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: ETO2167386 Name: SUDEEP SINGH CHAUHAN
  Address: QTR NO. 2/30 SECTOR 2
Telephone No.: Mobile no: 9716381116
E-mail: chauhansudeep94@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 ETO2167386 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: ETO2167386
 
Full Name (as per Passport) : SUDEEP SINGH CHAUHAN
Date of Birth (DD/MM/YY): 30 Nov 1994 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: N3137938 Date of Expiry: 22 Sep 2025
Place of Issue: NEW DELHI Personal Identification Mark: STITCHES MARK ON CHIN

(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.: QTR NO. 2/30
Street /Lane: SECTOR 2
Village / Post Office / Tehsil: MATHURA REFINERY NAGAR
City / District: MATHURA
State: Uttar Pradesh
PIN: 281006
Telephone No. with STD code: Mobile: 9716381116
E-mail: chauhansudeep94@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2010 Year of Passing: 2012
Board: CBSE Board: CBSE
English %: 85 English %: 80
Aggregate Percentage: 78 Aggregate Percentage: 75
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 68 68
Chemistry 100 82 82
Mathematics 100 72 72
English 100 80 80
Physics, Chemistry & Mathematics combined Percentage: 74
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical and Electronics Engineering
Name of Polytechnic: Name of College: MAHARAJA AGRASEN INSTITUTE OF TECHNOLOGY
Tel. No.: Tel. No.: 8448186942
Email Id.: Email Id.: mait@mait.ac.in
Board: University: GURU GOBIND SINGH INDRAPRASTHA UNIVERSITY 
Year of Joining:
Year of Joining: 2012
Year of Passing: Percentage: Year of Passing: 2016 Percentage: 67
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 -
GATE 2020 QUALIFIED WITH 39 MARKS

Work Experience, if any -

Name of the Firm Designation From To
ACCENTURE SOLUTIONSPRIVATE LIMITED ASSOCIATE SOFTWARE ENGINEER 28 Nov 2016 18 May 2018
       
       
 
What are your hobbies ? COOKING, EXPLORING NEW PLACES, PLAYING CRICKET
What are your strengths ? ADAPTIVE NATURE, GOOD LEADERSHIP QUALITIES, TEAM BUILDING AND TIME MANAGEMENT SKILLS, GOOD ANALYTICAL AND PROBLEM SOLVING SKILLS
What are your weaknesses ? GET TOO INVOLVED IN WORK
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
Print Summary and Application Form