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: DNS2051568 Name: GAIKAWD SAMEER AVINASH
  Address: MAHARSHINAGAR PURANDAR MHADA BUILDING C-WING , FLAT NO. 931 PUNE 37
Telephone No.: Mobile no: 8830308947
E-mail: agaikwad931@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309152723
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051568 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2051568
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GAIKAWD SAMEER AVINASH
Mother's Name: ASHWINI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Apr 2002 Nationality: Indian
Place of Birth: NAGPUR Personal Identification Mark: MOLE ON BACK
Blood Group: A + Address for Communication: MAHARSHINAGAR PURANDAR MHADA BUILDING C-WING , FLAT NO. 931 PUNE 37
State: Maharashtra Country: India
Pin: 411037 City/District: Pune
Mobile no: 8830308947 Telephone No. with STD code:
Aadhar Card No: E-mail: agaikwad931@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AVINASH Relationship with candidate: Father
Parents Date of Birth: 10 Apr 1969 Parent's/Guardian's Occupation/Designation: RETIRED CIVIL ENGINEER
   
Office Address:
   
Address: MAHARSHINAGAR PURANDAR MHADA BUILDING C-WING , FLAT NO. 931 PUNE 37
Country: India State: Maharashtra
City/District: pune Pin: 411037
Tel: Mobile no.: 8208978503
Fax: Email: agaikwad931@gmai.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Maharashtra
School: CITY INTERNATIONAL School: MAHAVEER JR. COLLEGE
City: PUNE City: Pune
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 74 School/College Code:
  Centre code:
  Address of School/College: SALUSBURY PARK OPP TO MAHARSHINAGAR POLICE STATION
  Pin: 411037
  Contact Nos:
  Email: agaikwad931@gmai.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 ?: preparation of imu-cet
Why do you wish to join TMI?: BEST COLLEGE IN INDIA
What are your hobbies?: GYM,SWIMMING,DANCING,DRAWING
What are your strengths?: Patient, Observing, Active,SPORTS
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

 

___________________

Date ________________

 
Print Summary and Application Form