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: DNS2050319 Name: KHADANGLE TUSHAR PRASHANT
  Address: KARAN GHARONDA BUILDING FLAT B-27 SAINIKWADI WADGAON SHERI PUNE - 411014
Telephone No.: Mobile no: 9850581508
E-mail: prashant.khadangle@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 305978517
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050319 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: DNS2050319
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KHADANGLE TUSHAR PRASHANT
Mother's Name: JYOTI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Mar 2002 Nationality: INDIAN
Place of Birth: SHRIRAMPUR Personal Identification Mark: NO
Blood Group: B + Address for Communication: KARAN GHARONDA BUILDING FLAT B-27 SAINIKWADI WADGAON SHERI PUNE - 411014
State: Maharashtra Country: India
Pin: 411014 City/District: PUNE
Mobile no: 9850581508 Telephone No. with STD code:
Aadhar Card No:874877393279 E-mail: prashant.khadangle@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Prashant shankarrao khadangle Relationship with candidate: father
Parents Date of Birth: 10 Oct 1977 Parent's/Guardian's Occupation/Designation: service
   
Office Address:
   
Address: ALTRA INDUSTRIAL MOTION INDIA PVT LTD PLOT NO A-33 PHASE IV CHAKAN INDUSTRIAL AREA MIDC NIGHOJE PUNE 410501
Country: India State: Maharashtra
City/District: PUNE Pin: 410501
Tel: Mobile no.: 9730013960
Fax: Email: prashant.khadangle@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: ROSARY HIGH SCHOOL School: NOWROSJEE WADIA COLLEGE
City: PUNE City: PUNE
English %: 75 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Centre code:
  Address of School/College: 19 LATE PRIN , V K JOAG PATH
  Pin: 411001
  Contact Nos:
  Email: prashant.khadangle@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By doing the preparation of IMU-CET, MH-CET
Why do you wish to join TMI?: GOOD CURRICULUM ACTIVITY
What are your hobbies?: FOOTBALL
What are your strengths?: DEDICATED
What are your weaknesses?: NOTHING
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 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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