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: DNS2049791 Name: ATHARVA KAMLESH KULKARNI
  Address: H.NO - 4047 Jain Lane Opp.Mahajan Lane,Near Laxmibai Karanja
Telephone No.: 9673518843 Mobile no: 9028224996
E-mail: atharvakulkarni236@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 304426729
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049791 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: DNS2049791
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ATHARVA KAMLESH KULKARNI
Mother's Name: VARADA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Aug 2001 Nationality: INDIAN
Place of Birth: AHMEDNAGAR Personal Identification Mark: MOLE BELOW LIPS
Blood Group: O + Address for Communication: H.NO - 4047 Jain Lane Opp.Mahajan Lane,Near Laxmibai Karanja
State: Maharashtra Country: India
Pin: 414001 City/District: AHMEDNAGAR
Mobile no: 9028224996 Telephone No. with STD code: 9673518843
Aadhar Card No:650178149433 E-mail: atharvakulkarni236@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: KAMLESH KULKARNI Relationship with candidate: FATHER
Parents Date of Birth: 03 Sep 1972 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: D5,MIDC Nagapur,Ahmednagar
Country: India State: Maharashtra
City/District: AHMEDNAGAR Pin: 414111
Tel: Mobile no.: 9673518843
Fax: Email: kamleshkulkarni50@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Sacred Heart Convent High School School: Sant Bhagwan Baba Junior Collage
City: AHMEDNAGAR City: AHMEDNAGAR
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Centre code:
  Address of School/College: SANT BHAGWANBABA CHOWK,KHARWANDI
  Pin: 414113
  Contact Nos:
  Email: sbjr2000@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100
Chemistry 100
Mathematics 100
Physics, Chemistry & Mathematics combined Percentage:
English 100
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2018 CCC 6 MONTHS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend my time in entrance exam such as NDA And IMUCET
Why do you wish to join TMI?: As tmi is one of the best institute in india or even in asia so i will surely get a better knowledge And a bright future. even as i have adopted the habit of staying alone without family from last 2 years i think it we be preferable for me
What are your hobbies?: Swimming, Travelling
What are your strengths?: Hardworking
What are your weaknesses?: Short Tempered
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 not uploaded Class XII admit card not uploaded Class XII marksheet not uploaded
 
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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