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: DNS2170857 Name: RATHOD PRADEEP HANSRAJ
  Address: NAV AVNI COMPLEX B WING 202 NEAR AMBIKA NAGAR, SHAHAD WEST DIST. THANE
Telephone No.: Mobile no: 9967894364
E-mail: pradeepxrathod123@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 424656855
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170857 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: DNS2170857
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RATHOD PRADEEP HANSRAJ
Mother's Name: VANDANA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Jul 2004 Nationality: INDIAN
Place of Birth: LONZE Personal Identification Mark: Mole On Left Hand
Blood Group: AB + Address for Communication: NAV AVNI COMPLEX B WING 202 NEAR AMBIKA NAGAR, SHAHAD WEST DIST. THANE
State: Maharashtra Country: India
Pin: 421301 City/District: THANE
Mobile no: 9967894364 Telephone No. with STD code:
Aadhar Card No:357724747607 E-mail: pradeepxrathod123@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HANSRAJ RATHOD Relationship with candidate: FATHER
Parents Date of Birth: 07 Mar 1973 Parent's/Guardian's Occupation/Designation: POLICE OFFICER
   
Office Address:
   
Address: PANT NAGAR POLICE STATION GHATKOPAR EAST, MUMBAI
Country: India State: Maharashtra
City/District: GHATKOPAR EAST Pin: 400086
Tel: Mobile no.: 8169266071
Fax: Email: sonalirathod465@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: SHRI M.D. DEDHIA School: B.K. BIRLA COLLEGE
City: SHAHAD City: KALYAN
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: BIRLA COLLEGE CAMPUS ROAD , GAURIPADA, KALYAN WEST 421304
  Pin: 421304
  Contact Nos:
  Email: principal@bkbirlacollegekalyan.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
07/2017 Rocball Championship State level Winner
09/2017 Tchoukball Championship State level Third place
08/2016 Tchoukball Championship state level Participate
11/2014 Social Service School there is no position
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I Will Focus On My IMUCET Entrance Exam SO That I Can Secured Top Rank In It, Also I Will Give Some Time To My Physical Training .
Why do you wish to join TMI?: TMI Is The One Of The Best College For Maritime Studies and TMI has tie up with good Comanies .
What are your hobbies?: learning New Activity and Sports
What are your strengths?: I Never Run Behind Money I Belive That Money should Run behind us .
What are your weaknesses?: Some time overthinking
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 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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