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: ETO2167517
 
Full Name (as per Passport) : ANIKET MOHAN DESAI
Date of Birth (DD/MM/YY): 23 May 1993 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: BLACK MARK ON LEFT SHOULDER

(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 PUSHPANAGAR
Street /Lane: GARGOTI SHELOLI ROAD
Village / Post Office / Tehsil: POST PHANASWADI TAL BHUDARGAD
City / District: KOLHAPUR
State: Maharashtra
PIN: 416209
Telephone No. with STD code: Mobile: 9822734971
E-mail: aniket.desai2011@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2009 Year of Passing:
Board: Maharashtra Board:
English %: 64 English %:
Aggregate Percentage: 78 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: VVIT PAL Name of College: SANJEEVAN ENGG PANHALA
Tel. No.: 8378990050 Tel. No.: 02312686621
Email Id.: vidyavardhini6472@gmail.com Email Id.: office@seti.edu.in
Board: MSBTE University: SHIVAJI UNIVERSITY 
Year of Joining: 2009
Year of Joining: 2012
Year of Passing: 2012 Percentage: 70 Year of Passing: 2015 Percentage: 70
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 -

Work Experience, if any -

Name of the Firm Designation From To
       
       
       
 
What are your hobbies ? SINGING
What are your strengths ? POSITIVE MINDSET
What are your weaknesses ? CANT SAY NO TO ANYONE
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________