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: DNS2172717 Name: BHATKAR MATIN ABDUL LATIF
  Address: AT JAMBARI PO SAGVE TAL RAJAPUR DIST RATNAGIR AT JAMBARI PO SAGVE TAL RAJAPUR DIST RATNAGIRI AT JAMBARI PO SAGVE TAL RAJAPUR DIST RATNAGIRI
Telephone No.: 9552470974 Mobile no: 9552470974
E-mail: matinbhatkar307@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 424964660
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172717 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: DNS2172717
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: BHATKAR MATIN ABDUL LATIF
Mother's Name: SAEEDA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 07 Mar 2001 Nationality: INDIAN
Place of Birth: RAJAPUR Personal Identification Mark: BLACK DOT ON RIGHT CHEST
Blood Group: B + Address for Communication: AT JAMBARI PO SAGVE TAL RAJAPUR DIST RATNAGIR AT JAMBARI PO SAGVE TAL RAJAPUR DIST RATNAGIRI AT JAMBARI PO SAGVE TAL RAJAPUR DIST RATNAGIRI
State: Maharashtra Country: India
Pin: 416709 City/District: RATNAGIRI
Mobile no: 9552470974 Telephone No. with STD code: 9552470974
Aadhar Card No:979861919736 E-mail: matinbhatkar307@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: ABDULLATIF ABBAS BHATKAR Relationship with candidate: FATHER
Parents Date of Birth: 14 Apr 1958 Parent's/Guardian's Occupation/Designation: FISHERMEN
   
Office Address:
   
Address: AT JAMBARI POST SAGVE TAL RAJAPUR DIST RATNAGIRI AT JAMBARI POST SAGVE TAL RAJAPUR DIST RATNAGIRI AT JAMBARI POST SAGVE TAL RAJAPUR DIST RATNAGIRI
Country: India State: Maharashtra
City/District: RATNAGIRI Pin: 416709
Tel: 9284636874 Mobile no.: 8411933465
Fax: Email: matinbhatkar307@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2017 Year of Passing: 2020
Board: Maharashtra Board: Maharashtra
School: EBRAHIM BABA THAKUR HIGH SCHOOL School: NAVJEEVAN JR. COLLEGE RAJAPUR
City: DEVGAD City: RAJAPUR
English %: 72 Board Roll No./Seat No.: W003285
Aggregate Percentage: 78 School/College Code: 2507007
  Centre code: 0642
  Address of School/College: AT/POST RAJAPUR TAL RAJAPUR DIST RATNAGIRI 416702
  Pin: 4141
  Contact Nos:
  Email: navjeevanhighschool@gmail.com
  Aggregate Percentage: 67
   
Details of Marks Secured in (10+2) Examination -

SUBJECTS MAXIMUM MARKS
MARKS SECURED PERCENTAGE (%)
Physics 100 64 64
Chemistry 100 59 59
Mathematics 100 71 71
Physics, Chemistry & Mathematics combined Percentage: 64.67
English 100 60 60
   
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
02/2021 KABADDI INTER CLASSES 1st
02/2016 KHO KHO INTER CLASSES 1st
12/2013 KABADDI INTER SCHOOL 1st
12/2013 RUNNING INTER SCHOOL 1st
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: After my 12 i am preparing for IMU CET and sponsorship exame.
Why do you wish to join TMI?: Everyone has different perspective to join merchant navy . I am leaving in coastal area from my childhood to my college I am grow here . I havent wanted to do 9 to 5 job . when i was 14 year old i had go to fishing with my Dad. from that day this life is attract me alot . everytime fresh atmosphere and pollution free life.
What are your hobbies?: TRAVELLING LISTENING SONG PLAYING CRICKET
What are your strengths?: I am honest , self motivated and hard working person
What are your weaknesses?: I cant say NO when someone ask to help
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 Class XII marksheet
 
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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