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: DNS2172712 Name: OMKAR VILAS GOTAWALE
  Address: A-603 BA VERMONT SOCIETY BAIF ROAD, OPP SAVANNAHA SOCIETY WAGHOLI
Telephone No.: Mobile no: 9373089639
E-mail: gotawaleomkar@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424952286
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172712 are true and correct.
Signature of Candidate Signature of Parent/Guardian
   
   

___________________

___________________

   
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: DNS2172712
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: OMKAR VILAS GOTAWALE
Mother's Name: JYOTI VILAS GOTAWALE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 May 2003 Nationality: INDIAN
Place of Birth: NANDED Personal Identification Mark: MOLE ON LEFT PALM
Blood Group: B + Address for Communication: A-603 BA VERMONT SOCIETY BAIF ROAD, OPP SAVANNAHA SOCIETY WAGHOLI
State: Maharashtra Country: India
Pin: 412206 City/District: PUNE
Mobile no: 9373089639 Telephone No. with STD code:
Aadhar Card No:572339882030 E-mail: gotawaleomkar@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: SANJAY GOTAWALE Relationship with candidate: UNCLE
Parents Date of Birth: 21 Apr 1975 Parent's/Guardian's Occupation/Designation: CHIEF ELECTRICIAN
   
Office Address:
   
Address: RAJAMUNDRI VISHAKAPATNAM
Country: India State: Andhra Pradesh
City/District: RAJAMUNDRI Pin: 533101
Tel: Mobile no.: 9373089639
Fax: Email: r_gotawale@yahoo.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Other Board:
School: MOUNT ST. PATRICK ACADEMY School: SRI CHAITANYA JUNIOR COLLEGE
City: PUNE City: HYDERABAD
English %: 78 Board Roll No./Seat No.:
Aggregate Percentage: 77 School/College Code:
  Centre code:
  Address of School/College: VYASA BHAVAN, SRINIVASA NAGAR COLONY, HAYATHNAGAR,
  Pin: 501505
  Contact Nos:
  Email: webmaster@srichaitanya.net
  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 ?: FOCUSING AND STUDYING FOR FURTHER STUDIES
Why do you wish to join TMI?: I LOVE THE CAMPUS AND IT IS THE BEST PLACE FOR A PERSON LIKE ME TO FULFIL DREAMS AND DESIRES
What are your hobbies?: PLAYING CRICKET AND FOOTBALL
What are your strengths?: I AM A QUICK LEARNER
What are your weaknesses?: I HAVE A LOT OF PATIENCE
How do you intend to meet the expenses of this program?: Other - Guardians Earning
 
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