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: ETO2167649 Name: SHASHANK RAI
  Address: 7/47,bahar,sahara states DEORIA BYPASS ROAD
Telephone No.: Mobile no: 8318674977
E-mail: shnksrai@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 402067940
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167649 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: ETO2167649
 
Full Name (as per Passport) : SHASHANK RAI
Date of Birth (DD/MM/YY): 27 Jun 1993 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: P7979685 Date of Expiry: 16 Feb 2027
Place of Issue: LUCKNOW Personal Identification Mark: NA

(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.: 7/47,bahar,sahara states
Street /Lane: DEORIA BYPASS ROAD
Village / Post Office / Tehsil: KHORABAR
City / District: GORAKHPUR
State: Uttar Pradesh
PIN: 273010
Telephone No. with STD code: Mobile: 8318674977
E-mail: shnksrai@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2009 Year of Passing: 2012
Board: CBSE Board: Uttar Pradesh
English %: 72 English %: 70
Aggregate Percentage: 62 Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 80 80
Chemistry 100 91 91
Mathematics 100 91 91
English 100 70 70
Physics, Chemistry & Mathematics combined Percentage: 87.33
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: sagar institute of techology and management barabanki
Tel. No.: Tel. No.: 9838076745
Email Id.: Email Id.: info@sagar.ac.in
Board: University: DR. APJ ABDUL KALAM TECHNICAL UNIVERSITY 
Year of Joining:
Year of Joining: 2012
Year of Passing: Percentage: Year of Passing: 2016 Percentage: 61
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
GAIL (INDIA) LIMITED GRADUATE APPRENTICE 31 Jul 2017 30 Jul 2018
UMA CONSTRUCTION SUPERVISOR ENGINEER 11 Sep 2018 10 Oct 2020
       
 
What are your hobbies ? I love to do physical exercises
What are your strengths ? My Mental Stability and Calmness are my strength as it helps me to analyse the situation and tackle it very effectively
What are your weaknesses ? My overcommitment is my weakness as i am unable to say no However i learning to say no and focus on productive tasks
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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