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: DNS2051366 Name: TUSHAR YOGESH DESHPANDE
  Address: C8 SURYA PRAKASH APARTMENTS,SHIVNERI ROAD,NEAR MAFCO MARTKET YARD
Telephone No.: Mobile no: 9822736739
E-mail: yogeshd73@yahoo.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 204.29 (Includes Convenience fee of ₹ 4.29 ) DD Number: -
Issuing Bank: - Transaction Id: 308790166
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051366 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: DNS2051366
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: TUSHAR YOGESH DESHPANDE
Mother's Name: RASIKA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Dec 2002 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: MOLE ON LEFT HAND
Blood Group: O + Address for Communication: C8 SURYA PRAKASH APARTMENTS,SHIVNERI ROAD,NEAR MAFCO MARTKET YARD
State: Maharashtra Country: India
Pin: 411037 City/District: Pune
Mobile no: 9822736739 Telephone No. with STD code:
Aadhar Card No:397455850728 E-mail: yogeshd73@yahoo.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RASIKA Relationship with candidate: MOTHER
Parents Date of Birth: 01 Jul 1975 Parent's/Guardian's Occupation/Designation: ACCOUNTANT
   
Office Address:
   
Address: unit no ffa 12/13,1st floor, art guild house,PHEONOX MARKET CITY KURLA,MUMBAI
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400070
Tel: Mobile no.: 9881732739
Fax: Email: yogeshd73@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: ROSARY SCHOOL AND JR. COLLEGE School: MAHAVEER JR. COLLEGE
City: Pune City: Pune
English %: 72 Board Roll No./Seat No.:
Aggregate Percentage: 73 School/College Code:
  Centre code:
  Address of School/College: CELESBURY PARK ,OPP MAHARSHI NAGAR POLICE STATION
  Pin: 411037
  Contact Nos: 9822736739
  Email: yogeshd73@yahoo.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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREAPARING FOR IMU-CET
Why do you wish to join TMI?: BEST COLLEGE IN INDIA
What are your hobbies?: PLAYING CRICKET
What are your strengths?: PARENTS AND FRIENDS
What are your weaknesses?: humorous
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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