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Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science 2020)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2049582 |
Name: Pawar shubham rohidas |
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Address: Ganga nagar, gangakruppa appt. Neral. Dist raigad tal karjat Ganga nagar, gangakruppa appt. Neral. Dist raigad tal |
| Telephone No.: 09921732851 |
Mobile no: 9921732851 |
| E-mail: shubhampawar5412@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 200 (Includes Convenience fee of ₹ ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 304105278 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049582 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
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| Date ________________ |
Date ________________ |
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| Please quote your dossier id and full name for any future correspondence |
| Please keep a copy of the form for your reference for communicating with the Institute |
Note: Please remember to login and fill in your 12th std PCM marks when they are published & IMUCET Application number in order to complete your application form. |
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Tolani Maritime Institute
Induri,Talegaon Dabhade, Pune - 410507
Tel.: 02114-669600/1, E-mail: info@tmi.tolani.edu, Web: www.tolani.edu
(New Admission Diploma in Nautical Science )
APPLICATION FOR ADMISSION - 2020
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Pawar shubham rohidas |
| Mother's Name: Manisha |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 15 Sep 2000 |
Nationality: Indian |
| Place of Birth: Pangloli |
Personal Identification Mark: Mole on the neck |
| Blood Group: B + |
Address for Communication: Ganga nagar, gangakruppa appt. Neral. Dist raigad tal karjat Ganga nagar, gangakruppa appt. Neral. Dist raigad tal |
| State: Maharashtra |
Country: India |
| Pin: 410101 |
City/District: Neral |
| Mobile no: 9921732851 |
Telephone No. with STD code: 09921732851 |
| Aadhar Card No: |
E-mail: shubhampawar5412@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Rohidas vishnu pawar |
Relationship with candidate: Father |
| Parents Date of Birth: 13 Feb 1974 |
Parent's/Guardian's Occupation/Designation: Teacher |
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| Office Address: |
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| Address: Ganga nagar, gangakruppa appt. Neral. Dist raigad tal karjat Ganga nagar, gangakruppa appt. Neral. Dist raigad tal |
| Country: India |
State: Maharashtra |
| City/District: Neral |
Pin: 410101 |
| Tel: |
Mobile no.: 9850364655 |
| Fax: |
Email: shubhampawar5412@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2016 |
Year of Passing: 2018 |
| Board: Maharashtra |
Board: Maharashtra |
| School: L.A.E.S ENGLISH HIGH SCHOOL |
School: R.K.T COLLEGE OF ULHASNAGAR |
| City: Neral |
City: Ulhasnagar |
| English %: 70 |
Board Roll No./Seat No.: M019856 |
| Aggregate Percentage: 88 |
School/College Code: 1618006 |
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Centre code: 1231 |
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Address of School/College: Ganga nagar, gangakruppa appt. Neral. Dist raigad tal karjat |
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Pin: 410103 |
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Contact Nos: 09921732851 |
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Email: shubhampawar5412@gmail.com |
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Aggregate Percentage: 71 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
73 |
73 |
| Chemistry |
100 |
67 |
67 |
| Mathematics |
100 |
64 |
64 |
| Physics, Chemistry & Mathematics combined Percentage: |
68 |
| English |
100 |
74 |
74 |
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| IMU CET Application Number: |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: I was studing for the competative exams.. |
| Why do you wish to join TMI?: Its a better place for building my future in merchant navy |
| What are your hobbies?: Swimming |
| What are your strengths?: Having physically and mentally fit. |
| What are your weaknesses?: Afraid of not compliting the work on time. |
| How do you intend to meet the expenses of this program?: Bank Loan |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate
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Class XII admit card not uploaded
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Class XII marksheet
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| Declaration
I hereby declare that all the statements made above are true and correct. |
Signature of Candidate |
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Date ________________ |
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