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: DNS2172127 Name: TILAK DINESH NAIK
  Address: 9141146469 Kumta karnataka 9945374824
Telephone No.: 08386 Mobile no: 9141146469
E-mail: dineshkonalli@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 428648904
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172127 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: DNS2172127
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: TILAK DINESH NAIK
Mother's Name: Kumuda Naik
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 29 Sep 2003 Nationality: INDIAN
Place of Birth: Kumta Personal Identification Mark: Black mole behind right ear
Blood Group: O + Address for Communication: 9141146469 Kumta karnataka 9945374824
State: Karnataka Country: India
Pin: 581343 City/District: Kumta
Mobile no: 9141146469 Telephone No. with STD code: 08386
Aadhar Card No:816083300194 E-mail: dineshkonalli@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Dinesh Naik Relationship with candidate: No
Parents Date of Birth: 25 Sep 1969 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Kumta 9945374824 Uttarkannada ,Karnataka
Country: India State: Karnataka
City/District: Kumta Pin: 581343
Tel: 08386 Mobile no.: 9945374824
Fax: Email: dineshkonalli@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Karnataka Board: Karnataka
School: C.V.S.K School: H.B.G.P.U
City: Kumta City: Kumta
English %: 96 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Kumta 9945374824 Uttarkannada ,Karnataka
  Pin: 581343
  Contact Nos: 09945374824
  Email: dineshkonalli@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: NA  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Join computer classes
Why do you wish to join TMI?: Because it is one of the beat collage in India and because of its placements
What are your hobbies?: Reading history books and playing cricket
What are your strengths?: Memory power
What are your weaknesses?: NA
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 ________________

 
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