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: DNS2173332
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Chaitanya Konde
Mother's Name: Swati
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 01 Jan 2004 Nationality: Indian
Place of Birth: Pune Personal Identification Mark: spot on shoulder
Blood Group: A + Address for Communication: Shalini residency near narayani dham mandir Katraj pune 46
State: Maharashtra Country: India
Pin: 411046 City/District: Katraj
Mobile no: 9356358168 Telephone No. with STD code: 09356358168
Aadhar Card No:940240269827 E-mail: chaitanyakonde47@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Sanjay konde Relationship with candidate: Father
Parents Date of Birth: 11 Apr 1996 Parent's/Guardian's Occupation/Designation: Engineer
   
Office Address:
   
Address: Shalini residency near narayani dham Mandir Katraj pune 46
Country: India State: Maharashtra
City/District: Katraj Pin: 411046
Tel: 09822282235 Mobile no.: 9356358168
Fax: Email: chaitanyakonde47@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: Maharashtra
School: Sarhad english medium school School: Laxmanrao apte prashala
City: Pune City: Pune
English %: 76 Board Roll No./Seat No.:
Aggregate Percentage: 71 School/College Code:
  Centre code:
  Address of School/College: 1244, Apte Rd, Deccan Gymkhana, Pune, Maharashtra 411004
  Pin: 411004
  Contact Nos: 09822282235
  Email: chaitanyakonde47@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 ?: Preparing for imu cet
Why do you wish to join TMI?: Dns course
What are your hobbies?: Cricket
What are your strengths?: Pateince
What are your weaknesses?: No weaknessee
How do you intend to meet the expenses of this program?: Own Resources
 
Review you documents:
Birth certificate not uploaded DGS Approved Medical Fitness Certificate not uploaded Class X marksheet not uploaded 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.