:
Aggregate Percentage: 70 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: 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.T 
Year of Joining: 2015
Year of Joining: 2018
Year of Passing: 2018 Percentage: 74 Year of Passing: 2021 Percentage: 84
Medium of Instruction: ENGLISH 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
INFI LEAGUE MOTOSPORT ELECTRICAL DESIGN ENGINEER 04 Aug 2020 04 Sep 2020
       
       
 
What are your hobbies ? PLAYING BATMINTON AND COMPUTER GAMES
What are your strengths ? PUNCTUAL,HARDWORKING,ADAPTABLE TO ANY SITUATION
What are your weaknesses ? TALKATIVE
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________