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: ETO2167680 Name: GAURAV SINGH
  Address: 3 GEETA COLONY
Telephone No.: Mobile no: 8291997790
E-mail: gauravsinghbhau@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 402229066
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167680 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: ETO2167680
 
Full Name (as per Passport) : GAURAV SINGH
Date of Birth (DD/MM/YY): 03 Aug 1993 Nationality: INDIAN
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: J5890488 Date of Expiry: 11 Dec 2021
Place of Issue: PALLANWALA JAMMU Personal Identification Mark: MOLE ON NECK

(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.: 3
Street /Lane: GEETA COLONY
Village / Post Office / Tehsil: AKHNOOR
City / District: JAMMU
State: Jammu and Kashmir
PIN: 181201
Telephone No. with STD code: Mobile: 8291997790
E-mail: gauravsinghbhau@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2009 Year of Passing: 2011
Board: CBSE Board: CBSE
English %: 70 English %: 78
Aggregate Percentage: 81 Aggregate Percentage: 70
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 57 57
Chemistry 100 68 68
Mathematics 100 61 61
English 100 78 78
Physics, Chemistry & Mathematics combined Percentage: 62
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electrical Engineering
Name of Polytechnic: Name of College: JAWAHARLAL NEHRU ENGINEERING COLLEGE
Tel. No.: Tel. No.: 02402481437
Email Id.: Email Id.: principal@jnec.ac.in
Board: University: DR. BABASAHEB AMBEDKAR MARATHWADA UNIVERSITY 
Year of Joining:
Year of Joining: 2011
Year of Passing: Percentage: Year of Passing: 2015 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
Cognizant Technology Solutions Senior Systems Executive 12 Jul 2016 05 Sep 2017
       
       
 
What are your hobbies ? RUNNING,TRAVELLING
What are your strengths ? Honest,Quick Learner,Take Initiative,Friendly
What are your weaknesses ? Bad Handwriting,Detail Oriented.
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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