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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: ETO2167397 |
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Full Name (as per Passport) : DAS ELANGO KASHI |
Date of Birth (DD/MM/YY): 26 Aug 1994 |
Nationality: INDIAN |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Passport No.: |
Date of Expiry: |
Place of Issue: |
Personal Identification Mark: mark below left eye |
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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.: J.N.2/33/A-1,SECTOR-10 |
Street /Lane: VASHI |
Village / Post Office / Tehsil: THANE |
City / District: NAVI MUMBAI |
State: Maharashtra |
PIN: 400703 |
Telephone No. with STD code: |
Mobile: 9791574082 |
E-mail: elangokashi@gmail.com |
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Academic Record - |
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Class X: - |
Class XII: - |
Year of Passing: 2010 |
Year of Passing: 2012 |
Board: Maharashtra |
Board: Maharashtra |
English %: 68 |
English %: 76 |
Aggregate Percentage: 68 |
Aggregate Percentage: 76 |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
69 |
69 |
Chemistry |
100 |
74 |
74 |
Mathematics |
100 |
82 |
82 |
English |
100 |
75 |
75 |
Physics, Chemistry & Mathematics combined Percentage: |
75 |
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Diploma: |
Graduation: |
Diploma Specialization: |
Degree Specialization: Electrical and Electronics Engineering |
Name of Polytechnic: |
Name of College: SRM UNIVERSITY |
Tel. No.: |
Tel. No.: 914427455510 |
Email Id.: |
Email Id.: infodesk@srmist.edu.in |
Board: |
University: SRM UNIVERSITY |
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Year of Passing: |
Percentage: |
Year of Passing: 2016 |
Percentage: 7 |
Medium of Instruction: |
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 |
KPIT |
electrical design engineer |
29 Jun 2016 |
31 Dec 2020 |
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What are your hobbies ? COLLECTING COINS |
What are your strengths ? POSITIVE ATTITUDE |
What are your weaknesses ? PROCASTINATION |
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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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