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: DNS2173190 Name: Bhavesh Sushilkumar Choubey
  Address: B/204 Mukti Complex Chakradhar Nagar Nallasopara West,
Telephone No.: 09021923668 Mobile no: 9021923668
E-mail: bcchaubey6@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 427826454
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173190 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: DNS2173190
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Bhavesh Sushilkumar Choubey
Mother's Name: Manorama Sushilkumar Choubey
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 24 Aug 2003 Nationality: Indian
Place of Birth: Cholahpur Personal Identification Mark: No
Blood Group: B + Address for Communication: B/204 Mukti Complex Chakradhar Nagar Nallasopara West,
State: Maharashtra Country: India
Pin: 401203 City/District: Mumbai
Mobile no: 9021923668 Telephone No. with STD code: 09021923668
Aadhar Card No:676176709300 E-mail: bcchaubey6@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sushilkumar Choubey Relationship with candidate: Father and son
Parents Date of Birth: 02 Jan 1974 Parent's/Guardian's Occupation/Designation: Service
   
Office Address:
   
Address: B/204 Mukti Complex Chakradhar Nagar Nallasopara West
Country: India State: Maharashtra
City/District: Mumbai Pin: 401203
Tel: 07709231134 Mobile no.: 9021923668
Fax: Email: bcchaubey6@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: Maharashtra Board: Maharashtra
School: ST Marys English High School School: US Ostwal Junior College
City: Mumbai City: Mumbai
English %: 68 Board Roll No./Seat No.:
Aggregate Percentage: 7 School/College Code:
  Centre code:
  Address of School/College: US Ostwal Junior College Ostwal Nagri Nallasopara East
  Pin: 401203
  Contact Nos:
  Email: bcchaubey6@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 have joined a hobby class after completing my Xll final exam and before joining any college. it helps me to increase my courage and confidence.
Why do you wish to join TMI?: i wish to join TMI because it is one of the best institute in India. if i git sponsored from TMI then it will be helping me to build my future.
What are your hobbies?: Singing, Exercising
What are your strengths?: My strengths are my confidence, my families, friends
What are your weaknesses?: My weakness is demotivation
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 not uploaded Class XII admit card Class XII marksheet not uploaded
 
Declaration

I hereby declare that all the statements made above are true and correct.

Signature of Candidate

 

___________________

Date ________________

 
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