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: ETO2167747
 
Full Name (as per Passport) : GIRISH JAYSINGH GORDE
Date of Birth (DD/MM/YY): 24 Jun 1997 Nationality: Indian
Gender (M/F): Male Marital Status (Single/Married): Single
Passport No.: Date of Expiry:
Place of Issue: Personal Identification Mark: Mole on the wrist of 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.: Near ZP School
Street /Lane: Shastabad , Shirur-Rajgurunagar Road
Village / Post Office / Tehsil: Chincholi Morachi, Shirur
City / District: Pune
State: Maharashtra
PIN: 412218
Telephone No. with STD code: Mobile: 9673724369
E-mail: gordegirish97@gmail.com  
 

Academic Record -

 
Class X: - Class XII: -
Year of Passing: 2013 Year of Passing: 2015
Board: Maharashtra Board: Maharashtra
English %: 93 English %: 84
Aggregate Percentage: 93 Aggregate Percentage: 84
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 89 89
Chemistry 100 75 75
Mathematics 100 87 87
English 100 84 84
Physics, Chemistry & Mathematics combined Percentage: 83.67
   
   

Diploma:

Graduation:
Diploma Specialization: Degree Specialization: Electronics and Telecommunication Engineering
Name of Polytechnic: Name of College: Government College of Engineering and Research Awasari Khurd
Tel. No.: Tel. No.: 02133230582
Email Id.: Email Id.: gcoeara@gmail.com
Board: University: Savitribai Phule Pune University 
Year of Joining:
Year of Joining: 2015
Year of Passing: Percentage: Year of Passing: 2019 Percentage: 75
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
Infosys System Engineer 16 Sep 2019 31 Jan 2021
       
       
 
What are your hobbies ? Watching YouTube video, Exercise.
What are your strengths ? Self descipline, Hard Working, Technically good.
What are your weaknesses ? Inconsistent, Less talkative.
 
 
Declaration

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

Signature of Candidate

 

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Date ________________