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: DNS2172954 Name: Bhosale Shivanshu Mahesh
  Address: S/O MAHESH TUKARAM BHOSALE,H NO 14 Gopalpur Pandharpur
Telephone No.: 9226121003 Mobile no: 9226121003
E-mail: bhosaleshivanshu50@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 437562920
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2172954 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: DNS2172954
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Bhosale Shivanshu Mahesh
Mother's Name: Ragini
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 12 Oct 2003 Nationality: Indian
Place of Birth: Solapur Personal Identification Mark: No
Blood Group: O + Address for Communication: S/O MAHESH TUKARAM BHOSALE,H NO 14 Gopalpur Pandharpur
State: Maharashtra Country: India
Pin: 413304 City/District: GOPALPUR
Mobile no: 9226121003 Telephone No. with STD code: 9226121003
Aadhar Card No:815653956365 E-mail: bhosaleshivanshu50@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Mahesh Tukaram Bhosale Relationship with candidate: Father
Parents Date of Birth: 04 Jul 1976 Parent's/Guardian's Occupation/Designation: Business
   
Office Address:
   
Address: A/P Gopalpur Side of grampanchayat Gopalpur
Country: India State: Maharashtra
City/District: Solapur Pin: 413304
Tel: 9270121003 Mobile no.: 9270121003
Fax: Email: mbhosale970@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: Arihant Public School School: Wamanrao mane vidyalaya
City: Pandharpur City: Pandharpur
English %: 49 Board Roll No./Seat No.:
Aggregate Percentage: 75 School/College Code:
  Centre code:
  Address of School/College: Narayan chincholi pandharpur
  Pin: 413304
  Contact Nos:
  Email: wamanraomane@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 ?: Got engage in doing practice of the interview which would be connected by company.
Why do you wish to join TMI?: As it is very reputed institute for the DNS program the placement is mind blowing and my relatives those are in merchant navy the all have suggested only tolani.
What are your hobbies?: Playing tabla Gathering news about IT
What are your strengths?: I have more patients.etc
What are your weaknesses?: No
How do you intend to meet the expenses of this program?: Own Resources,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 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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