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)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2049582 Name: Pawar shubham rohidas
  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  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304105278
   
   
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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Date ________________ Date ________________
 
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.

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

 
  Dossier ID: DNS2049582
 
Applicant's Personal Information:
 
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
 
Guardian's Particulars:
 
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
   
Office Address:
   
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
 

Education and Academic Record :


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
  Centre code: 1231
  Address of School/College: Ganga nagar, gangakruppa appt. Neral. Dist raigad tal karjat
  Pin: 410103
  Contact Nos: 09921732851
  Email: shubhampawar5412@gmail.com
  Aggregate Percentage: 71
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
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
   
IMU CET Application Number:  
 
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
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate not uploaded Class X marksheet School leaving certificate Class XII admit card not uploaded Class XII marksheet
 
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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