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: DNS2050131 Name: Patil Rahul Rajesh
  Address: B/1401 , Gokul Concorde , Dattani Park , Thakur Village , Kandivali East , Mumbai
Telephone No.: 02228846104 Mobile no: 9820420087
E-mail: nr1_rajesh123@yahoo.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: 305212416
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050131 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: DNS2050131
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Patil Rahul Rajesh
Mother's Name: Nilaxi Rajesh Patil
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 23 Oct 2001 Nationality: Indian
Place of Birth: Thane Personal Identification Mark: Birth mark on stomach
Blood Group: O + Address for Communication: B/1401 , Gokul Concorde , Dattani Park , Thakur Village , Kandivali East , Mumbai
State: Maharashtra Country: India
Pin: 400101 City/District: Mumbai
Mobile no: 9820420087 Telephone No. with STD code: 02228846104
Aadhar Card No:391758499159 E-mail: nr1_rajesh123@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajesh Patil Relationship with candidate: Father
Parents Date of Birth: 15 Nov 1969 Parent's/Guardian's Occupation/Designation: Marine Engineer
   
Office Address:
   
Address: The Great Eastern Shipping Co. Ltd . ,Ocean House, 134/A, Dr. Annie Besant Road , Worli
Country: India State: Maharashtra
City/District: Mumbai Pin: 400018
Tel: Mobile no.: 9321291798
Fax: Email: nr1_rajesh123@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: ISCE Board: Maharashtra
School: Thakur Public School School: Thakur College of Science and Commerce
City: Mumbai City: Mumbai
English %: 85 Board Roll No./Seat No.: M008659
Aggregate Percentage: 78 School/College Code: 27230700188
  Centre code: 0956
  Address of School/College: Shyamnarayan Thakur Marg , Kandivali East , Mumbai
  Pin: 400101
  Contact Nos: 28462565
  Email: tcsc@tcsc.org.in
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 47 47
Chemistry 100 82 82
Mathematics 100 94 94
Physics, Chemistry & Mathematics combined Percentage: 74.33
English 100 67 67
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Preparing For IMU-CET exam and reading books .
Why do you wish to join TMI?: TMI is a reputed College
What are your hobbies?: Reading and Swimming
What are your strengths?: I am fitness conscious
What are your weaknesses?: I tend to rush through tasks because i want to get them done quickly
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 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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