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: DNS2171187 Name: Om Swapnil Raut
  Address: 304/B, Silver Sand Apartment, S.K. Bole Road, Agar Bazaar, Dadar -west, Mumbai
Telephone No.: Mobile no: 9167657399
E-mail: osraut.016@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 422767019
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2171187 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: DNS2171187
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Om Swapnil Raut
Mother's Name: Shweta
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 16 Apr 2003 Nationality: Indian
Place of Birth: Alibag Personal Identification Mark: Mole on nose
Blood Group: A + Address for Communication: 304/B, Silver Sand Apartment, S.K. Bole Road, Agar Bazaar, Dadar -west, Mumbai
State: Maharashtra Country: India
Pin: 400028 City/District: Mumbai
Mobile no: 9167657399 Telephone No. with STD code:
Aadhar Card No:314551972503 E-mail: osraut.016@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Swapnil Balwant Raut Relationship with candidate: Father
Parents Date of Birth: 11 Sep 1995 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: 304/B, Silver Sand Apartment, S.K. Bole Road, Agar Bazaar, Dadar -west, Mumbai
Country: India State: Maharashtra
City/District: Mumbai Pin: 400028
Tel: Mobile no.: 9820016765
Fax: Email: rauts.011@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: The Dadar Parsee Youths Assembly High School School: Kirti M. Doongursee College
City: Mumbai City: Mumbai
English %: 64 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: Kashinath Dhuru marg, Prabhadevi, Dadar-West
  Pin: 400028
  Contact Nos:
  Email: kcmoffice@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
06/2018 Waterpolo Nationals Second
05/2019 Waterpolo States Third
02/2018 Open Water Swimmimg Nationals Twentieth
02/2018 Swimming Marathon District Sixth
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2013 SEA CADET CORPS 3 YEARS
04/2021 TRINITY COLLEGE LONDON ESOL INTERNATIONAL 6 MONTHS
07/2019 MS CIT 3 MONTHS
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I will be practicing for triathlon, sea swimming and spend some time on my hobbies. While preparing for further studies.
Why do you wish to join TMI?: I want to become a part of TMI because of the excellent quality of education and practical learning available here and become a part of this prestigious and reputed institute.
What are your hobbies?: Sea Swimming, Waterpolo, Cycling.
What are your strengths?: My strentgh is swimming which taught me to become a leader , being patient and do things with determination and follow descipline .
What are your weaknesses?: My weaknesses are my shyness and too sensitive towards people.
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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