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: ETO2167653
 
Full Name (as per Passport) : Hemant Kumar Meena
Date of Birth (DD/MM/YY): 30 Nov 1996 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: U1475754 Date of Expiry: 01 Dec 2029
Place of Issue: Delhi Personal Identification Mark: MOLE ON FORHEAD

(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.: rz-47/353
Street /Lane: street no-8
Village / Post Office / Tehsil: shivpuri west sagarpur
City / District: Delhi
State: Delhi
PIN: 110046
Telephone No. with STD code: Mobile: 8285286401
E-mail: hemantkuma327218@gmail.com  
 

Academic Record -

  
Class X: - Class XII: -
Year of Passing: 2012 Year of Passing:
Board: CBSE Board:
English %: 65 English %:
Aggregate Percentage: 64 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: Electronics and communication Engineering Degree Specialization: Electronics and communication Engineering
Name of Polytechnic: Guru Nanak Dev Institute of Technology Name of College: JIMS Engineering Management Technical Campus
Tel. No.: 01127551216 Tel. No.: 01202328670
Email Id.: gndpoly.delhi@nic.in Email Id.: admission.gn@jagannath.org
Board: Board Of Technical Education University: Guru Gobind Singh Indraprastha University 
Year of Joining: 2012
Year of Joining: 2015
Year of Passing: 2015 Percentage: 70 Year of Passing: 2018 Percentage: 76
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
       
       
       
 
What are your hobbies ? gym,travel,reading novel
What are your strengths ? My strength is self-motivated, smart worker, quick learner
What are your weaknesses ? My weakness is I Easley trust everyone
 
 
Declaration

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

Signature of Candidate
 

___________________
 

Date ________________