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: DNS2050722 Name: GAONKAR TEJAS SHIVAJI
  Address: AT POST HARKUL BUDRUK HOUSE NO 223, BHATWADI TAL KANKAVALI
Telephone No.: Mobile no: 9075954548
E-mail: tejasg0801@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: 306839446
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050722 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: DNS2050722
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GAONKAR TEJAS SHIVAJI
Mother's Name: VAISHALI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jan 2002 Nationality: INDIAN
Place of Birth: KANKAVALI Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: A + Address for Communication: AT POST HARKUL BUDRUK HOUSE NO 223, BHATWADI TAL KANKAVALI
State: Maharashtra Country: India
Pin: 416602 City/District: SINDHUDURG
Mobile no: 9075954548 Telephone No. with STD code:
Aadhar Card No:271101316649 E-mail: tejasg0801@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: shivaji madhukar gaonkar Relationship with candidate: father
Parents Date of Birth: 09 Apr 1968 Parent's/Guardian's Occupation/Designation: farmer
   
Office Address:
   
Address: at post sangave kanedi
Country: India State: Maharashtra
City/District: sindhudurg Pin: 416602
Tel: Mobile no.: 8411835869
Fax: Email: tejasg0801@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: madyamik vidyamandir kanedi School: kanedi college
City: kankavali City: kankavali
English %: 74 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: at post sangave kanedi, tal kankavali , dist sindhudurg
  Pin: 416609
  Contact Nos:
  Email: mvmkanedi@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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
07/2017 carrom district 1
07/2018 carrom district 1
10/2018 carrom state participate
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for IMU-CET,learn swimming
Why do you wish to join TMI?: because one of the best institute of merchant navy
What are your hobbies?: playing carrom
What are your strengths?: my parents
What are your weaknesses?: no
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

 

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Date ________________

 
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