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: DNS2050629 Name: Gawde Vighnesh Laxman
  Address: 202,Kiran Niwas, Gawanpada, M.p. road,Mulund east Mumbai-400081
Telephone No.: Mobile no: 8169836586
E-mail: vighneshgawde07@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: 306637179
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050629 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: DNS2050629
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Gawde Vighnesh Laxman
Mother's Name: Asavari
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Mar 2002 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Mole on left hand
Blood Group: O + Address for Communication: 202,Kiran Niwas, Gawanpada, M.p. road,Mulund east Mumbai-400081
State: Maharashtra Country: India
Pin: 400081 City/District: Mumbai
Mobile no: 8169836586 Telephone No. with STD code:
Aadhar Card No:882234330354 E-mail: vighneshgawde07@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Laxman Narayan Gawde Relationship with candidate: Father
Parents Date of Birth: 17 Dec 1970 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: 202,Kiran Niwas, Gawanpada M.P. road,Mulund East, Mumbai-400081
Country: India State: Maharashtra
City/District: Mumbai Pin: 400081
Tel: Mobile no.: 8369217401
Fax: Email: laxman.gawade70@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Holy Angels High School And Junior College School: B.E.S Junior College of Commerce and Science
City: Mumbai City: Mumbai
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 88 School/College Code:
  Centre code:
  Address of School/College: Bhanup east,Mumbai-400042
  Pin: 400042
  Contact Nos:
  Email: vkkmenon@vsnl.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 ?: Finding new new shipping instituetes in India
Why do you wish to join TMI?: Because it is one of the best institutes in India
What are your hobbies?: Studying,playing
What are your strengths?: Positive behaviour
What are your weaknesses?: Sensitive
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 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