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: DNS2173680 Name: SAURABH MOHAN SINGH THAKUR
  Address: BLOCK 12 S 2 TOLANI MARITIME INSTITUTE TALEGAON CHAKAN ROAD PUNE 410507
Telephone No.: Mobile no: 9850514276
E-mail: saurabhsinghthakur3425@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 282.6 (Includes Convenience fee of ₹ 82.6 ) DD Number: -
Issuing Bank: - Transaction Id: 426748401
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173680 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: DNS2173680
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: SAURABH MOHAN SINGH THAKUR
Mother's Name: VAISHALI
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 08 Jan 2003 Nationality: INDIAN
Place of Birth: SHIRPUR Personal Identification Mark: JOINT BROWS
Blood Group: O + Address for Communication: BLOCK 12 S 2 TOLANI MARITIME INSTITUTE TALEGAON CHAKAN ROAD PUNE 410507
State: Maharashtra Country: India
Pin: 410507 City/District: PUNE
Mobile no: 9850514276 Telephone No. with STD code:
Aadhar Card No:413160443478 E-mail: saurabhsinghthakur3425@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: MOHAN SINGH THAKUR Relationship with candidate: FATHER
Parents Date of Birth: 02 Oct 1974 Parent's/Guardian's Occupation/Designation: EXECUTIVE FILTRATION PLANT
   
Office Address:
   
Address: TOLANI MARITIME INSTITUTE TALEGAON CHAKAN ROAD PUNE 410507
Country: India State: Maharashtra
City/District: PUNE Pin: 410507
Tel: Mobile no.: 9850514274
Fax: Email: saurabhsinghthakur3425@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: KENDIYA VIDYALAYA NO 1 DEHUROAD PUNE School: kendriya vidayalaya no 1 dehuroad pune 412101
City: PUNE City: pune
English %: 84 Board Roll No./Seat No.:
Aggregate Percentage: 82 School/College Code:
  Centre code:
  Address of School/College: kendriya vidayalaya no 1 dehuroad pune 412101
  Pin: 412101
  Contact Nos:
  Email: saurabhsinghthakur3425@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:  
Vocational and Training Courses undertaken:
 
MONTH / YEAR (MM/YYYY) COURSE COURSE DURATION
AUGUST 2017 NATIONAL CADET CORPS 1 YEAR
 
How do you intend spending your time after completing class XII Final exams and before joining college ?: PHYSICAL FITNESS AND PREPARATION FOR NDA
Why do you wish to join TMI?: WANT TO BE A MARINER
What are your hobbies?: PLAYING CRICKET
What are your strengths?: Thinking the Task by different way
What are your weaknesses?: Overthinking
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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