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: DNS2173826 Name: Ayush Kumar Patial
  Address: A-403 Unnathi sec-21 kharghar navi mumbai 410210 plot 69 AB
Telephone No.: Mobile no: 9372565667
E-mail: ayushpatial@gmail.com  
   
Application fee payment details:  
Payment Status: Paid Payment Mode: Online
Amount: ₹ 200 (Includes Convenience fee of ₹ ) DD Number: -
Issuing Bank: - Transaction Id: 425454110
   
   
Declaration: We hereby declare that all the statements made in application form against Dossier ID DNS2173826 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: DNS2173826
 
Applicant's Personal Information:
 
Full Name as on Class XII Marksheet/Pass Certificate: Ayush Kumar Patial
Mother's Name: Kiran Bala
Gender (M/F): Male Marital Status (Single/Married): Single
Date of Birth (DD/MM/YY): 20 Aug 2003 Nationality: India
Place of Birth: Maharashtra Personal Identification Mark: mole on left foot
Blood Group: O + Address for Communication: A-403 Unnathi sec-21 kharghar navi mumbai 410210 plot 69 AB
State: Maharashtra Country: India
Pin: 410210 City/District: navi mumbai
Mobile no: 9372565667 Telephone No. with STD code:
Aadhar Card No:375132363662 E-mail: ayushpatial@gmail.com
 
Guardian's Particulars:
 
Name of Parent/Guardian: Vijay kumar Relationship with candidate: Father
Parents Date of Birth: 03 Jul 1968 Parent's/Guardian's Occupation/Designation: Merchant Navy
   
Office Address:
   
Address: MF 3F Leela Business Park Marol AndheriKurla Road Andheri East Mumbai Maharashtra 400059 leela business park 400059
Country: India State: Maharashtra
City/District: andheri Pin: 400059
Tel: Mobile no.: 8369607216
Fax: Email: ayushpatial@gmail.com
 

Education and Academic Record :


Class X: - Class XII: -
Year of Passing: 2019 Year of Passing: 2021
Board: CBSE Board: CBSE
School: Apeejay school School: Greenfingers global school
City: Navi mumbai City: Navi mumbai
English %: 73 Board Roll No./Seat No.:
Aggregate Percentage: 81 School/College Code:
  Centre code:
  Address of School/College: Plot No 9 Near Shilp Chowk Sector 12 Kharghar Navi Mumbai Maharashtra 410210
  Pin: 444102
  Contact Nos:
  Email: ayushpatial@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 wish to attend some webinars and learn coding and java
Why do you wish to join TMI?: I have heard so much about TMI and seafarers it produce have a quality and fitness thus making me more inclined to join it
What are your hobbies?: Football, table tennis, Badminton, Cricket
What are your strengths?: helping, sharing, interested in learning new things
What are your weaknesses?: able to trust people to easily, not being able to say no
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 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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