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: DNS2051625 Name: Patil Ram Vijay
  Address: sonichha wadi jamner road prasad building bhusawal bhusawal,jalgaon.
Telephone No.: 02582242781 Mobile no: 7038909257
E-mail: ram.patil4021@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309227720
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051625 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: DNS2051625
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Patil Ram Vijay
Mother's Name: Aparna
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 21 Apr 2002 Nationality: Indian
Place of Birth: pimpalgaon Personal Identification Mark: mole on neck
Blood Group: O + Address for Communication: sonichha wadi jamner road prasad building bhusawal bhusawal,jalgaon.
State: Maharashtra Country: India
Pin: 425201 City/District: jalgaon
Mobile no: 7038909257 Telephone No. with STD code: 02582242781
Aadhar Card No:774919167129 E-mail: ram.patil4021@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijay Patil Relationship with candidate: Father
Parents Date of Birth: 16 Oct 1964 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: ZP School Mahadevmal bhuswal Jalgaon bhusawal
Country: India State: Maharashtra
City/District: jalgaon Pin: 425201
Tel: Mobile no.: 9403020647
Fax: Email: vijaydayarampatil@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: st aloysius convent high school School: D.D.N bhole college bhusawal
City: bhusawal City: bhusawal
English %: 88 Board Roll No./Seat No.: S054701
Aggregate Percentage: 87 School/College Code: 27030305501
  Centre code: 140022
  Address of School/College: ddn bhole college,timber market,bhusawal.
  Pin: 425201
  Contact Nos: 02582224230
  Email: ddnbcbsl@gmail.com
  Aggregate Percentage: 79
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 70 70
Chemistry 100 78 78
Mathematics 100 81 81
Physics, Chemistry & Mathematics combined Percentage: 76.33
English 100 72 72
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After 12th exam i personally felt that i should learn atleast one programming language so i learn python also i attended workshop on data science after 12th and also i joined the gym and started weight lifting.
Why do you wish to join TMI?: As TMI is one of the best colleges in india for dns also its acedemic,extra ciricular activities and discipline make it one of the best institute in india.
What are your hobbies?: Weight lifting, basketball
What are your strengths?: I can learn things quickly and can have a strong grip to whatever i have learnt
What are your weaknesses?: Sometimes i make mistakes during any activities but i make sure that it should not repeat again and try to learn something from it
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate Class X marksheet School leaving certificate not uploaded Class XII admit card not uploaded 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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