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: DNS2172073 Name: ANUJ RAMKISAN Dhoke
  Address: IUDP COLONY WASHIM IUDP COLONY WASHIM
Telephone No.: Mobile no: 8319182878
E-mail: anujdhoke17@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424806916
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172073 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: DNS2172073
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ANUJ RAMKISAN Dhoke
Mother's Name: VANDANA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Sep 2002 Nationality: INDIAN
Place of Birth: WASHIM Personal Identification Mark: MOLE ON CHEST
Blood Group: O + Address for Communication: IUDP COLONY WASHIM IUDP COLONY WASHIM
State: Maharashtra Country: India
Pin: 444505 City/District: WASHIM
Mobile no: 8319182878 Telephone No. with STD code:
Aadhar Card No:233262811353 E-mail: anujdhoke17@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ANUJ RAMKISAN Dhoke Relationship with candidate: FATHER
Parents Date of Birth: 15 May 1969 Parent's/Guardian's Occupation/Designation: ENGINEER
   
Office Address:
   
Address: NAVSARI AMRAVATI NAVSARI AMRAVATI
Country: India State: Maharashtra
City/District: WASHIM Pin: 444505
Tel: 8319182878 Mobile no.: 7820895570
Fax: Email: anujdhoke17@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2018 Year of Passing: 2020
Board: CBSE Board: Maharashtra
School: NEIIL WORLD SCHOOL School: SHRI P.D JAIN
City: GUNA City: WASHIM
English %: 77 Board Roll No./Seat No.: V052133
Aggregate Percentage: 73 School/College Code: 1001003
  Centre code: 0909
  Address of School/College: MAHAKALI MANDIR
  Pin: 444505
  Contact Nos: 8319182878
  Email: anujdhoke17@gmail.com
  Aggregate Percentage: 76
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 60 60
Chemistry 100 61 61
Mathematics 100 74 74
Physics, Chemistry & Mathematics combined Percentage: 65
English 100 63 63
   
IMU CET Application Number: CETF21300090  
Sports & Extra Curricular Activities:
Achievements in Sports and Extra Curricular Activities
MONTH / YEAR (MM/YYYY) SPORT/ACTIVITY LEVEL OF PARTICIPATION POSITION
08/2017 TUG OF WAR SCHOOL FIRST
06/2018 CLUB ACTIVITY SCHOOL 2
07/2018 BASKETBALL SCHOOL 1
09/2017 BASKET BALL SCHOOL 1
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: EXPLORING MULTI THINGS ON SOCIAL MEDIA ,AND KNOWING MORE ABOUT DIFFERENT THINGS
Why do you wish to join TMI?: Quality of training , great placement, reputed companies
What are your hobbies?: ESPORTS , HOLLYWOOD MOVIES
What are your strengths?: Can do my work by my own , I can work great with group as a leader as well as member ,also can work individual without any complain
What are your weaknesses?: I always complete my work even if i have to take lot of stress
How do you intend to meet the expenses of this program?: Bank Loan
 
Review you documents:
Birth certificate DGS Approved Medical Fitness Certificate Class X marksheet 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

 

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Date ________________

 
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