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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
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Dossier ID: ETO2167678 |
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Full Name (as per Passport) : Swapnil Singh |
Date of Birth (DD/MM/YY): 23 Jul 1995 |
Nationality: Indian |
Gender (M/F): Male |
Marital Status (Single/Married): Single |
Passport No.: |
Date of Expiry: |
Place of Issue: Lucknow |
Personal Identification Mark: Burn marks on right hand fingers |
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(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 -
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House / Building No.: MMB-1/188 SECTOR-B |
Street /Lane: Sbi Colony |
Village / Post Office / Tehsil: Aliganj |
City / District: Lucknow |
State: Uttar Pradesh |
PIN: 226024 |
Telephone No. with STD code: |
Mobile: 7906257179 |
E-mail: swapnilsingh2307@gmail.com |
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Academic Record - |
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Class X: - |
Class XII: - |
Year of Passing: 2011 |
Year of Passing: 2013 |
Board: ISCE |
Board: ISCE |
English %: 69 |
English %: 76 |
Aggregate Percentage: 77 |
Aggregate Percentage: 73 |
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Details of Marks Secured in (10+2) Examination - |
SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
Physics |
100 |
83 |
83 |
Chemistry |
100 |
86 |
86 |
Mathematics |
100 |
51 |
51 |
English |
100 |
76 |
76 |
Physics, Chemistry & Mathematics combined Percentage: |
73.33 |
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Diploma: |
Graduation: |
Diploma Specialization: |
Degree Specialization: Electronics and communication Engineering |
Name of Polytechnic: |
Name of College: SRM INSTITUTE OF TECHNOLOGY |
Tel. No.: |
Tel. No.: 0123234301 |
Email Id.: |
Email Id.: dean.ncr@srmist.edu.in |
Board: |
University: SRM UNIVERSITY |
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Year of Passing: |
Percentage: |
Year of Passing: 2018 |
Percentage: 81 |
Medium of Instruction: |
Medium of Instruction: English |
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Note: Diploma/Degree courses must be recognised by any State or Central Government or the AICTE. |
Other Qualification, if any -
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Work Experience, if any - |
Name of the Firm |
Designation |
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What are your hobbies ? Playing Cricket and chess |
What are your strengths ? Like to finish my job on time and fast |
What are your weaknesses ? Short tempered to bring out efficiency |
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Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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___________________ |
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Date ________________ |
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