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: DNS2052574 Name: Shetty Vishal Vishwanath
  Address: B 18, Cordelia House, Dsouza wadi Wagle Estate, Thane 400604
Telephone No.: Mobile no: 9967899390
E-mail: vishalshetty2502@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 311930354
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052574 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: DNS2052574
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Shetty Vishal Vishwanath
Mother's Name: Gunavathi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 25 Feb 2002 Nationality: Indian
Place of Birth: Mulund Personal Identification Mark: Birth mark on left wrist
Blood Group: B + Address for Communication: B 18, Cordelia House, Dsouza wadi Wagle Estate, Thane 400604
State: Maharashtra Country: India
Pin: 400604 City/District: Thane
Mobile no: 9967899390 Telephone No. with STD code:
Aadhar Card No:770028571371 E-mail: vishalshetty2502@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vishwanath Shetty Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1963 Parent's/Guardian's Occupation/Designation: Gunavathi Shetty
   
Office Address:
   
Address: Sai Pranay Thane
Country: India State: Maharashtra
City/District: Mumbai Pin: 400604
Tel: Mobile no.: 9821054207
Fax: Email: pranishashetty123@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Sri Ma Bal Niketan Thane School: S M Shetty Powai
City: Thane City: Mumbai
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: Powai
  Pin: 400076
  Contact Nos:
  Email: college@smshettyinstitute.org
  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
07/2019 Karate Acheived Black belt 1st
03/2019 Quizzes Inter collegiate Participation
03/2019 Marching Inter collegiate 1st
03/2017 Karate State level 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: By developing my physical and mental self Martial arts and self help books By studying for IMU CET
Why do you wish to join TMI?: Right learning, Good placement.
What are your hobbies?: Gardening, Martial Arts, Fitness, Badminton
What are your strengths?: I can make quick decisions according to the demand of the situations and also very capable of logically tackling them. I am also physically fit and mentally prepared to handle challenges at sea.
What are your weaknesses?: Focusing too much on the details.
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

 

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Date ________________

 
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