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: DNS2172799 Name: Chetan Vinod Jadhav
  Address: B2 907 AMRUTVEL SOC. WARJE MALWADI NDA ROAD
Telephone No.: 08329242880 Mobile no: 8329242880
E-mail: chetanj5755@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 424960120
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172799 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: DNS2172799
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chetan Vinod Jadhav
Mother's Name: Pallavi Vinod Jadhav
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 13 Jun 2003 Nationality: Indian
Place of Birth: Solapur Personal Identification Mark: Mole on right chest
Blood Group: B + Address for Communication: B2 907 AMRUTVEL SOC. WARJE MALWADI NDA ROAD
State: Maharashtra Country: India
Pin: 411058 City/District: Pune
Mobile no: 8329242880 Telephone No. with STD code: 08329242880
Aadhar Card No:856631777706 E-mail: chetanj5755@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vinod Shrikant Jadhav Relationship with candidate: Father
Parents Date of Birth: 14 Mar 1975 Parent's/Guardian's Occupation/Designation: Sr. Research scientist at LUPIN LRP
   
Office Address:
   
Address: Lupin Research Park 46A/47A Nande village , Mulshi Taluka ,Pune
Country: India State: Maharashtra
City/District: Pune Pin: 412115
Tel: Mobile no.: 9860325327
Fax: Email: vsjadhav1975@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Sahyadri National School School: Abasaheb Garware College Of Science Pune.
City: Pune City: Pune
English %: 81 Board Roll No./Seat No.:
Aggregate Percentage: 90 School/College Code:
  Centre code:
  Address of School/College: Karve Rd, opp. Sahyadri Hospital, Kripali Society, Bharati Niwas Colony, Erandwane, Pune, Maharashtra
  Pin: 411004
  Contact Nos:
  Email: pallavijadhav769@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:  
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Studying for Imucet , Reading books .
Why do you wish to join TMI?: 1.Good faculty. 2.Good infrastructure . 3.Good placement Record.
What are your hobbies?: Reading ,Swimming , Gymming ,Cycling
What are your strengths?: Hardworking ,Goal Oriented .
What are your weaknesses?: less confident.
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

 

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Date ________________

 
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