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: DNS2050407 Name: MANORKAR CYRIL BERNARD
  Address: GORAI UPPER KOLIWADA BORIVALI WEST MUMBAI
Telephone No.: O22284523389 Mobile no: 8433846986
E-mail: manorkarc@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 306247639
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050407 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: DNS2050407
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MANORKAR CYRIL BERNARD
Mother's Name: GORETTI MANORKAR
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Jan 2001 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: Birth Mark on Forehead
Blood Group: B + Address for Communication: GORAI UPPER KOLIWADA BORIVALI WEST MUMBAI
State: Maharashtra Country: India
Pin: 400091 City/District: Mumbai
Mobile no: 8433846986 Telephone No. with STD code: O22284523389
Aadhar Card No:620111663101 E-mail: manorkarc@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: BERNARD MANORKAR Relationship with candidate: FATHER OF CANDIDATE
Parents Date of Birth: 13 Dec 1963 Parent's/Guardian's Occupation/Designation: Electrician
   
Office Address:
   
Address: GORAI UPPER KOLIWADA BORIVALI WEST MUMBAI
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400091
Tel: Mobile no.: 8879958649
Fax: Email: manorkarneo10@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2016 Year of Passing: 2018
Board: Maharashtra Board: Maharashtra
School: ST ALOYSIUS HIGH SCHOOL School: ST JOSEPH JUNIOR COLLEGE
City: Mumbai City: THANE
English %: 69 Board Roll No./Seat No.: M028278
Aggregate Percentage: 74 School/College Code: 1616002
  Centre code: 1391
  Address of School/College: NR UTTAN POST, BHAYANDER WEST, THANE
  Pin: 401106
  Contact Nos:
  Email: sjscuttan@rediffnail.com
  Aggregate Percentage: 63
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 63 63
Chemistry 100 50 50
Mathematics 100 75 75
Physics, Chemistry & Mathematics combined Percentage: 62.67
English 100 63 63
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
08/2016 MSCIT FOUR MONTH
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By doing some part time jobs, youtubing, article writting
Why do you wish to join TMI?: Tolani Maritime Institute is one of the largest maritime educational centers offering Diploma in Nautical Science. Grade A1.
What are your hobbies?: chess, blogging, youtubing, article writting
What are your strengths?: I have good team-working skills
What are your weaknesses?: I never say no to anyone
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
 
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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