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: DNS2051409 Name: BORKAR MOHAMMED TALHA TAUKIR
  Address: 77-A, AT POST KARLA
Telephone No.: Mobile no: 7709533346
E-mail: mohdtalhaborkar12@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: 308899889
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051409 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: DNS2051409
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BORKAR MOHAMMED TALHA TAUKIR
Mother's Name: PARVEEN
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2002 Nationality: INDIAN
Place of Birth: RATNAGIRI Personal Identification Mark: INJURY MARK ON HEAD
Blood Group: AB + Address for Communication: 77-A, AT POST KARLA
State: Maharashtra Country: India
Pin: 415612 City/District: RATNAGIRI
Mobile no: 7709533346 Telephone No. with STD code:
Aadhar Card No: E-mail: mohdtalhaborkar12@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: TAUKIR ALATIF BORKAR Relationship with candidate: FATHER
Parents Date of Birth: 30 Jun 1975 Parent's/Guardian's Occupation/Designation: PRIVATE SERVICE
   
Office Address:
   
Address: JIDDA, DABAAN SAUDI PO BOX LOTOS BUILDING 1830
Country: Saudi Arabia State: Other
City/District: SAUDI Pin: 11564
Tel: Mobile no.: 9503199531
Fax: Email: mohdtalhaborkar12@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: M S NAIK ENGLISH MEDIUM HIGH SCHOOL School: ABHYANKAR KULKARNI JR COLLEGE RATNAGIRI
City: RATNAGIRI City: RATNAGIRI
English %: 67 Board Roll No./Seat No.:
Aggregate Percentage: 78 School/College Code:
  Centre code:
  Address of School/College: NEAR CIVIL HOSPITAL RATNAGIRI
  Pin: 415612
  Contact Nos:
  Email: mohdtalhaborkar12@gmail.com
  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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: COLLECTED INFORMATION ABOUT NAVY
Why do you wish to join TMI?: YES
What are your hobbies?: READING
What are your strengths?: HUGE STAMINA FOR WORKING
What are your weaknesses?: CANT PICK UP LOAD ABOVE 70 KG
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 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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