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: ETO2167639
 
Full Name (as per Passport) : MRINALINI CHAUHAN
Date of Birth (DD/MM/YY): 22 Nov 1996 Nationality: Indian
Gender (M/F): Female Marital Status (Single/Married): Single
Passport No.: L3580986 Date of Expiry: 01 Aug 2023
Place of Issue: PUNE Personal Identification Mark: SCAR ON THE CHIN

(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.: 26-A, FAFA
Street /Lane: PARADE GROUND ROAD
Village / Post Office / Tehsil: PUNE
City / District: PUNE
State: Maharashtra
PIN: 411001
Telephone No. with STD code: Mobile: 8007770690
E-mail: meenuchow96@gmail.com  
 

Academic Record -

  
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2016
Board: CBSE Board: CBSE
English %: 95 English %: 95
Aggregate Percentage: 89 Aggregate Percentage: 90
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 88 88
Chemistry 100 92 92
Mathematics 100 64 64
English 100 95 95
Physics, Chemistry & Mathematics combined Percentage: 81.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: Bharati Vidyapeeth College of Engineering
Tel. No.: Tel. No.: 02024407114
Email Id.: Email Id.: arbhalerao@bvucoe.edu.in
Board: University: Bharati Vidyapeeth University 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 79
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 ? basketball,running,dancing
What are your strengths ? disciplined,well mannered, punctual,friendly,hardworking
What are your weaknesses ? mathematics
 
 
Declaration

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

Signature of Candidate
 

___________________
 

Date ________________