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: DNS2172090 Name: PATIL PARAG LEELADHAR
  Address: LALA PATIL HOUSE,H.NO.79/82,NEAR BHAIRAVNATH MANDIR, MAMURDI DEHU ROAD,PUNE
Telephone No.: Mobile no: 7420829815
E-mail: patilparag870@gmail.com  
   
Application fee payment details:  
Payment Status: Offline Payment Mode: Offline
Amount: DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172090 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: DNS2172090
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: PATIL PARAG LEELADHAR
Mother's Name: SNEHAL
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 May 2003 Nationality: INDIAN
Place of Birth: SEVAGRAM Personal Identification Mark: mole on left hand middle finger
Blood Group: O + Address for Communication: LALA PATIL HOUSE,H.NO.79/82,NEAR BHAIRAVNATH MANDIR, MAMURDI DEHU ROAD,PUNE
State: Maharashtra Country: India
Pin: 412101 City/District: PUNE
Mobile no: 7420829815 Telephone No. with STD code:
Aadhar Card No:647611990985 E-mail: patilparag870@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: LEELADHAR PATIL Relationship with candidate: FATHER
Parents Date of Birth: 24 Jul 1975 Parent's/Guardian's Occupation/Designation: SERVICE
   
Office Address:
   
Address: H.NO.79/82,SAMARTH KRUPA MAMURDI GOAN DEHU ROAD,PUNE
Country: India State: Maharashtra
City/District: PUNE Pin: 412101
Tel: Mobile no.: 9881159161
Fax: Email: lpatil45@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Lions club high school Dehuroad School: Symbiosis junior college
City: PUNE City: PUNE
English %: 56 Board Roll No./Seat No.:
Aggregate Percentage: 68 School/College Code:
  Centre code:
  Address of School/College: Adjoining, Mumbai - Pune Expy, Kiwale, Pune, Maharashtra 412101
  Pin: 412101
  Contact Nos:
  Email: patilparag870@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Having workout, fitness, sports, movies, etc.
Why do you wish to join TMI?: Best ever college to have a good career.
What are your hobbies?: hiking, swimming, cycling, running.
What are your strengths?: Analytical skills ,Ability to work in a team, quick learning ability
What are your weaknesses?: No weakness
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 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 ________________

 
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