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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)
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| Application Summary: Diploma in Nautical Science |
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| Dossier ID: DNS2052029 |
Name: Chaudhary Rohan Vinay |
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Address: 3-201 , agarwal hill view , Near Ram rahim nagar , near sbi bank Evershine city , vasai east |
| Telephone No.: |
Mobile no: 8999425864 |
| E-mail: rohanrvc45@gmail.com |
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| Application fee payment details: |
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| Payment Status: Paid |
Payment Mode: Online |
| Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) |
DD Number: - |
| Issuing Bank: - |
Transaction Id: 310044823 |
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| Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052029 are true and correct. |
| Signature of Candidate |
Signature of Parent/Guardian |
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___________________ |
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| Date ________________ |
Date ________________ |
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| 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. |
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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
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| Applicant's Personal Information: |
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| Full Name as on Class XII Marksheet/Pass Certificate: Chaudhary Rohan Vinay |
| Mother's Name: Poonam |
| Gender (M/F): Male |
Marital Status (Single/Married): Single |
| Date of Birth (DD/MM/YY): 01 Oct 2001 |
Nationality: Indian |
| Place of Birth: Jharkhand p |
Personal Identification Mark: None |
| Blood Group: B + |
Address for Communication: 3-201 , agarwal hill view , Near Ram rahim nagar , near sbi bank Evershine city , vasai east |
| State: Maharashtra |
Country: India |
| Pin: 401208 |
City/District: Palghar |
| Mobile no: 8999425864 |
Telephone No. with STD code: |
| Aadhar Card No:991116452919 |
E-mail: rohanrvc45@gmail.com |
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| Guardian's Particulars: |
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| Name of Parent/Guardian: Vinay chaudhary |
Relationship with candidate: Father |
| Parents Date of Birth: 15 Jan 1978 |
Parent's/Guardian's Occupation/Designation: Private service |
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| Office Address: |
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| Address: 7th floor , bay 99 , wpp, the orb Jw marriot compound , chhatrapati shivaji international airport , Andheri east , mumbai |
| Country: India |
State: Maharashtra |
| City/District: Mumbai |
Pin: 400099 |
| Tel: |
Mobile no.: 9819882492 |
| Fax: |
Email: ramvina@gmail.com |
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Education and Academic Record :
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| Class X: - |
Class XII: - |
| Year of Passing: 2017 |
Year of Passing: 2019 |
| Board: Maharashtra |
Board: Maharashtra |
| School: Vidya Vikasini English high school |
School: St . Peter college |
| City: Palghar |
City: Palghar |
| English %: 66 |
Board Roll No./Seat No.: M033822 |
| Aggregate Percentage: 71 |
School/College Code: 1808019 |
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Centre code: 2301 |
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Address of School/College: St. Peter College Of Science And Commerce, Diwanman, Navghar, Vasai West, Vasai west |
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Pin: 401202 |
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Contact Nos: |
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Email: drbabasahebambedkarcollege@gmail.com |
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Aggregate Percentage: 63 |
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| Details of Marks Secured in (10+2) Examination - |
| SUBJECTS |
MAXIMUM MARKS
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MARKS SECURED |
PERCENTAGE (%) |
| Physics |
100 |
35 |
35 |
| Chemistry |
100 |
60 |
60 |
| Mathematics |
100 |
63 |
63 |
| Physics, Chemistry & Mathematics combined Percentage: |
52.67 |
| English |
100 |
70 |
70 |
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| IMU CET Application Number: |
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| Sports & Extra Curricular Activities: |
| Achievements in Sports and Extra Curricular Activities |
| MONTH / YEAR (MM/YYYY) |
SPORT/ACTIVITY |
LEVEL OF PARTICIPATION |
POSITION |
| 09/2017 |
Ms cit |
Final |
Expert |
| 10/2015 |
Karate shotokan |
Till blue belt |
5th |
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| Vocational and Training Courses undertaken: |
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| MONTH / YEAR (MM/YYYY) |
COURSE |
COURSE DURATION |
| 11/2014 |
Ucmas abacus and mental arithmetic |
2 years |
| 06/2019 |
digital marketing |
2 months |
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| How do you intend spending your time after completing class XII Final exams and before joining college ?: I just spend my time in studying and clearing my concepts and
And improving my personality development and communication skills |
| Why do you wish to join TMI?: At present this is the best maritime academy in India with maximum training , knowledge and placement percentage . Its a half way to success .
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| What are your hobbies?: cycling , playing indoor games watching shows and movies. |
| What are your strengths?: Trustworthiness Creativity Discipline Patience Respectfulness Determination Dedication Honesty |
| What are your weaknesses?: I have trouble saying no , and believe person easily |
| How do you intend to meet the expenses of this program?: Bank Loan |
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| Review you documents: |
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Birth certificate
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DGS Approved Medical Fitness Certificate not uploaded
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Class X marksheet
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School leaving certificate not uploaded
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Class XII admit card not uploaded
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Class XII marksheet not uploaded
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| 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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