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: ETO2167737
 
Full Name (as per Passport) : Tushar Vinod Oza
Date of Birth (DD/MM/YY): 18 Mar 1998 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Mole on left hand

(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.: 207 Shahu Chowk
Street /Lane: Shaniwar Peth
Village / Post Office / Tehsil: Karad
City / District: Satara
State: Maharashtra
PIN: 415110
Telephone No. with STD code: 021649850140820 Mobile: 9503436820
E-mail: tusharoza90@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing:
Board: Maharashtra Board:
English %: 61 English %:
Aggregate Percentage: 70 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: Satara Polytechnic Satara Name of College: Alard College of Engineering and Management Pune
Tel. No.: 0216279422 Tel. No.: 02066523702
Email Id.: office@satarapolytechnic.org Email Id.: info@alardinstitutes.com
Board: MSBTE University: Pune University 
Year of Joining: 2013
Year of Joining: 2016
Year of Passing: 2016 Percentage: 64 Year of Passing: 2020 Percentage: 66
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
Suvarna FMS Private limited Electrician 21 Jan 2020 13 Apr 2020
       
       
 
What are your hobbies ? Travelling, Listening Songs, Gyming ,Reading books
What are your strengths ? Solution Oriented , Open Minded , Creative Thinking , Friendly, Dedicated
What are your weaknesses ? Being to honest ,Working To many hours, Public Speaking, detail Oriented
 
 
Declaration

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

Signature of Candidate

 

___________________

 

Date ________________