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: DNS2172407
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: ATHARVA HANMANT PUDALE
Mother's Name: VAISHALI HANMANAT PUDALE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 06 Aug 2003 Nationality: Indian
Place of Birth: sangli Personal Identification Mark: mole on middle finger
Blood Group: A + Address for Communication: FLAT NO.201 BUILDING NO. A8 Vallabhnagar Pimpri Pune 411018
State: Maharashtra Country: India
Pin: 411018 City/District: VALLABHNAGAR PIMPRI PUNE
Mobile no: 7972533419 Telephone No. with STD code:
Aadhar Card No:579822386788 E-mail: atharvapudale0608@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: HANMANT PUDALE Relationship with candidate: FATHER OF CANDIDATE
Parents Date of Birth: 25 May 1975 Parent's/Guardian's Occupation/Designation: engineer
   
Office Address:
   
Address: Gat No. 744/745 Village-Lonikand Pune Nagar Road, Pune
Country: India State: Maharashtra
City/District: pune Pin: 412216
Tel: Mobile no.: 9096067312
Fax: Email: satish_pudale@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: GG INTERNATIONAL SCHOOL School: GEETAMATA JR COLLAGE
City: pune City: pune
English %: 88 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: MIDC BLOCK C IBMR CAMPUS CHINCHWARD PUNE
  Pin: 411019
  Contact Nos:
  Email: asmgems@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
05/2016 skating world record 1
08/2018 skating zp 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: i would directly start preparing for my imu-cet exam after the boards
Why do you wish to join TMI?: i whish t join TMI because when i researched about merchent on youtube or in any article there was aslway name mentioned TMI so more over i researched on tmi and i found that TMI has very good quality education and aslo has limited seats
What are your hobbies?: painting
What are your strengths?: i am a quick learner and my time managment is good
What are your weaknesses?: my soft skills are week
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 ________________

 
Print Summary and Application Form