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: DNS2049867 Name: Ashutosh Rajesh Satturwar
  Address: Trimurti nivas,kamgar nagar,near sai mandir ,dattawadi akurdi,pune
Telephone No.: Mobile no: 8483077223
E-mail: ashutoshsatturwar26@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 304675534
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2049867 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 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: DNS2049867
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashutosh Rajesh Satturwar
Mother's Name: Rashmi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Jun 2002 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: Black spot near chest
Blood Group: O + Address for Communication: Trimurti nivas,kamgar nagar,near sai mandir ,dattawadi akurdi,pune
State: Maharashtra Country: India
Pin: 411035 City/District: Pune
Mobile no: 8483077223 Telephone No. with STD code:
Aadhar Card No:409732530421 E-mail: ashutoshsatturwar26@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Relationship with candidate: Father
Parents Date of Birth: 24 Dec 1963 Parent's/Guardian's Occupation/Designation: Maintainance. Electrician
   
Office Address:
   
Address: Walia agni industries. Pvt .Ltd .D-2,plot-32.block-b MIDC chinchwad,pune
Country: India State: Maharashtra
City/District: Pune Pin: 411019
Tel: Mobile no.: 9890924807
Fax: Email: aishwaryasatturwar95@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Vidyanand Bhavan high school. School: SB.Patil college of science and commerce
City: Pune City: Pune
English %: 77 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: Sr.no.110,Gate no.1,Ravet,pune
  Pin: 412101
  Contact Nos:
  Email: sbpc.science@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
07/2014 Diploma in sea training 4 yrs
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I am going to prepare for imu-cet exam and working on My physical fitness and also learning Morse code
Why do you wish to join TMI?: As my seniors sugested this institute as one of the Best institute for marine courses and it is very close To my home town.
What are your hobbies?: Drawing
What are your strengths?: I have a innovative mind set
What are your weaknesses?: I am straight forward
How do you intend to meet the expenses of this program?: Own Resources
 
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 not uploaded
 
Declaration

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

Signature of Candidate

 

___________________

Date ________________

 
Print Summary and Application Form