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: DNS2173172 Name: MISHRA RAHUL DINESHKUMAR SHANTIDEVI
  Address: R.no 12,Ram Abhilash Yadav Chawl,P.N Road Jamil Nagar Road Near Ekta Police Station,Bhandup-W,Mumbai-78 Maharashtra
Telephone No.: 9920109368 Mobile no: 9920109368
E-mail: rahulmi127.0.0.1@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425515719
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173172 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: DNS2173172
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: MISHRA RAHUL DINESHKUMAR SHANTIDEVI
Mother's Name: SHANTIDEVI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 22 Aug 2003 Nationality: INDIAN
Place of Birth: MUMBAI Personal Identification Mark: SCAR ON LEFT EYEBROW
Blood Group: B + Address for Communication: R.no 12,Ram Abhilash Yadav Chawl,P.N Road Jamil Nagar Road Near Ekta Police Station,Bhandup-W,Mumbai-78 Maharashtra
State: Maharashtra Country: India
Pin: 400078 City/District: Mumbai Suburban
Mobile no: 9920109368 Telephone No. with STD code: 9920109368
Aadhar Card No:377443342208 E-mail: rahulmi127.0.0.1@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: DINESHKUMAR MISHRA Relationship with candidate: FATHER
Parents Date of Birth: 10 Feb 1978 Parent's/Guardian's Occupation/Designation: SECURITY GUARD
   
Office Address:
   
Address: 901,9th FLOOR HUBTOWN VIVA SHANKARWADI JOGESHWARI EAST MUMBAI 400068
Country: India State: Maharashtra
City/District: Mumbai Pin: 400060
Tel: Mobile no.: 8652543226
Fax: Email: kiranmis005@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: B.P.E.S HIGH SCHOOL School: N.E.S JUNIOR COLLEGE OF ARTS SCIENCE COMMERCE
City: MUMBAI City: MUMBAI SUBURBAN
English %: 49 Board Roll No./Seat No.:
Aggregate Percentage: 69 School/College Code:
  Centre code:
  Address of School/College: National High School Marg, NES Road,Battipada, Usha Complex Society Rd, Vasant Nagar, Bhandup West, Mumbai, Maharashtra 400078
  Pin: 400078
  Contact Nos: 02225951381
  Email: contact@nesjrcollege.org
  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
01/2014 Langadi Interschool NONE
10/2013 Handwriting National FIRST
09/2015 Handwriting and Coloring National NONE
11/2015 National Science Olympiad National NONE
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
06/2019 Electronics 2 years
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: Being too passionate about Body Fitness, first of all I did like to go for exercises .Sharpening my mechanical and technical skills more. Going for trekking, hiking and camping are also on the list. Although, My Communications are fine with Indians, but would like to give it international standards.
Why do you wish to join TMI?: TMI provides a better facilities in curricular activities and also focuses on soft skills which will help me developing a good personality. Alumni Network is huge and so is the infrastructure. Placements are up to my satisfaction.
What are your hobbies?: Hacking, Cricket , Cooking
What are your strengths?: Presence of Mind, Convincing power and intellectual problem solving
What are your weaknesses?: Communication skills, Timid
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 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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