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: ETO2167568
 
Full Name (as per Passport) : Mainul kabir Mandal
Date of Birth (DD/MM/YY): 06 Feb 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Maldah Personal Identification Mark: a small mole beside nose

(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.: Malda
Street /Lane: Gazole
Village / Post Office / Tehsil: bachahar,ichahar,gazole,malda
City / District: malda
State: West Bengal
PIN: 732124
Telephone No. with STD code: Mobile: 8145325370
E-mail: Mainulmagical2@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: West Bengal Board: West Bengal
English %: 81 English %: 81
Aggregate Percentage: 84 Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 86 86
Mathematics 100 94 94
English 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 86.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: Jalpaiguri Government Engineering College
Tel. No.: Tel. No.: 03561255131
Email Id.: Email Id.: principal@jgec.in
Board: University: Maulana Abul Kalam Azad University of Technology 
Year of Joining:
Year of Joining: 2017
Year of Passing: Percentage: Year of Passing: 2021 Percentage: 63
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 ? swimming
What are your strengths ? I can adapt myself to any adverse environment.
What are your weaknesses ? I believe people very easily
 
 
Declaration

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

Signature of Candidate

 

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Date ________________