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: DNS2051229 Name: WAGHCHOURE RITESH WAGHCHOURE
  Address: AT POST NIMGAON KH TAL MALEGAON DIST NASHIK
Telephone No.: Mobile no: 9923621871
E-mail: riteshwaghchaure21@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: 308565891
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051229 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: DNS2051229
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: WAGHCHOURE RITESH WAGHCHOURE
Mother's Name: NIRMALA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Apr 2000 Nationality: INDIAN
Place of Birth: NIMGAON KH Personal Identification Mark: NO
Blood Group: B + Address for Communication: AT POST NIMGAON KH TAL MALEGAON DIST NASHIK
State: Maharashtra Country: India
Pin: 423203 City/District: MALEGAON
Mobile no: 9923621871 Telephone No. with STD code:
Aadhar Card No:208995764836 E-mail: riteshwaghchaure21@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AMBADAS JAGNNATH WAGHCHOURE Relationship with candidate: DAGHTURT
Parents Date of Birth: 01 Jun 1972 Parent's/Guardian's Occupation/Designation: FARMER
   
Office Address:
   
Address: AT POST NIMGAON KH TAL MALEGAON DIST NASHIK
Country: India State: Maharashtra
City/District: MALEGAON Pin: 423203
Tel: Mobile no.: 9881763185
Fax: Email: saicafe2012@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: RATILAL VIRCHAND SHAH VIDYALALYA MALEGAON School: RATILAL VIRCHAND SHAH VIDYALALYA MALEGAON
City: MALEGAON City: MALEGAON
English %: 44 Board Roll No./Seat No.: S017156
Aggregate Percentage: 71 School/College Code: 1316020
  Centre code: 0246
  Address of School/College: SANGMESHWAR MALEGAON
  Pin: 423203
  Contact Nos:
  Email: saicafe1976@gmail.com
  Aggregate Percentage: 59
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 52 52
Chemistry 100 57 57
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 57.67
English 100 50 50
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: DIPLOMA STUDY
Why do you wish to join TMI?: MERCHANT NAVY JOB
What are your hobbies?: CRICKET
What are your strengths?: SELF STUDY
What are your weaknesses?: NO
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate Class XII admit card Class XII marksheet
 
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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