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: ETO2167370 Name: Priya Pralhad Kamble
  Address: Flat No.6,Laxmi Venktesh Appartmrnt, Devanagari, Shahnoormiya Dargah
Telephone No.: Mobile no: 7620962489
E-mail: priyapiyu25@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 ETO2167370 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: ETO2167370
 
Full Name (as per Passport) : Priya Pralhad Kamble
Date of Birth (DD/MM/YY): 24 Oct 1995 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Aurangabad Personal Identification Mark: Patch on back

(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.: Flat No.6,Laxmi Venktesh Appartmrnt, Devanagari,
Street /Lane: Shahnoormiya Dargah
Village / Post Office / Tehsil: Aurangabad
City / District: Aurangabad
State: Maharashtra
PIN: 431005
Telephone No. with STD code: Mobile: 7620962489
E-mail: priyapiyu25@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing: 2013
Board: Maharashtra Board: Maharashtra
English %: 81 English %: 66
Aggregate Percentage: 85 Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 56 56
Chemistry 100 56 56
Mathematics 100 55 55
English 100 66 66
Physics, Chemistry & Mathematics combined Percentage: 55.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: Shri Guru Gobind Singhji Institute of Engineering and Technology Nanded
Tel. No.: Tel. No.: 02462229234
Email Id.: Email Id.: yvjosho@sggs.ac.in
Board: University: SRTMUĀ 
Year of Joining:
Year of Joining: 2014
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 66
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
       
       
       
 
What are your hobbies ? Yoga and meditation
What are your strengths ? Positive and learning attitude
What are your weaknesses ? Restlessness when work is pending
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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