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: ETO2167539 Name: JAVED ALAM
  Address: 283 JATEPUR NORTH NEAR KALI MANDIR
Telephone No.: Mobile no: 8565818740
E-mail: javedalam3@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 ETO2167539 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: ETO2167539
 
Full Name (as per Passport) : JAVED ALAM
Date of Birth (DD/MM/YY): 04 Oct 1991 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: N2121499 Date of Expiry: 05 Aug 2025
Place of Issue: LUCKNOW Personal Identification Mark: MOLE MARK 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.: 283
Street /Lane: JATEPUR NORTH NEAR KALI MANDIR
Village / Post Office / Tehsil: GORAKHNATH
City / District: GORAKHPUR
State: Uttar Pradesh
PIN: 273015
Telephone No. with STD code: Mobile: 8565818740
E-mail: javedalam3@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2007 Year of Passing: 2010
Board: CBSE Board: Other
English %: 47 English %: 63
Aggregate Percentage: 59 Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 52 52
Chemistry 100 65 65
Mathematics 100 66 66
English 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 61
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: ALIAH UNIVERSITY
Tel. No.: Tel. No.: 03323416444
Email Id.: Email Id.: info@aliah.ac.in
Board: University: ALIAH UNIVERSITY 
Year of Joining:
Year of Joining: 2012
Year of Passing: Percentage: Year of Passing: 2016 Percentage: 70
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
       
       
       
 
What are your hobbies ? Preparing for competitions and Playing COC
What are your strengths ? Determination and Positivity
What are your weaknesses ? Overthinking and Public Speaking
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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