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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2050771 |
Name: Hirani Neel Kirit |
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Address: B/24, Madhurima CHS M G Road Kandivali west |
| Telephone No.: |
Mobile no: 9323337736 |
| E-mail: neelhirani01@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 306964299 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050771 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Hirani Neel Kirit |
| Mother's Name: Soniya |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 11 Apr 2001 |
Nationality: Indian |
| Place of Birth: Mumbai |
Personal Identification Mark: Mole on face |
| Blood Group: O + |
Address for Communication: B/24, Madhurima CHS M G Road Kandivali west |
| State: Maharashtra |
Country: India |
| Pin: 400067 |
City/District: Mumbai |
| Mobile no: 9323337736 |
Telephone No. with STD code: |
| Aadhar Card No:218548755348 |
E-mail: neelhirani01@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Kirit Hirani |
Relationship with candidate: Father |
| Parents Date of Birth: 25 Feb 1970 |
Parent's/Guardian's Occupation/Designation: Business |
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| Office Address: |
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| Address: B/24, Madhurima CHS M G Road Kandivali West |
| Country: India |
State: Maharashtra |
| City/District: Mumbai |
Pin: 400067 |
| Tel: |
Mobile no.: 9892149054 |
| Fax: |
Email: hiranisk@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2019 |
| Board: Maharashtra |
Board: Maharashtra |
| School: St Josephs High School |
School: MJ College Of Science |
| City: Mumbai |
City: Mumbai |
| English %: 80 |
Board Roll No./Seat No.: M078733 |
| Aggregate Percentage: 89 |
School/College Code: 3206020 |
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Centre code: 3832 |
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Address of School/College: Old MHB Colony, Borivali West |
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Pin: 400091 |
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Contact Nos: 02228670800 |
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Email: info@mjcollegeofscience.ac.in |
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Aggregate Percentage: 72 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
52 |
52 |
| Chemistry |
100 |
58 |
58 |
| Mathematics |
100 |
61 |
61 |
| Physics, Chemistry & Mathematics combined Percentage: |
57 |
| English |
100 |
85 |
85 |
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| IMU CET Application Number: |
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| Sports & Extra Curricular Activities: |
| Achievements in Sports and Extra Curricular Activities |
| MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
| 07/2016 |
Football |
Intraschool |
4th |
| 03/2012 |
Karate |
District |
3rd |
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| Vocational and Training Courses undertaken: |
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| MONTH / YEAR (MM/YYYY) |
COURSE |
COURSE DURATION |
| 05/2017 |
Trekking |
15 days |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: I would like to work on my physical fitness clubbed with practising a few of my hobbies like swimming,badminton etc.Also apart from being physically fit, being upto date with the current affairs globally are in my pipeline. |
| Why do you wish to join TMI?: This institute is highly recommended by one of my family friends who has already been a part of this institution and is successful in his career. |
| What are your hobbies?: Swimming, Badminton, Volleyball, Football, Traveling |
| What are your strengths?: Disciplined, Punctual,active |
| What are your weaknesses?: stubborn, little introvert |
| How do you intend to meet the expenses of this program?: Own Resources |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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| 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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