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: ETO2167618 Name: TANDEL BHUMINKUMAR DALPATBHAI
  Address: 740 HINDU MUSLIM STREET
Telephone No.: Mobile no: 9265700105
E-mail: bhumin241195@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 ETO2167618 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: ETO2167618
 
Full Name (as per Passport) : TANDEL BHUMINKUMAR DALPATBHAI
Date of Birth (DD/MM/YY): 24 Nov 1995 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U5859312 Date of Expiry: 26 Oct 2030
Place of Issue: SURAT Personal Identification Mark: MARK ON LEFT HAND

(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.: 740
Street /Lane: HINDU MUSLIM STREET
Village / Post Office / Tehsil: KAKWADI
City / District: VALSAD
State: Gujarat
PIN: 396385
Telephone No. with STD code: Mobile: 9265700105
E-mail: bhumin241195@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2011 Year of Passing: 2013
Board: Gujarat Board: Gujarat
English %: 82 English %: 51
Aggregate Percentage: 83 Aggregate Percentage: 64
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150 99 66
Chemistry 150 91 60.67
Mathematics 100 79 79
English 100 51 51
Physics, Chemistry & Mathematics combined Percentage: 68.56
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: GOVERNMENT ENGINEERING COLLEGE DAHOD
Tel. No.: Tel. No.: 02673263780
Email Id.: Email Id.: gec-dahod-dte@gujarat.gov.in
Board: University: GUJARAT TECHNOLOGICAL UNIVERSITY 
Year of Joining:
Year of Joining: 2013
Year of Passing: Percentage: Year of Passing: 2017 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
PACIFIC CYBER TECHNOLOGY, DAMAN PROCESS ENGINEER 01 Jun 2018 31 Jan 2019
       
       
 
What are your hobbies ? SPORTS AND GAMES, LIVE EVENTS, MUSIC, READING
What are your strengths ? TIME MANAGEMENT, DEDICATION
What are your weaknesses ? PATIENCE
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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