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: DNS2052568
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Dhiraj ganesh gavhane
Mother's Name: komal
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 19 Apr 2002 Nationality: Indian
Place of Birth: Narayangaon Personal Identification Mark: big mole on left cheek
Blood Group: O + Address for Communication: at/p.kuran ,tal.junnar,dist.pune at/p.kuran ,tal.junnar,dist.pune
State: Maharashtra Country: India
Pin: 410504 City/District: pune
Mobile no: 8600452855 Telephone No. with STD code: 91+7028908026
Aadhar Card No:796002679845 E-mail: dhirajgavhane486@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Ganesh sakharam gavhane Relationship with candidate: father
Parents Date of Birth: 05 Nov 1974 Parent's/Guardian's Occupation/Designation: farming
   
Office Address:
   
Address: at/p.kuran ,tal.junnar,dist.pune at/p.kuran ,tal.junnar,dist.pune
Country: India State: Maharashtra
City/District: pune Pin: 410504
Tel: Mobile no.: 9763846325
Fax: Email: dhirajgavhane486@gmail.com
 

Education and Academic Record :
Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: R.M.E. school School: G.R.P.S. junior college
City: pune City: pune
English %: 71 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: at/p.kuran ,tal.junnar,dist.pune
  Pin: 410511
  Contact Nos: 7028908026
  Email: dhirajgavhane486@gmail.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics
Chemistry
Mathematics
Physics, Chemistry & Mathematics combined Percentage:
English
   
IMU CET Application Number:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2017 mscit 3 months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: preparing for competative exams and helpig my parents farming and their work.
Why do you wish to join TMI?: I want to join this institute because I want do my carrier in small instant of time and give satisfactory life to my parents and also it is near to me.
What are your hobbies?: swimming,playing chess,observing each thing with research mind.
What are your strengths?: my mind control power.
What are your weaknesses?: instant reaction.
How do you intend to meet the expenses of this program?: Bank Loan
 
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
 

___________________

Date ________________