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: ETO2167469
 
Full Name (as per Passport) : RAHUL SINGH SIKARWAR
Date of Birth (DD/MM/YY): 30 Aug 1992 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: CUT MARK ASIDE OF RIGHT EYE

(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.: GALI NO. 3 NEAR HARI OM BABA MANDIR
Street /Lane: VIJAY NAGAR, AAMKHO, KAMPOO, LASHKAR
Village / Post Office / Tehsil: GWALIOR
City / District: GWALIOR
State: Madhya Pradesh
PIN: 474001
Telephone No. with STD code: Mobile: 8109440356
E-mail: SIKARWAR309@GMAIL.COM  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2008 Year of Passing: 2010
Board: Madhya Pradesh Board: Madhya Pradesh
English %: 76 English %: 50
Aggregate Percentage: 74 Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 55 55
Chemistry 100 75 75
Mathematics 100 75 75
English 100 50 50
Physics, Chemistry & Mathematics combined Percentage: 68.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Name of College: SHRI RAM COLLEGE OF ENGINEERING AND MANAGEMENT
Tel. No.: Tel. No.: 07532304622
Email Id.: Email Id.: info@srgoc.org
Board: University: RAJIV GANDHI PROUDYOGIKI VISHWAVIDYALAYA BHOPALĀ 
Year of Joining:
Year of Joining: 2010
Year of Passing: Percentage: Year of Passing: 2014 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 -
3 MONTHS VOCATIONAL TRAINING IN CENTRAL AIR CONDITIONING COURSE.

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? TRAVELLING, PLAYING CRICKET
What are your strengths ? SELF CONFIDENCE, DECISION MAKING, TAKING INITIATIVE
What are your weaknesses ? PRESENTATION SKILLS, TOO SENSITIVE
 
 
Declaration

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

Signature of Candidate

 

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Date ________________