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: DNS2050765 Name: NADKAR AATIF MUSTAFA
  Address: G/201,ROYAL ORANGE COUNTY SHIVRAJ NAGAR, RAHATANI PIMPLE SAUDAGAR, PIMPRI CHINCHWAD
Telephone No.: Mobile no: 9970330727
E-mail: aatifnadkar786@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: 306949320
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050765 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: DNS2050765
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: NADKAR AATIF MUSTAFA
Mother's Name: TASNEEM
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Feb 2003 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: BLACK SPOT ON CHEST
Blood Group: A + Address for Communication: G/201,ROYAL ORANGE COUNTY SHIVRAJ NAGAR, RAHATANI PIMPLE SAUDAGAR, PIMPRI CHINCHWAD
State: Maharashtra Country: India
Pin: 411017 City/District: PUNE
Mobile no: 9970330727 Telephone No. with STD code:
Aadhar Card No:987366826694 E-mail: aatifnadkar786@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: TASNEEM MUSTAFA NADKAR Relationship with candidate: MOTHER
Parents Date of Birth: 11 Aug 1978 Parent's/Guardian's Occupation/Designation: HOUSEWIFE
   
Office Address:
   
Address: MAHADNAKA, KHED TALUKA-KHED RATNAGIRI
Country: India State: Maharashtra
City/District: RATNAGIRI Pin: 415709
Tel: Mobile no.: 7387787880
Fax: Email: sidranadkar786@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: S M SHETTY HIGH SCHOOL AND JUNIOR COLLEGE School: SURYADATTA GROUP OF INSTITUES
City: MUMBAI City: PUNE
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: PASHAN RD, PATIL NAGAR, BAVDHAN, PUNE MAHARASHTRA
  Pin: 411021
  Contact Nos:
  Email: admission@suryadatta.edu
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
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
02/2012 GYMNASTIC DISTRICT SECOND
01/2014 GYMNASTIC DISTRICT THIRD
09/2014 GYMNASTIC DISTRICT SECOND
02/2016 GYMNASTIC DISTRICT SECOND
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATION OF IMUCET AND SPONSORSHIP, FITNESS, SWIMMING AND A LITTLE BIT OF GAMING.
Why do you wish to join TMI?: I have heard a lot about TOLANI MARITIME INSTITUTE on internet and I think it is the best college my future.
What are your hobbies?: SWIMMING, GAMING
What are your strengths?: RESPECTFUL, POLITE, DISCIPLINED
What are your weaknesses?: SHY, BEING TOO HONEST, SPONTANEITY
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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