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: ETO2167451 Name: Amitesh Vilas Daki
  Address: House no.147 Koleti,Near mumbai goa national highway no.17
Telephone No.: Mobile no: 8830481225
E-mail: dakiamitesh1997@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 ETO2167451 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: ETO2167451
 
Full Name (as per Passport) : Amitesh Vilas Daki
Date of Birth (DD/MM/YY): 31 Mar 1997 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Light black spot mark on right hand

(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.: House no.147
Street /Lane: Koleti,Near mumbai goa national highway no.17
Village / Post Office / Tehsil: Roha
City / District: Raigad
State: Maharashtra
PIN: 402106
Telephone No. with STD code: 021949730578441 Mobile: 8830481225
E-mail: dakiamitesh1997@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing: 2014
Board: Maharashtra Board: Maharashtra
English %: 49 English %: 54
Aggregate Percentage: 80 Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 75 75
Chemistry 100 67 67
Mathematics 100 66 66
English 100 54 54
Physics, Chemistry & Mathematics combined Percentage: 69.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: Saraswati Education Society Yadavrao Tasgaonkar Institute Of Engineering And Technology
Tel. No.: Tel. No.: 02148320781
Email Id.: Email Id.: nanduyt@hotmail.com
Board: University: MumbaiĀ 
Year of Joining:
Year of Joining: 2014
Year of Passing: Percentage: Year of Passing: 2018 Percentage: 72
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
Name of the Firm:Jay Bharat Filaments (J.B.F.)Industries Limited,Rahila,Silvassa,Dadra and Nagar Haveli(396230) Assistant Electrical Engineer 05 Jan 2019 07 Jan 2021
       
       
 
What are your hobbies ? Playing Cricket, Swimming,Reading Technical knowledge Books, Traveling
What are your strengths ? Team building ,Leadership, finish work before deadlines
What are your weaknesses ? Trust on the people who work with me to make any work successful
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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