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 2021)


Application Summary: Diploma in Nautical Science
 
Dossier ID: DNS2170825 Name: Pranjal Patel
  Address: Vishwkarma Nagar Behind Bombay walo ki chal Itarsi
Telephone No.: Mobile no: 8435648031
E-mail: pranjalpatel091@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170825 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 - 2021

 
  Dossier ID: DNS2170825
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Pranjal Patel
Mother's Name: Pratibha Patel
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 Jun 2003 Nationality: Indian
Place of Birth: Itarsi Personal Identification Mark: Nose
Blood Group: O + Address for Communication: Vishwkarma Nagar Behind Bombay walo ki chal Itarsi
State: Madhya Pradesh Country: India
Pin: 461111 City/District: Itarsi Hoshangabaad
Mobile no: 8435648031 Telephone No. with STD code:
Aadhar Card No:502192925626 E-mail: pranjalpatel091@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dharmendra Kumar Patel Relationship with candidate: Father
Parents Date of Birth: 07 Nov 1967 Parent's/Guardian's Occupation/Designation: Agriculture
   
Office Address:
   
Address: Vishwkarma Nagar, Malviya Ganj Behind Bombay walo ki chal, itarsi
Country: India State: Madhya Pradesh
City/District: Itarsi Hoshangabaad Pin: 461111
Tel: Mobile no.: 8435648031
Fax: Email: pranjalpatel091@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: MGM Higher Secondary school itarsi School: MGM Higher Secondary School
City: Itarsi City: Itarsi
English %: 82 Board Roll No./Seat No.:
Aggregate Percentage: 62 School/College Code:
  Centre code:
  Address of School/College: MGM Higher Secondary School Raisalpur itarsi
  Pin: 461111
  Contact Nos: 8966891010
  Email: mgmitarsi@gmail.com
  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
05/2017 Cricket Academy Practice Practice player
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I spend my time by reading books and having a practice of yoga Asanas, do physical and mental health exerciseetc.
Why do you wish to join TMI?: Because TMI is the best collage, which provides a good Hostle facilities and having a good environment, etc.
What are your hobbies?: Doing physical practice and yoga asanas
What are your strengths?: My reading and playing skills are good .
What are your weaknesses?: I get tired whenever I write very long.
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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