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: DNS2170945
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PATEL RUTIK SANTOSH
Mother's Name: PRITI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Nov 2002 Nationality: INDIAN
Place of Birth: VAPI Personal Identification Mark: STITCHES ON LEFT HAND SIDE EYEBROW
Blood Group: O + Address for Communication: C-16/245 OLD .C. TYPE , KOPARLI ROAD G.I.D.C. , VAPI
State: Gujarat Country: India
Pin: 396195 City/District: VALSAD
Mobile no: 7567405344 Telephone No. with STD code:
Aadhar Card No:581074921654 E-mail: rutik.s.patel@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANTOSH CHOTUBHAI PATEL Relationship with candidate: FATHER
Parents Date of Birth: 13 Feb 1976 Parent's/Guardian's Occupation/Designation: Job
   
Office Address:
   
Address: UNIPHOS ENVIROTRONIC PVT. LTD. A UPL LIMITED GROUP COMPANY P.O NAHULI , TAL. UMBERGAON , DIST. VALSAD-396108, GUJARAT , INDIA
Country: India State: Gujarat
City/District: VALSAD Pin: 396108
Tel: 02602730156 Mobile no.: 9909994835
Fax: Email: santoshpatel13021976@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2021
Board: Gujarat Board: Other
School: UPASANA LIONS ENGLISH MEDIUM SCHOOL School: SMT. SANDRABEN SHROFF GNYAN DHAM SCHOOL
City: VAPI City: VAPI
English %: 69 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code:
  Centre code:
  Address of School/College: SMT. SANDRABEN SHROFF GNYAN DHAM SCHOOL , G.I.D.C., , VAPI , DIST. VALSAD , GUJARAT
  Pin: 396195
  Contact Nos: 9909995853
  Email: frontdesk@srsgnyandham.org
  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
05/2016 IKEN SCIENTIFICA COMPETITION ALL OVER INDIA PARTICIPANTS Runner Up
08/2017 DISTRICT HANDBALL TOURNAMENT ALL OVER DISTRICT TEAMS 2nd POSITION
12/2017 INTERSCHOOL HANDBALL TOURNAMENT TEAMS FROM OUR CITY SCHOOLS 2nd POSITION
11/2016 SCHOOL SPORTS COMPETITION BADMINTON SECONDARY AND HIGHER SECONDARY SCHOOL STUDENTS 2nd POSITION
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2015 SCHOOL SPORTS TEAM 3 YEARS
04/2018 COMPUTER CLASSES 1 MONTH
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PLAYING SPORTS , MAINTAIN MY BODY MORE FIT , GAINING MORE GENERAL KNOWLEDGE ABOUT THE WORLD, RIVISING MY PCM STUDIES , ETC..
Why do you wish to join TMI?: TOLANI MARITIME IS A GOOD AND A WELL KNOWN MARITIMD INSTITUTE OF INDIA AND I AM REALLY GLAD TO STUDY IN SUCH A GOOD INSTITUTE. INSTITUTE
What are your hobbies?: Painting , Cricket , Handball
What are your strengths?: Patience
What are your weaknesses?: Patience
How do you intend to meet the expenses of this program?: Own Resources,Bank Loan
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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

 

___________________

Date ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.