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: DNS2051692 Name: GAIKWAD AMRUTA AVINASH
  Address: C WING 931 PURANDAR MHADA BLDG, MAHARSHINAGAR
Telephone No.: Mobile no: 8975513683
E-mail: amrutagaikwad0112@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 309374709
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2051692 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: DNS2051692
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: GAIKWAD AMRUTA AVINASH
Mother's Name: ASHWINI
Gender (M/F): Female Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 1999 Nationality: Indian
Place of Birth: PUNE Personal Identification Mark: STITCH MARK ON RIGHT THUMB
Blood Group: A + Address for Communication: C WING 931 PURANDAR MHADA BLDG, MAHARSHINAGAR
State: Maharashtra Country: India
Pin: 411037 City/District: PUNE
Mobile no: 8975513683 Telephone No. with STD code:
Aadhar Card No:735091347959 E-mail: amrutagaikwad0112@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: AVINASH GAIKWAD Relationship with candidate: Father
Parents Date of Birth: 10 Apr 1969 Parent's/Guardian's Occupation/Designation: RETIRED CIVIL ENGINEER
   
Office Address:
   
Address: C WING 931 PURANDAR MHADA BLDG, MAHARSHINAGAR
Country: India State: Maharashtra
City/District: pune Pin: 411037
Tel: Mobile no.: 8208978503
Fax: Email: agaikwad931@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2015 Year of Passing: 2017
Board: CBSE Board: Maharashtra
School: CITY INTERNATIONAL School: RAJIV GANDHI ACADEMY
City: PUNE City: PUNE
English %: 85 Board Roll No./Seat No.: P005475
Aggregate Percentage: 83 School/College Code: 1111078
  Centre code: 0021
  Address of School/College: SHIVDARSHAN CHOWK,SHAHU CLG ROAD, SAHAKAR NAGAR
  Pin: 411009
  Contact Nos: 02024231177
  Email: rajivgandhiacademy@gmail.com
  Aggregate Percentage: 74
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 61 61
Chemistry 100 65 65
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 63
English 100 81 81
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PREPARATIONS FOR IMU-CET EXAMS
Why do you wish to join TMI?: ITS ONE OF THE EST COLLEGE IN INDIA
What are your hobbies?: ART AND CRAFT, DANCING
What are your strengths?: Enthusiastic, optimistic, creative, versatile
What are your weaknesses?: EMOTIONAL
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 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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