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: DNS2052909 Name: Mayne Harsh Rajendra Rashmi
  Address: Room no 2,First floor, Indumati Niwas Opposite to wema school, kisan nagar 2, thane 400604
Telephone No.: Mobile no: 9152245415
E-mail: harsh.mayne2002@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 312960088
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2052909 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: DNS2052909
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Mayne Harsh Rajendra Rashmi
Mother's Name: Rashmi Rajendra Mayne
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 15 Jun 2002 Nationality: Indian
Place of Birth: Thane Personal Identification Mark: upper part of right ear is folded inwards
Blood Group: B + Address for Communication: Room no 2,First floor, Indumati Niwas Opposite to wema school, kisan nagar 2, thane 400604
State: Maharashtra Country: India
Pin: 400604 City/District: Thane
Mobile no: 9152245415 Telephone No. with STD code:
Aadhar Card No:626655294148 E-mail: harsh.mayne2002@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajendra O Mayne Relationship with candidate: Father
Parents Date of Birth: 21 Jun 1966 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: Tinku Automobiles, opposite to HDFC bank ATM near petrol pump,road no 16,wagle estate thane 400604
Country: India State: Maharashtra
City/District: Thane Pin: 400604
Tel: Mobile no.: 9930382631
Fax: Email: maynerajendra21@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Navodaya English High School School: NES Ratnam Junior College of Science
City: Thane City: Bhandup
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 94 School/College Code:
  Centre code:
  Address of School/College: NES Ratnam Junior OF Science, Battipada, Bhandup West
  Pin: 400078
  Contact Nos: 02225951381
  Email: ratnam_college@rediffmail.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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I Intend spending my time during this tenure by solving and practicing JEE ADVANCED level Mathematics question. Also I am making myself physically fit and preparing myself for entrance examinations.
Why do you wish to join TMI?: I wish to join TMI because TMI is one of the finest institute in India for maritime course
What are your hobbies?: Cooking food and Solving maths questions
What are your strengths?: My strength is punctuality of time,enthusiastic to do any form of work ,trustworthy and honest in every situation.
What are your weaknesses?: My weakness is that I lose my temper easily and I am constantly working to improve it.
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 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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