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: DNS2172425 Name: Kharmale Rahul Anantprakash
  Address: Amrapali, B/1/3, sect-16 , vashi ,navi-mumbai Amrapali, B/1/3, sect-16 , vashi ,navi-mumbai
Telephone No.: Mobile no: 9967873510
E-mail: rahulkharmale37@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424821485
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172425 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: DNS2172425
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Kharmale Rahul Anantprakash
Mother's Name: Balika
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Dec 2002 Nationality: INDIAN
Place of Birth: Vashi Personal Identification Mark: No
Blood Group: AB + Address for Communication: Amrapali, B/1/3, sect-16 , vashi ,navi-mumbai Amrapali, B/1/3, sect-16 , vashi ,navi-mumbai
State: Maharashtra Country: India
Pin: 400703 City/District: Vashi
Mobile no: 9967873510 Telephone No. with STD code:
Aadhar Card No:314590451993 E-mail: rahulkharmale37@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Anantprakash vasantrao kharmale Relationship with candidate: Son
Parents Date of Birth: 10 Oct 1971 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: APMC, fruit market ,H-684,sect-19,Turbhe APMC, fruit market ,H-684,sect-19,Turbhe
Country: India State: Maharashtra
City/District: Turbhe Pin: 400705
Tel: Mobile no.: 9892476627
Fax: Email: anantprakash567@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Fr.Agnel multipurpose school School: Karmaveer bhaurao patil college
City: Vashi City: Vashi
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: Vashi ,sect-16 ,
  Pin: 400703
  Contact Nos:
  Email: modern_college_vashi@yahoo.co.in
  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 ?: Focus on gaining knowledge about merchant navy and Will focus on my physical fitness
Why do you wish to join TMI?: It is a reputed college for various merchant navy cources
What are your hobbies?: Cycling, swimming
What are your strengths?: Focused, miltitasking
What are your weaknesses?: Self-criticism
How do you intend to meet the expenses of this program?: Own Resources
 
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

 

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Date ________________

 
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