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: DNS2172474 Name: Phulari Pavankumar Nagbhushan
  Address: BG joshi nevas Vidyanagar Parli vaijnath pincode-431515 district-Beed
Telephone No.: Mobile no: 9356874692
E-mail: pawanphulari05@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424839311
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172474 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: DNS2172474
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Phulari Pavankumar Nagbhushan
Mother's Name: Pallavi
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 05 Apr 2004 Nationality: Indian
Place of Birth: Parli-V Personal Identification Mark: Mole on left thumb
Blood Group: A + Address for Communication: BG joshi nevas Vidyanagar Parli vaijnath pincode-431515 district-Beed
State: Maharashtra Country: India
Pin: 431515 City/District: Beed
Mobile no: 9356874692 Telephone No. with STD code:
Aadhar Card No:980985485061 E-mail: pawanphulari05@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Nagbhushan Phulari Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1980 Parent's/Guardian's Occupation/Designation: Lecturer
   
Office Address:
   
Address: BG joshi nevas Vidyanagar Parli vaijnath pincode-431515 district-Beed
Country: India State: Maharashtra
City/District: Beed Pin: 431515
Tel: Mobile no.: 9975207308
Fax: Email: pavanphulari10@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board:
School: Foundation school School: NARAYANA JUNIOR COLLEGE
City: Parli vaijnath City: Hyderabad
English %: 80 Board Roll No./Seat No.:
Aggregate Percentage: 92 School/College Code:
  Centre code:
  Address of School/College: 6047-NARAYANA JR COLLEGE, Housing Board Community Hall,sanjeeva Reddy Nagar, Hyderabad
  Pin: 500004
  Contact Nos:
  Email: info@narayanainfo.com
  Aggregate Percentage:
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 150
Chemistry 150
Mathematics 300
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 ?: I will learn basics of computer languages like C-programming, Java, Python
Why do you wish to join TMI?: Best faulty, discipline, beautiful campus
What are your hobbies?: Hiking,swimming, reading
What are your strengths?: Creativity,Discipline
What are your weaknesses?: Patience
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

 

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Date ________________

 
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