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: DNS2171131 Name: Jatin Chhangani
  Address: 16/268 Chopasani Housing Board 16/268 Chopasani Housing Board
Telephone No.: Mobile no: 8619398758
E-mail: kingjatin8@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422782249
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171131 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: DNS2171131
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Jatin Chhangani
Mother's Name: Sunita
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Sep 2002 Nationality: Indian
Place of Birth: Lordiyan Personal Identification Mark: A Mark On Left Shoulder
Blood Group: B + Address for Communication: 16/268 Chopasani Housing Board 16/268 Chopasani Housing Board
State: Rajasthan Country: India
Pin: 342008 City/District: Jodhpur
Mobile no: 8619398758 Telephone No. with STD code:
Aadhar Card No:887810962971 E-mail: kingjatin8@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Bhawani Shankar Chhangani Relationship with candidate: Father
Parents Date of Birth: 01 Nov 1973 Parent's/Guardian's Occupation/Designation: Teacher
   
Office Address:
   
Address: 16/268 Chopasani Housing Board 16/268 Chopasani Housing Board
Country: India State: Rajasthan
City/District: Jodhpur Pin: 342008
Tel: Mobile no.: 8107233678
Fax: Email: kingjatin8@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: CBSE
School: Central Academy CHB Jodhpur School: Central Academy CHB Jodhpur
City: Jodhpur City: Jodhpur
English %: 83 Board Roll No./Seat No.: 11658004
Aggregate Percentage: 81 School/College Code: 10468
  Centre code: 1323
  Address of School/College: chopasani housing board jodhpur 342008
  Pin: 342008
  Contact Nos: 9649009001
  Email: fochb@centralacademy.ac.in
  Aggregate Percentage: 80
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 78 78
Chemistry 100 77 77
Mathematics 100 63 63
Physics, Chemistry & Mathematics combined Percentage: 72.67
English 100 90 90
   
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
04/2021 Mass Synchro Yoga participation Participated
04/20 Pledging to plant participation participated
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2020 Shrimad Bhagvada Gita 6 Months
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Reading SPIRITUAL Books , getting knowledge about the merchant navy
Why do you wish to join TMI?: Because I Think TMI is the best place to pursue my career in merchant navy and fulfil my dreams
What are your hobbies?: Book Reading , riding , travel
What are your strengths?: Family , God , Optimism , Problem Solver ,
What are your weaknesses?: Leadership Skills , public communication
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
 
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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