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: DNS2172171
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Suraj Balgude
Mother's Name: Babby Vijaysingh Balgude
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 04 Feb 2003 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: No
Blood Group: B + Address for Communication: Pune . Indapur Indapur. Varkutea .BK
State: Maharashtra Country: India
Pin: 413132 City/District: Pune
Mobile no: 8999810883 Telephone No. with STD code: 8999810883
Aadhar Card No:538836440342 E-mail: surajbalgude07@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijaysingh Relationship with candidate: Father
Parents Date of Birth: 29 Apr 1974 Parent's/Guardian's Occupation/Designation: Farmer
   
Office Address:
   
Address: Pune . Indapur Indapur. Varkutea .BK
Country: India State: Maharashtra
City/District: Pune Pin: 413132
Tel: 08999810883 Mobile no.: 9921826860
Fax: Email: surajbalgude07@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: SSPMS.Pune School: Bwales karait time and defence academy
City: Pune City: Aurangabad
English %: 35 Board Roll No./Seat No.:
Aggregate Percentage: 51 School/College Code:
  Centre code:
  Address of School/College: Plot no 115-116 . Gut no 168 opp Rajlaxmi Residency .Deep nagar . Satara parisar Aurangabad Maharashtra
  Pin: 431001
  Contact Nos:
  Email: bwalesmaraitimeanddefenceacadmy@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
02/2017 Football State Second
09/2021 Football Loyola cup Second
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: iI will focused on my fitness and my studies
Why do you wish to join TMI?: Because TMI is the best institute in india
What are your hobbies?: Sports/working hard
What are your strengths?: If anyone motivate me
What are your weaknesses?: Smel of Dust / soil
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.