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: ETO2167727 Name: NALAWADE PARIKSHIT CHANDRASHEKHAR
  Address: Shubhamshri Complex B-12 College road, Sanewasti
Telephone No.: Mobile no: 7028698897
E-mail: nalawadeparikshit09@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 403010042
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167727 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: ETO2167727
 
Full Name (as per Passport) : NALAWADE PARIKSHIT CHANDRASHEKHAR
Date of Birth (DD/MM/YY): 19 Aug 1997 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: T6304653 Date of Expiry: 20 Aug 2029
Place of Issue: Pune Personal Identification Mark: Dark spot on right side of the waist

(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.: Shubhamshri Complex B-12
Street /Lane: College road, Sanewasti
Village / Post Office / Tehsil: Warulwadi, Narayangaon, Junnar
City / District: Pune
State: Maharashtra
PIN: 410504
Telephone No. with STD code: Mobile: 7028698897
E-mail: nalawadeparikshit09@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: Maharashtra Board:
English %: 94 English %:
Aggregate Percentage: 92 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: Electrical Engineering Degree Specialization: Electrical Engineering
Name of Polytechnic: Government polytechnic Awasari Name of College: Marathwada mitramandal college of Engineering
Tel. No.: 02133225800 Tel. No.: 02025479811
Email Id.: gpawasari@gmail.com Email Id.: mmcoe@mmcoe.edu.in
Board: MSBTE University: SPPUĀ 
Year of Joining: 2013
Year of Joining: 2015
Year of Passing: 2016 Percentage: 81 Year of Passing: 2019 Percentage: 73
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
Sai-lee Electroteknix pvt. Ltd., Pune Automation Engineer 05 Feb 2020 05 Jul 2020
       
       
 
What are your hobbies ? Trekking and fitness
What are your strengths ? Take initiative, lead from the front, Team player, learning attitude, adaptive, patience
What are your weaknesses ? Procrastination
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________

 
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