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: DNS2052715 Name: Patil kartik suryakant
  Address: B/4 shree neelkanth apt Behind vaishali talkies sarvodaya nagar Badlapur west
Telephone No.: Mobile no: 9561053467
E-mail: kartikpatil2842001@gmail.com  
   
Application fee payment details:  
Payment Status: failure Payment Mode: Online
Amount: ₹ 200 DD Number: -
Issuing Bank: - Transaction Id: 312434105
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052715 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: DNS2052715
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Patil kartik suryakant
Mother's Name: Anupama
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 28 Apr 2001 Nationality: Indian
Place of Birth: Badlapur Personal Identification Mark: Nothing
Blood Group: A + Address for Communication: B/4 shree neelkanth apt Behind vaishali talkies sarvodaya nagar Badlapur west
State: Maharashtra Country: India
Pin: 421503 City/District: Thane
Mobile no: 9561053467 Telephone No. with STD code:
Aadhar Card No:216675271932 E-mail: kartikpatil2842001@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anupama patil Relationship with candidate: Mother
Parents Date of Birth: 13 Mar 1971 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: 209,linkway estate, Link road , malad west Mumbai 400064
Country: India State: Maharashtra
City/District: Mumbai Pin: 400064
Tel: Mobile no.: 9867017424
Fax: Email: anupamapatil1971@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2019
Board: Maharashtra Board: Maharashtra
School: I.E.S. katrap vidyalaya School: R.K .Talreja college
City: Badlapur City: Ulhasnagar
English %: 68 Board Roll No./Seat No.: M019578
Aggregate Percentage: 85 School/College Code: 1618006
  Centre code: 1231
  Address of School/College: Shivaji chowk ulhasnagar west
  Pin: 421503
  Contact Nos:
  Email: kartikpatil2842001@gmail.com
  Aggregate Percentage: 72
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 67 67
Chemistry 100 59 59
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 63.33
English 100 71 71
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Doing bachelor of management from baze kelkar and studying for imu cet
Why do you wish to join TMI?: One of the best maritime institutes ever seen
What are your hobbies?: Play cricket
What are your strengths?: Fitness to play
What are your weaknesses?: Studies
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 not uploaded Class XII admit card not uploaded Class XII marksheet
 
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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