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: ETO2167612 Name: TUSHAR KRUSHNRAO AMBULKAR
  Address: PLOT NO 34 WARD NO 9 BHOSLEWADI HINGNA
Telephone No.: Mobile no: 7447334133
E-mail: tusharambulkar98@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 ETO2167612 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: ETO2167612
 
Full Name (as per Passport) : TUSHAR KRUSHNRAO AMBULKAR
Date of Birth (DD/MM/YY): 25 Dec 1997 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U3335373 Date of Expiry: 12 Aug 2030
Place of Issue: NAGPUR Personal Identification Mark: MOLE ON LEFT CHEEK

(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.: PLOT NO 34 WARD NO 9
Street /Lane: BHOSLEWADI HINGNA
Village / Post Office / Tehsil: HINGNA
City / District: NAGPUR
State: Maharashtra
PIN: 441110
Telephone No. with STD code: Mobile: 7447334133
E-mail: tusharambulkar98@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2014 Year of Passing: 2016
Board: Maharashtra Board: Andhra Pradesh
English %: 71 English %: 88
Aggregate Percentage: 76 Aggregate Percentage: 82
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 123 82
Chemistry 150 118 78.67
Mathematics 300 221 73.67
English 100 88 88
Physics, Chemistry & Mathematics combined Percentage: 78.11
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: RAJIV GANDHI COLEGE OF ENGINEERING AND RESEARCH
Tel. No.: Tel. No.: 8806563339
Email Id.: Email Id.: rgcerngp@gmail.com
Board: University: RASHTRASANT TUKDOJI MAHARAJ NAGPUR UNIVERSITY 
Year of Joining:
Year of Joining: 2016
Year of Passing: Percentage: Year of Passing: 2020 Percentage: 60
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
ORDNANCE FACTORY BOARD PRACTICAL TRAINING IN VARIOUS SECTIONS OF FACTORY 21 May 2019 20 Jun 2019
KAPRECON SLEEPER WORKS PVT. LTD. ELECTRICAL ENGINEER 01 Oct 2019 31 Dec 2019
SURESH POLYMERS PVT. LTD. ELECTRICAL MAINTENANCE ENGINEER 01 Sep 2020 30 Oct 2020
 
What are your hobbies ? SKETCHING, COOKING
What are your strengths ? CREATIVITY, HONESTY
What are your weaknesses ? TOO SENSITIVE
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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