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: DNS2173161 Name: RATHOD NAYAN RAM
  Address: DHAWAD LAYOUT MUTON MARKET ROAD KATOL DIST .NAGPUR
Telephone No.: 07105 Mobile no: 9604950109
E-mail: kamini9604@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425123306
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173161 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: DNS2173161
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: RATHOD NAYAN RAM
Mother's Name: VANDANA
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 10 Oct 2003 Nationality: INDIA
Place of Birth: BELGHAVAN Personal Identification Mark: MOLE ON CHEST
Blood Group: B + Address for Communication: DHAWAD LAYOUT MUTON MARKET ROAD KATOL DIST .NAGPUR
State: Maharashtra Country: India
Pin: 441302 City/District: NAGPUR
Mobile no: 9604950109 Telephone No. with STD code: 07105
Aadhar Card No:442714760321 E-mail: kamini9604@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: RAM BHIKA RATHOD Relationship with candidate: SON
Parents Date of Birth: 09 Jul 1966 Parent's/Guardian's Occupation/Designation: TEACHER
   
Office Address:
   
Address: INDIRA GANDHI HIGHSCHOOL YENIKONI ,NARKHED DIST NAGPUR
Country: India State: Maharashtra
City/District: NAGPUR Pin: 441306
Tel: Mobile no.: 9604950109
Fax: Email: kamini9604@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: MOUNT CARMEL CONVENT SCHOOL School: SAINIK SCHOOL LONI
City: KATOL City: LONI
English %: 85 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: sanik school loni
  Pin: 441373
  Contact Nos: 9284161494
  Email: ssparent@pravara.in
  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
10/2018 HANDBALL DISTRICT 2
11/2019 HANDBALL DISTRTICT 3
11/2020 HANDBALL DIVISION 3
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: ONE SOLO TRIP IN SOUTH OF GOA AND SPENDING QUALITY TIME WITH FRIENDS AND FAMILY
Why do you wish to join TMI?: I FEEL SO TMI IS ONE OF REPUTED INSTITUTE FOR MERCHANT NAVY AND SEAFEARER
What are your hobbies?: HORSE RIDING
What are your strengths?: I AM HEALTHY IN COMPETING WITH OTHERS
What are your weaknesses?: I DONT EASILY TRUST ANYONE
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

 

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Date ________________

 
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