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: ETO2167739 Name: Tushar Vinod Oza
  Address: 207 Shahu Chowk Shaniwar Peth
Telephone No.: Mobile no: 9503436820
E-mail: tusharoza90@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 1225.74 (Includes Convenience fee of ₹ 25.74 ) DD Number: -
Issuing Bank: - Transaction Id: 403113160
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID ETO2167739 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: ETO2167739
 
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: 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 ________________

 
Print Summary and Application Form