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: DNS2173154 Name: Ashmit nandurkar
  Address: Madhukar nandurkar Near balaji mandir Ward no. 2,babupeth chandrapur,maharastra
Telephone No.: Mobile no: 9767365809
E-mail: ashmitnandurkar1022@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: -
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173154 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: DNS2173154
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ashmit nandurkar
Mother's Name: Ushakiran Madhukar Nandurkar
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 30 Nov 2003 Nationality: Indian
Place of Birth: Chandrapur Personal Identification Mark: Mol on chin and testis
Blood Group: B + Address for Communication: Madhukar nandurkar Near balaji mandir Ward no. 2,babupeth chandrapur,maharastra
State: Maharashtra Country: India
Pin: 442403 City/District: Chandrapur
Mobile no: 9767365809 Telephone No. with STD code:
Aadhar Card No:346119386813 E-mail: ashmitnandurkar1022@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Madhukar Ramaji Nandurkar Relationship with candidate: Father
Parents Date of Birth: 01 Jun 1954 Parent's/Guardian's Occupation/Designation: Retired government employee
   
Office Address:
   
Address: Madhukar Nandurkar Near balaji mandir Ward no. 2 babupeth chandrapur, maharastra
Country: India State: Maharashtra
City/District: Chandrapur Pin: 442403
Tel: Mobile no.: 7875821188
Fax: 07172 Email: nandurkar0106@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Kendriya vidyalaya School: Janta mahavidyalaya
City: Chandrapur City: Chandrapur
English %: 90 Board Roll No./Seat No.:
Aggregate Percentage: 83 School/College Code: 0501002
  Centre code: 0201
  Address of School/College: Janta mahavidyalaya,nagpur road ,chandrapur
  Pin: 442403
  Contact Nos:
  Email: prijmvchd@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 ?: I will join gym and preparatory courses for entrance exam
Why do you wish to join TMI?: Because,tmi provide best faculty.
What are your hobbies?: Basketball, running
What are your strengths?: Communication,team work
What are your weaknesses?: Public speaking
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 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 ________________

 
Last date for payment of application fees has passed. No further application fee payment will be accepted.
Print Summary and Application Form