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: DNS2172767 Name: KAMBLE HARSH DEEPAK
  Address: ROOM NO.709, BUILDING NO.31 MHADA COLONY, GHATKOPAR-MANKHURD LINK ROAD, NEAR INDIAN OIL NAGAR, SHIVAJI NAGAR, GOVANDI,
Telephone No.: Mobile no: 9372922252
E-mail: harshdk005@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 432155585
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172767 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: DNS2172767
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: KAMBLE HARSH DEEPAK
Mother's Name: JYOTI DEEPAK KAMBLE
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 18 May 2003 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: BIRTH MARK ON LEFT ARM ELBOW
Blood Group: B + Address for Communication: ROOM NO.709, BUILDING NO.31 MHADA COLONY, GHATKOPAR-MANKHURD LINK ROAD, NEAR INDIAN OIL NAGAR, SHIVAJI NAGAR, GOVANDI,
State: Maharashtra Country: India
Pin: 400043 City/District: MUMBAI
Mobile no: 9372922252 Telephone No. with STD code:
Aadhar Card No:618166031568 E-mail: harshdk005@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DEEPAK BHASKAR KAMBLE Relationship with candidate: FATHER
Parents Date of Birth: 23 Oct 1972 Parent's/Guardian's Occupation/Designation: BUISNESS
   
Office Address:
   
Address: WELCOME ENTERPRISES, ROOM NO.709, BUILDING NO.31 MHADA COLONY, GHATKOPAR-MANKHURD LINK ROAD, NEAR INDIAN OIL NAGAR, SHIVAJI NAGAR, GOVANDI,
Country: India State: Maharashtra
City/District: MUMBAI Pin: 400043
Tel: Mobile no.: 9967516286
Fax: Email: deepak.kamble446@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: MAR THOMA SCHOOL School: N.G. Acharya college
City: MUMBAI City: Mumbai
English %: 66 Board Roll No./Seat No.:
Aggregate Percentage: 70 School/College Code:
  Centre code:
  Address of School/College: N.G Acharya college, Acharya marg, chembur, Mumbai 400071
  Pin: 400071
  Contact Nos: 9372922252
  Email: harshdk005@gmail.com
  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
04/2014 Sea Cadet Corps International Level Rank Ordinary Cadet
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
04/2014 Sea Cadet Corps 4 Years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Learning About Merchant Ships on YouTube
Why do you wish to join TMI?: Yes, I wish to join TMI
What are your hobbies?: Reading Books
What are your strengths?: Leadership and communication skills
What are your weaknesses?: I get impatient when projects run beyond the deadline
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 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 ________________

 
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