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: DNS2050596 Name: Achal Chintamani Thalkar
  Address: B 33 R no 7 Laxmi CHS Sector10 Sanpada Navi Mumbai
Telephone No.: Mobile no: 9579315904
E-mail: achalthalkar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.83 (Includes Convenience fee of ₹ 4.83 ) DD Number: -
Issuing Bank: - Transaction Id: 306614529
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050596 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: DNS2050596
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Achal Chintamani Thalkar
Mother's Name: Namrata
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Jun 2003 Nationality: Indian
Place of Birth: alibag Personal Identification Mark: mole on chin
Blood Group: A + Address for Communication: B 33 R no 7 Laxmi CHS Sector10 Sanpada Navi Mumbai
State: Maharashtra Country: India
Pin: 400705 City/District: navi mumbai
Mobile no: 9579315904 Telephone No. with STD code:
Aadhar Card No:408717399733 E-mail: achalthalkar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: chintamani madhukar thalkar Relationship with candidate: father
Parents Date of Birth: 23 Jan 1973 Parent's/Guardian's Occupation/Designation: business
   
Office Address:
   
Address: navedar navgaon alibag raigad
Country: India State: Maharashtra
City/District: alibag Pin: 402201
Tel: Mobile no.: 9764426533
Fax: Email: chintamanithalkar@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: high school sanpada School: st marys vashi
City: navi mumbai City: navi mumbai
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: st marys vashi sector 10A vashi navi mumbai
  Pin: 400703
  Contact Nos:
  Email: achalthalkar@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 ?: i will prepare for imucet examination and i will join swimming classes
Why do you wish to join TMI?: it provide better facilities,traning,nice coaches,sports activities and many more
What are your hobbies?: reading books,playing cricket,football,travelling,adventuring and many more.
What are your strengths?: focusing on each and every activities.
What are your weaknesses?: no weakness
How do you intend to meet the expenses of this program?: Other - family help
 
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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