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: ETO2167574 Name: ANIKET MOHAN DESAI
  Address: MAIN ROAD PUSHPANAGAR
Telephone No.: Mobile no: 9822734971
E-mail: desaisush2290@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 ETO2167574 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: ETO2167574
 
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: KOLHAPUR 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.: MAIN ROAD
Street /Lane: PUSHPANAGAR
Village / Post Office / Tehsil: POST PHANASWADI
City / District: KOLHAPUR
State: Maharashtra
PIN: 416209
Telephone No. with STD code: Mobile: 9822734971
E-mail: desaisush2290@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: VIDYAVARDHINI INSTITUTE PAL Name of College: SANJEEVAN ENGINEERING PANHALA
Tel. No.: 8378990050 Tel. No.: 2312686623
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
Y D MANE POLYTECHNIC KAGAL LECTURER 12 Jan 2016 02 Jan 2017
HUTATMA SWAMI WARAKE SOOTGIRAN MUDHAL ELECTRICAL ENGINEER 06 Jan 2017 06 Feb 2020
       
 
What are your hobbies ? SINGING
What are your strengths ? POSITIVE MINDSET
What are your weaknesses ? NEVER SAY NO TO ANYONE
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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