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: DNS2172523 Name: Parth Rakesh Panchal
  Address: A/302,SHREE RADHE KRISHNA DHAM NEAR SHIV TEMPLE, BHATPADA ROAD, GOKHIVARE VASAI - East
Telephone No.: Mobile no: 9834761986
E-mail: parth.daily11@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 202.12 (Includes Convenience fee of ₹ 2.12 ) DD Number: -
Issuing Bank: - Transaction Id: 424854654
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172523 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: DNS2172523
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Parth Rakesh Panchal
Mother's Name: Sharmila
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Jul 2003 Nationality: Indian
Place of Birth: Vasai Personal Identification Mark: Scar near the left armpit
Blood Group: AB + Address for Communication: A/302,SHREE RADHE KRISHNA DHAM NEAR SHIV TEMPLE, BHATPADA ROAD, GOKHIVARE VASAI - East
State: Maharashtra Country: India
Pin: 401208 City/District: Palghar
Mobile no: 9834761986 Telephone No. with STD code:
Aadhar Card No:893489431188 E-mail: parth.daily11@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Rakesh Mohanlal Panchal Relationship with candidate: Father
Parents Date of Birth: 15 Nov 1971 Parent's/Guardian's Occupation/Designation: Quality Control
   
Office Address:
   
Address: SALASAR ESTATE, OFF. S.V ROAD, OPP. PATEL IND. ESTATE, DAHISAR - EAST
Country: India State: Maharashtra
City/District: Mumbai Pin: 400068
Tel: Mobile no.: 8087270409
Fax: Email: rak5nov@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: ST ANNES CONVENT HIGHT SCHOOL AND JUNIOR COLLEGE School: ST XAVIERS COLLEGE
City: VASAI City: CHURCHGATE
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 89 School/College Code:
  Centre code:
  Address of School/College: 5, Mahapalika Marg, Dhobi Talao, Chhatrapati Shivaji Terminus Area, Fort, Mumbai, Maharashtra
  Pin: 400001
  Contact Nos:
  Email: webadmin@xaviers.edu
  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
08/2016 Chess Under 14 3rd
02/2014 Football Intraschool 2nd
08/2015 Best out of waste Intraschool 2nd
01/2016 Football Intraschool 2nd
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: I would love to spend my time working on my physical fitness as well as my mental fitness. I want to read Bhagavad-Gita so that I can learn how to tackle challenges in life, and find the purpose of my Birth. I would love to play Football with friends and spend some quality moments with them.
Why do you wish to join TMI?: Tolani is the most renowned Maritime institute in India which offers cadets an excellent training and placement Since I was a child, I wanted to get into TMI so that I can get trained by world class faculty which will help me to bring the best out of me and further become an excellent Merchant Navy Officer.
What are your hobbies?: Learning New Skills, Solving Rubix Cubes, Playing Football, Playing Chess, Playing Badminton, Listening to Music.
What are your strengths?: I am Good at whatever I do but I always try to get better, I am Consitent and Smart Working, I learn from my mistakes, I never give up.
What are your weaknesses?: I am emotional at times, I always expect the best from me which sometimes leads me to burnout,
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 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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