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: ETO2167655 Name: AVINASH KUMAR
  Address: 3013/FC, 2ND FLOOR GALI NO. 16, NEAR SHIV SHOWK
Telephone No.: Mobile no: 7906172522
E-mail: avinash824@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 ETO2167655 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: ETO2167655
 
Full Name (as per Passport) : AVINASH KUMAR
Date of Birth (DD/MM/YY): 17 May 1991 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: R3692426 Date of Expiry: 08 Jan 2021
Place of Issue: PATNA Personal Identification Mark: A MOLE ON RIGHT ARM

(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.: 3013/FC, 2ND FLOOR
Street /Lane: GALI NO. 16, NEAR SHIV SHOWK
Village / Post Office / Tehsil: SOUTH PATEL NAGAR
City / District: CENTRAL DELHI
State: Delhi
PIN: 110008
Telephone No. with STD code: Mobile: 7906172522
E-mail: avinash824@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2006 Year of Passing: 2008
Board: Bihar Board: Bihar
English %: 74 English %: 56
Aggregate Percentage: 74 Aggregate Percentage: 62
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 62 62
Chemistry 100 54 54
Mathematics 100 70 70
English 100 56 56
Physics, Chemistry & Mathematics combined Percentage: 62
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Instrumentation
Name of Polytechnic: Name of College: GREATER KOLKATA COLLEGE OF ENGINEERING AND MANAGEMENT
Tel. No.: Tel. No.: 9073683914
Email Id.: Email Id.: info.gkcem@jisgroup.org
Board: University: WEST BENGAL UNIVERSITY OF TECHNOLOGY 
Year of Joining:
Year of Joining: 2009
Year of Passing: Percentage: Year of Passing: 2013 Percentage: 74
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 -
M. TECH. IN APPROPRIATE TECHNOLOGY AND ENTRPRENEURSHIP

Work Experience, if any -

Name of the Firm Designation From To
TELEINDIA NETWORKS PVT. LTD. PROJECT ENGINEER 17 Jun 2016 07 Dec 2018
NCR CORPORATION INDIA PVT LTD PROJECT COORDINATOR 10 Jan 2018 31 Jan 2021
       
 
What are your hobbies ? SWIMMING, BODY BUILDING
What are your strengths ? HEALTH, HARD WORKING, PATIENCE
What are your weaknesses ? TAKING TOO MANY RISKS, BEING TOO HONEST
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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