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: DNS2170966
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Yash Sharad Gunjal
Mother's Name: Seema
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 1970 Nationality: Indian
Place of Birth: YCM pune Personal Identification Mark: I am fatty
Blood Group: AB + Address for Communication: At/post-kadus Tel-Khead Dist-pune At/post-kadus Tel-Khead Dist-pune At/post-kadus Tel-Khead Dist-pune
State: Maharashtra Country: India
Pin: 412404 City/District: Pune
Mobile no: 9689737104 Telephone No. with STD code:
Aadhar Card No:627183347296 E-mail: yashsharedgunjal2121@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sharad Dnyaneshwar Gunjal Relationship with candidate: Father
Parents Date of Birth: 24 Jul 1977 Parent's/Guardian's Occupation/Designation: 10th
   
Office Address:
   
Address: At/post-kadus Tel-Khead Dist-pune At/post-kadus Tel-Khead Dist-pune
Country: India State: Maharashtra
City/District: Pune Pin: 412404
Tel: Mobile no.: 9689737104
Fax: Email: yashsharedgunjal2121@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: RMV kadus School: Vidya vally junior college
City: Pune City: pune
English %: 64 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: North point.chikhli shriganesh samrajy road
  Pin: 411019
  Contact Nos:
  Email: vidyavalleynorthpointjuniorcollage@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
02/2018 Football Block level rural competition 2
01/2017 Kabaddi Dist 3
02/2018 Kabaddi Tal 1
01/2015 Kabaddi Tal 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will consentrate my Fitness
Why do you wish to join TMI?: Reason is Best companies visit TMI and institute near by village.campus area is very beautiful and All important equipment related courses are available in institute
What are your hobbies?: Swiming and work in farm because I am a farmer
What are your strengths?: I have do not think negative
What are your weaknesses?: I have careless in my fitness
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 Class XII admit card 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.