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: ETO2167441 Name: Vaibhav Pramod Pawar
  Address: At. Post. Nimkhed Bazar
Telephone No.: Mobile no: 7020770466
E-mail: subodhpawar26@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 394980693
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167441 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: ETO2167441
 
Full Name (as per Passport) : Vaibhav Pramod Pawar
Date of Birth (DD/MM/YY): 26 Feb 1997 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Mole on neck

(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.: At. Post. Nimkhed Bazar
Street /Lane:
Village / Post Office / Tehsil: Ta. Anjangaon Surji
City / District: Amravati
State: Maharashtra
PIN: 444705
Telephone No. with STD code: Mobile: 7020770466
E-mail: subodhpawar26@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing:
Board: Maharashtra Board:
English %: 65 English %:
Aggregate Percentage: 61 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: G H Raisoni Polytechnic Amravati Name of College: SKN Sinhgad Institute of Technology and Science
Tel. No.: 0000 Tel. No.: 0000
Email Id.: ghrpa@gmail.com Email Id.: sknsits@gmail.com
Board: MSBTE University: Savitribai Phule Pune University 
Year of Joining: 2012
Year of Joining: 2016
Year of Passing: 2015 Percentage: 71 Year of Passing: 2020 Percentage: 61
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 -
1. I have attended workshop of Indian Railways at Bhusaval Division of Central Railways 2. I have completed 2 months case study on Maintenance of 3 Phase Distribution Transformer at Amravati MIDC

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? Exploring new Places, Farming, Watching Movies
What are your strengths ? Quick learner, Flexible, Passionate about work
What are your weaknesses ? Curiousness, Trust people easily, Straight-forward
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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