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: DNS2052415 Name: KUDAV RAJ UMESH
  Address: 503 Gorai shree Ashtavinayakplot no- 16 Gorai -1 Borivali West Mumbai- 400091 Maharashtra
Telephone No.: 9769111352 Mobile no: 9167419290
E-mail: rajumeshkudav@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: 311393627
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052415 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: DNS2052415
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KUDAV RAJ UMESH
Mother's Name: Mitali
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2002 Nationality: Indian
Place of Birth: Mumbai Personal Identification Mark: Birth mark on chest
Blood Group: O + Address for Communication: 503 Gorai shree Ashtavinayakplot no- 16 Gorai -1 Borivali West Mumbai- 400091 Maharashtra
State: Maharashtra Country: India
Pin: 400091 City/District: Mumbai
Mobile no: 9167419290 Telephone No. with STD code: 9769111352
Aadhar Card No:219556755829 E-mail: rajumeshkudav@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Umesh Relationship with candidate: Father
Parents Date of Birth: 29 May 1975 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: Scorpio marine management India private limited Scorpio house,Central Avenue ,Hiranandani business park Powai ,mumbai 400076
Country: India State: Maharashtra
City/District: Mumbai Pin: 400091
Tel: 9769111352 Mobile no.: 9769111352
Fax: Email: mituma2003@yahoo.co.in
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: St Lawrence high school School: Shri t.p. bhatia junior college of science
City: Mumbai City: Mumbai
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 91 School/College Code:
  Centre code:
  Address of School/College: Shantilal modi road ,Kandivali west,mumbai 400067
  Pin: 400067
  Contact Nos: 28072152
  Email: TPBCOLLEGE@KES.AC.IN
  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:  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
02/2015 Karate Inter school 1 st
01/2014 Karate Inter school 2 nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will spend my time by revising the concept of 12th standard studies And I would love to join guitar classes . i would like to improve My Beatboxing skills that I had practised initially during my 12 th.i will also get some information About ships.
Why do you wish to join TMI?: TMI is really a reputed one, and the students passing out From this institution are mostly successful.so I truly believe That this institution would really help me to achieve my goals.
What are your hobbies?: Beatboxing,cricket
What are your strengths?: Always dedicated to my work.
What are your weaknesses?: I easily trust on others.
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 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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