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: DNS2050882 Name: WARAKE NIRANJAN DAYANAND
  Address: FLAT NO 3,OM APPARTMENT VIDYAVIHAR COLONY TALEGAON DABHADE TAL-MAVAL
Telephone No.: Mobile no: 8551851043
E-mail: warakeniranjan0482@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Offline
Amount: ₹ 200 DD Number: 00
Issuing Bank: cash Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2050882 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: DNS2050882
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: WARAKE NIRANJAN DAYANAND
Mother's Name: RANI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 Mar 2002 Nationality: INDIAN
Place of Birth: KAGAL Personal Identification Mark: BLACK MOLE ON RIGHT SIDE OF STOMACH
Blood Group: O + Address for Communication: FLAT NO 3,OM APPARTMENT VIDYAVIHAR COLONY TALEGAON DABHADE TAL-MAVAL
State: Maharashtra Country: India
Pin: 410507 City/District: PUNE
Mobile no: 8551851043 Telephone No. with STD code:
Aadhar Card No:783970718961 E-mail: warakeniranjan0482@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DAYANAND YASHWANT WARAKE Relationship with candidate: FATHER
Parents Date of Birth: 01 Jun 1975 Parent's/Guardian's Occupation/Designation: SERVIES/TECHNITIAN
   
Office Address:
   
Address: ENDURANCE TECHNOLOGY LIMITED B 1/3 CASTING DIVISION NIGHOJE, TAL-KHED
Country: India State: Maharashtra
City/District: PUNE Pin: 410501
Tel: Mobile no.: 9552798768
Fax: Email: warkedayanand3@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: RAMBHAU PARULEKER VIDYANIKETAN School: SHAMRAO PATIL MAHAVIDYALAY
City: TALEGAON DABHADE City: TALSANDE
English %: 63 Board Roll No./Seat No.:
Aggregate Percentage: 63 School/College Code:
  Centre code:
  Address of School/College: AT POST TALSANDE,TAL-HATKANANGLE
  Pin: 416112
  Contact Nos:
  Email: warakeniranjan0482@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:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
11/2015 tabla 3 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparation for JEE mains exam
Why do you wish to join TMI?: for my own interest
What are your hobbies?: photography,playing football, kabbadi
What are your strengths?: good in acting
What are your weaknesses?: -
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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