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: DNS2170863 Name: Prathamesh Rajnesh Gupta
  Address: OM SAI COLONY NANEKARWADI CHAKAN
Telephone No.: Mobile no: 9552058715
E-mail: prathmesh26maygupta@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: 431513638
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2170863 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: DNS2170863
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Prathamesh Rajnesh Gupta
Mother's Name: Vijayalakshmi Gupta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 26 May 2002 Nationality: Indian
Place of Birth: Chakan Personal Identification Mark: Neck mole
Blood Group: O + Address for Communication: OM SAI COLONY NANEKARWADI CHAKAN
State: Maharashtra Country: India
Pin: 410501 City/District: Pune
Mobile no: 9552058715 Telephone No. with STD code:
Aadhar Card No:894074845516 E-mail: prathmesh26maygupta@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rajnesh Ramugrah Gupta Relationship with candidate: Father
Parents Date of Birth: 18 Jun 1980 Parent's/Guardian's Occupation/Designation: Bussiness
   
Office Address:
   
Address: OM SAI COLONY NANEKARWADI CHAKAN
Country: India State: Maharashtra
City/District: Pune Pin: 410501
Tel: 9552058715 Mobile no.: 9552058715
Fax: Email: prathmesh26maygupta@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: Vidyaniketan english medium school School: SWAMI SAMARTH COLLEGE
City: Pune City: PUNE
English %: 77 Board Roll No./Seat No.: P031376
Aggregate Percentage: 85 School/College Code: 1108029
  Centre code: 0133
  Address of School/College: CHAKAN
  Pin: 410501
  Contact Nos:
  Email: prathmesh26maygupta@gmail.com
  Aggregate Percentage: 68
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 63 63
Chemistry 100 58 58
Mathematics 100 64 64
Physics, Chemistry & Mathematics combined Percentage: 61.67
English 100 61 61
   
IMU CET Application Number:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Going on a tour
Why do you wish to join TMI?: BECAUSE TMI IS ONE OF THE BEST COLLEGE WITH BEST FACULTIES
What are your hobbies?: CRICKET
What are your strengths?: communication
What are your weaknesses?: I sometimes lack confidence
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
 
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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