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: DNS2052008 Name: Kedar Kailash Mundhe
  Address: B-15, Sai Pooja, Plot No. 40, Sector-5, Kharghar, Navi Mumbai.
Telephone No.: Mobile no: 9819316184
E-mail: kedarmundhe190@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: 309972082
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052008 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: DNS2052008
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kedar Kailash Mundhe
Mother's Name: Komal Kailash Mundhe
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Dec 2001 Nationality: Indian
Place of Birth: Thane Personal Identification Mark: mole on left foot
Blood Group: B + Address for Communication: B-15, Sai Pooja, Plot No. 40, Sector-5, Kharghar, Navi Mumbai.
State: Maharashtra Country: India
Pin: 410210 City/District: Navi Mumbai
Mobile no: 9819316184 Telephone No. with STD code:
Aadhar Card No:691489921440 E-mail: kedarmundhe190@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Komal Kailash Mundhe Relationship with candidate: Mother
Parents Date of Birth: 02 May 1972 Parent's/Guardian's Occupation/Designation: Nurse
   
Office Address:
   
Address: TATA Memorial Hospital, ACTREC, Sector-22, Utsav Chowk, Owe Camp, Kharghar, Navi Mumbai.
Country: India State: Maharashtra
City/District: Navi Mumbai Pin: 410210
Tel: Mobile no.: 9769232021
Fax: Email: sheetalmundhe96@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: CBSE Board: CBSE
School: Bal Bharati Public School School: Greenfingers Global School
City: Kharghar City: Kharghar
English %: 85 Board Roll No./Seat No.: 4660230
Aggregate Percentage: 76 School/College Code: 45076
  Centre code: 4603
  Address of School/College: Plot no. 9, Near Shilp Chowk, Sector 12, Kharghar, Navi Mumbai.
  Pin: 410210
  Contact Nos: 02227745420
  Email: admin@greenfingersglobalschool.com
  Aggregate Percentage: 66
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 59 59
Chemistry 100 63 63
Mathematics 100 44 44
Physics, Chemistry & Mathematics combined Percentage: 55.33
English 100 92 92
   
IMU CET Application Number:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
11/2018 100M School Annual Meet 1
11/2018 200M School Annual Meet 1
11/2018 400M School Annual Meet 1
11/2018 Relay School Annual Meet 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading, Trekking, Painting, Traveling, Gathering Knowledge.
Why do you wish to join TMI?: Great Faculty and Infrastructure.
What are your hobbies?: Trekking, Drawing, Painting, Reading.
What are your strengths?: Working under pressure and Quick learner.
What are your weaknesses?: lethargic.
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

 

___________________

Date ________________

 
Print Summary and Application Form